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s Is 7aaoo2o City of Zephyrhills Permit Application Fes-e13-780-0021 <br /> Building Department (� <br /> ` -Da_'m Received Phone Corrtaci for Pemtiffin - <br /> T"tT- y / 1'T Tr'7TT7T 2 .+a <br /> owner's,Id sme /'C' J'D �• �-6�1�$ Owner Phone Number <br /> �Y <br /> Owner's Address ! Owner Photo Number <br /> Tdteholder Nacre owner Phone Number <br /> Foe Simple <br /> Fee Stmpte Titleholder Address <br /> JOB ADDRESS ?j / LOTS#j <br /> SUBDIVISION . �r —� PARCEL ID# t^'/OOs"L/ <br /> (OSTA1NED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEINCONSTR ADD/ALT [_] _- SIGN DEMOLISH. <br /> INSTALL REPAIR <br /> PROPOSED USE _ SFR Q 'COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK. = FRAME STEEL <br /> OESCRIPT.ON OF WORK. G�—+C G� r D7YJ D G�IIF� I a Tr" <br /> BUILDING SIZE ^� SQ FOOTAGE HEIGHT a <br /> =BUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL (S � AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING ($ - �{ <br /> M'.ECHANICAL S�� �DJ VALUATION OF MECHANICAL INSTALLATION <br /> =C'•.4S 0 ROOFING SPECIALTY L,J OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> �i�L.Fib.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREP, <br /> Address License# I <br /> ELECTRICIAN � � COMPANY <br /> SIGNATURE REGISTERED I Y! N I FEE CURREI, I Y/N <br /> Address License# I <br /> PLUMBER COMPANY <br /> REGIST <br /> ERED TERED � FEE CURREI, LKLN Address Q License# <br /> MECHANIC AL COMPANY T_ --r- <br /> SIGNATUR- REGISTERED Y/ N FEE/ -J / CUR��REN II �YY I//N// <br /> Address /!�� License <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEECtlRREA Y!N <br /> Addre-m License#( I <br /> ltillilitlll,iI11114-1; 'il'f[ 1'1111111l1lI11111111 1 11 <br /> -11111111111ItI111 . 111 <br /> RESIDENT.-AL Attach(2)Plot Plans;(2)sets.of Building Plans;(1)set of Energy Forms;,R-O-W Permit for new construction. <br /> Minimum tan(10)wonting days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdiAsions/large projects <br /> C0MM8RClAL Attach(2)aOrnptetwbels of 6uitding Plans plus a Lite Safety Page;(I)set of Energy Forms,R-O-W Pormit for now construction. <br /> Minimum ten(10)woridng days after submittal date; Required onsite,Construction Plans,Stamwater Plans wt Silt Fence installed, <br /> Sanitary Facilities&1 dumpster. mit Site,Work.Per for all new projects.All commercial requirements must meet compliance <br /> SIGN PERF}R' AttaC6(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Oiredtons: <br /> Fill au.application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement is required. (A/C.upgrades over S75D0) <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 sningles. Sewers Service Upgrades;A!C' Fences(PkitlSurvey/Footage) . <br /> Driveways-Nat over Counter if on public roadways-needs ROW <br />