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813-78DIM City of Zephyrhills Pdrmit Application Fax-81a-7801=1 <br /> Buildin <br /> g Department <br /> 2 <br /> Date Recelftd Phone Contac:t for Permitting 13 ) -7R 50 1-:5 <br /> . . . . . . . . . . . <br /> OWW.N— ii'naharp Kealiv I" o.—Ph.-Number 15 <br /> OwneesAddmsiT?—C-)-7 0 ! <br /> 7 ;/S_ ?- <br /> Owner Phone Number <br /> '— <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 12�2 LandIng P-Ja6b R�M LOT# <br /> SUBOWISION FEW-05M Wks I PARCEL ml 341 <br /> I J (05T.FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CDNMK ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM u OTHER I <br /> TYPE OF CONSTRUCTION r7 BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK I&UQ/R e&=0t#, ,Q <br /> BUILDING SIZE SQ FOOTAGE HEIGHTI <br /> -E . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDING Is VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY M W.R.E.C. <br /> =PLUMBING 1$ <br /> RIMECHANICAL 11 7y3q67 VALUATION OF MECHANICAL INSTALLATION <br /> =CM ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE I REGISTERED I YIN FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURM L_XLN J <br /> Address License# <br /> PLUMBER COMPANY <br /> .SIGNATURE REGISTERED I YIN FEE CURR13% <br /> Address License# <br /> MECHANICAL COMPANY E,: f±p�ne, f <br /> SIGNATURE REGISTERED YIN FEE WFIRE!, I YIN I <br /> Address 441A)iZ 7:�! Zh,'116 Ft License#QM4—WW <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LXLN J <br /> Address License#F-7 <br /> Illlltltllllllllllllllllllllllllllllllllllllllllllllllltlllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building.Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)worldng days after submittal data. Required orisite,Construction Plan%Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subefivisionallargo projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety PoW.(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)wodft days after submital data. Required onsite,Construction Plans,Storrawater Plans wl Silt Fence installed, <br /> Sanitary.FacIfides&I dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engmeered Mans. <br /> *PROPERTY SURVEY required for all NEW construction. <br /> . . . . . .4646164-11 lam 1111111ft - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - -- - - - - - - - <br /> Attnts a <br /> Fill out application completely. <br /> Owner&Contractor sign be(*of application,notarized <br /> If over$250Q a Notice of ConunencemeW is required. (PJC upgrades over$7500) <br /> Agent(for the 0-tractor)or P—of Aftorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTERPERMrMNQ r: (copy ploonbadrequired) <br /> Raroofs If shingles Sewers.- Service upgrades A1C Fences(PlatIsurveylFootage) <br /> Driveways-Not over Counter if on public roadways..-needs ROW <br />