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613-760-0020 City of Zephyrhills Permit Application Fax-613-7e0-0021 <br /> Building Department y� <br /> Date Received n Ptlone Contact for Permitting 1 J <br /> Owner's Name •"- Owner Phone Number <br /> Owner's Address owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS `� r a LOT# L J=u-y�-i--r•I� <br /> SU13DMSION ,��d d {� PARCEL IDId <br /> t06rAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME u STEEL Q <br /> DESCRIPTION OF WORK .eL.6 { ` <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W_R.E.C. <br /> PLUMBING S <br /> =MECHANICAL S LJ� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURREA <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREA YIN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEECURM I Y/ <br /> Address License# tt j 0 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N fEECURRR, I YIN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREA Y I N <br /> Address License# F <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIfIt1111t111111111111111111 <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 onsite,Construction Plans,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsler:Site Work Permit for subdtvfstonsnarge projects <br /> COMMERCIAL Attach(2)complete seta of Bulding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal data. Required onsite,Construction Plana,Slormwater Plana w/Siit Fenno installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pernit 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 /> ,1"1,1161 • LI I11 •i.l • 11-• i• . . . . . • • i. t l • idtllil.l ' <br /> D)rections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If ovor$2600,a NoUoo of Commencomont to required. (AIC upgrades over$7600) <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 /> Remofs if shingles Sewers Service Upgrades A/C Fences(PiotiSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />