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813-780-M City of Zephyrhills Permit Application Fax-813-78"021 <br /> Budding Department- <br /> Data Recelwed Phone Canted for Pefmmpo <br /> OwnaYs Name Owner Phone Number <br /> —owners Address JGPXk-aj\1 R I Owner Phone Number <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS [37/6,6 FOX)RUAL F&Ce-, I-A LOT# <br /> 1�eR J%W-57 SUBDIVISION 'Sill PARCEL.IM V9 40/cw 0101e;1010 <br /> (oirr".FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ! QDNSTR ADDiALT sirN 771 DEMOUSH <br /> R M <br /> INSTALL Er REPAIR <br /> PROPOSED USE Q SFR = COMM OTHER F <br /> TYPE OF CONSTRUCTION BLOCK p FRAME STEEL E3 <br /> DESCRIPTION OF WORK IWZ� *'&-.5, &k. cermaomeAt= a -r.0A1 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> . . . . . . . . . . . .=LLDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE PROGRESS ENERGY p W.R.E.C. <br /> =PLUMBING S <br /> [05'ECHANICAL ALUA I�S V -nON OF MECHANICAL INSTALLATION <br /> CAS p ROOFINr. p SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY <br /> SIGNATURF REGISTERED I YIN FEE CURREN <br /> I Address I License#F--- <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN Firs CURREN LUN J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Add. License# <br /> MECHANICAL COMPANY 16 1-/*? <br /> SIGNATURE [;k REGISTERED I Y/N FEE CURREN LLLN J <br /> &51 <br /> Address License#FffiW-49 99 <br /> OTHER I COMPANY I <br /> SIGNATURE REGISTERED I Y/ N FEE CURRM LILIN J <br /> Address License#F- <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Energy Forms-,R-O-W Permit for newoonstruction, <br /> Minimum ten(10)W011drig days WWwbffdft data. Required onsite,Construction Plans,Stomnivater Plans w/Sift Fence installed, <br /> San"Facilities&1 dumpster Site Work Permit for subdivislonS/121`98 pMjeCtS <br /> COMMERCIAL Attach(2)complete sets.ofSZaing Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Peffnftfor newconstruction. <br /> Minimum ten(10)worldni;days after submifttal date. Required onslIB,Ckinstruction Plans,Stormwater Plans wl Sift Fence installed, <br /> Sanitary Facilities;&1 dumpister.Site Work Permit for all now prpiects All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plane. <br /> PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . ... . . . 464W <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over$25W,a Notice of Commencement is required. (AIC upgrades over$75W) <br /> Agent(for the cam hector).or Power of AftXndy(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Resets if shingles Sewers Service Upgrades AIC - Fences(lokiti-Survey/Footage) <br /> Drhrewa"ot over Counter,If on public roadways-needs ROW <br />