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613480.0020 City of Zephyrhills Permit Application Fax-879-7e0-0021 <br /> Building Department <br /> ironi�cA <br /> Date Received Phone Contact for Permitting. -3 )_Zi4 <br /> -r r r 6 <br /> . .r_r. l.t;. . .. _' _' '.._ ..r_I..1. r r t r t <br /> t... .. <br /> Owner's Name Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Foo Simple Titleholdor Namo Ownor Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� # J <br /> SUBDIVISION 'C s' PAARCEELID# <br /> A <br /> WORK PROPOSED NEW CONSTR `2 c),A�T SIGN(OBTAINED FROM PROPERTY TNOT 1cE)DEMOLISH <br /> eINSTALL 8. REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK nnQ_` FRAME = STEEL = <br /> DESCRIPTION OF WORK ^ L L7 r O r <br /> BUILDING SIZE SO FOOTAGE C� HEIGHT } <br /> �UILDING S p` VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ O AMP SERVICE Q PROGRESS ENERGY Q W.R.E-C. <br /> =PLUMBING S <br /> =MECHANICAL s VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER all <br /> OMPANY pl L��( 1_4-tyl <br /> SIGNATURE10 <br /> FRED =Y`f FEE CURREN Y 1 N <br /> Address j5c, l C e'-'.(AN ia_ License# CC-4- <br /> 32 8 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED) I Y/ N I FEECURREA Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y 1 N FEE CURREr, Y/N <br /> Address License# <br /> MPANY <br /> SIGNATURE MECHANICAL REGISTERED Y/N FEE,CURREt Y/N <br /> Address L License# <br /> OTHER COMPANY <br /> SIGNATURE L REGISTERED Y r N FEE CURREr. Y r N <br /> Address License# <br /> IIIIIIIIIIIIIIII11111'IIIIiII•IIIIIIIIt1I11111111111111111llllltltlll <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)working days after submittal date. Required onsfto,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary.Facilities&1 dumpsler,Site Work.Permit for subdivistonsflarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)sot of Energy Fortes,R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required.onsite,Construction Plans,Stormvrater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now 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 /> . . a. <br /> Directions: <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 Altomey(for the owner)would be somoona Wth notarized letter iram owner aulhotizing same <br /> OVER THE COUNTER PERMITTING :(copy of,contract required) <br /> ReroofsItsitingles Sewers Service Upgrades A/C Fences(PloVSurvey/Footage) <br /> Driveways-Not over Counter!ton public roadways.,needs ROW <br />