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y 813780-0020 City of Zephyrhills Permit Application Fax-e13-780-0021 <br /> Building Department <br /> Data Received Z —1 ` Phone�Cardaet for Permitting ) <br /> V � Ox�e►e�h .ST <br /> Owners Name f ` one Number <br /> �_f; <br /> Owner's Address �.�. d. 1Orrier Phone Number <br /> I <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Tdleholder Address <br /> i <br /> JOB ADDRESS �! LOT# <br /> SUBDIVISION PEE-IDX <br /> (oarAmo Rtom PROPERTY TAX NoncE) <br /> WORK PROPOSED �NEvy CONSTR e ADDIALT = SIGN = = DEMOLISH <br /> u INSTALL REPAIR <br /> PROPOSED USE Q JSFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION I�11/ BLOCK Q FRAME Q STEEL Q � � <br /> DESCRIPT=OF WORK y l�� ,�/ 77-7t� 37770 �77&2— <br /> BUILDING SIZEy (� V SQ FOOTAGE � ! HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL s AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> i <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> i <br /> =CAS = ROOFING Q SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER 4 r ,�,, COMPANY <br /> SIGNATURH 7 C�(� REGISTERED I Y/N FEE CURREn /N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE KOA REGISTERED Y/ N FEE CURREK I Y/N <br /> Address / License# %- _ (9c9 U <br /> PLUMBER (� (ti(✓vL� COMPANY t t Q/yiS.l✓�C� <br /> SIGNATURE "k v REGISTERS I Wj N FEE CURRM N <br /> Address <br /> MECHANICAL COMPANY S- �� C UB <br /> SIGNATURE ''JJ tt II GISTERED I YIN I FEE CURIMA I YIN <br /> Address l l& License# <br /> OTHER COMPANY <br /> SIGNATURE REGIsrT>zED I Y/ N FEE CURREn I Y/N <br /> Address t.icense# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)wkxtdrig days after Submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/laroe projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum .i <br /> ten(10)worldng days after Submittal date_ Required onsite,Construction Plans,Stotmwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "*PROPERTY SURVEY required for all NEW construction. <br /> Direetlons:. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drlveway"ot over Counter it on public roadways-needs ROW <br /> � I <br />