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81 3-780-002D city of Zephyrhills Permit Application Fa*8`13-78G-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> I Owner Phone <br /> Owner Name Number <br /> Owner's Address owner Phone Number <br /> Fee Simple Tirdeh Owner Phone Number <br /> Fee Simple redeholder Address <br /> JOB ADDRESS A4 LOT# E:= <br /> I <br /> SUBDIVISION PARCEL IDJ 016 Q,?742,Q- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONISTR ADD/ALT SIGN O O DEMOLISH <br /> INSTALL E!r REPAIR <br /> PROPOSED USE O SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION O BLOCK FRAME STEEL <br /> DESCRIPT.ON OF WORK G4 e, <br /> BUILDING SIZE SQ FOOTAGE HEIGf----� HT F <br /> . .EB. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> UILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> F LECTRICAL Is AMP SERVICE O PROGRESSENERGY O W.R.E.C. <br /> =FLUMBING is <br /> O�JV<EC-1ANICAL IS VALUATION OF MECHANICAL INSTALLATION <br /> =oAs O ROOFING SPECIALTY = OTHER <br /> FINISHED�-LOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> . . . . . . . . . . <br /> BUILDER COMPANY I <br /> SIGNATUR,- REGISTERED YIN FEE CURREN I YIN <br /> Address I License# <br /> ELECTRICOLN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N I FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LZ <br /> L N <br /> Address License# F_ <br /> MECHANICAL(� COMPANY �5M?40WAI�' <br /> SIGNATUP 1— 146 <br /> REGISTERED Y/ N FEE CURREN I YIN <br /> AddressAIAW AU, Ucense#Muo <br /> OTHER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREN L_YLN J <br /> Addre-.s Licensett <br /> RESIDENT:AL Attach(2)Plot Plans;(2)sets of Building Plans:(1)set of Energy Farms;R-O-W Permit for new Construction. <br /> Minimum ton(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence Installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life safety Page;(1)set of Energy Forms.R-0-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERIMT Attach(2)sets of Engineered Plans, <br /> *—PROPERTY SURVEY required for all NEW construction. <br /> ottit&s: <br /> Fill ou 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 Attorney(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 sAnglGs I Sewers : Service Upgrades pgrades AtC Fences(Plot]Survey/Footage) <br /> Driveways-Not,over Counter if on public roadways..needs ROW <br />