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813-760-0020 City of Zephyrhills Permit Application Fato-913-780-0021 <br /> Binding Department <br /> note Received Phone Contact for PermitOn <br /> 'JylOwnels Name Owner Phone Number lD O� <br /> Owner's Address Owner Phone Ntmrhw <br /> 3-� 371�L <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS tw Opp Lt,L/L I kkV41 FD1 /L�OT�i#��y <br /> SUBDIVISION 1 �G 11', PARCELIDM <br /> (OBTAMM FROM PROPGMTAY NDTII2J <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> B INSTALL B REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME = STEEL 0 <br /> DESCRIPTION OF WORK L <br /> BUILDING SIZE SO FOOTAGE HdGHT <br /> =BUILDING $ �%1, VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ U VV AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREA I Y/N <br /> Address Ucerse# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREn Y—/N71 <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN I FEECURREr. I YIN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE I REGISTERED I Y/N FEE CURREA )/N <br /> Address x License# <br /> OTHER COMPANY OS S Z '�YIt�J <br /> SIGNATURE REGISTERED ILVI N FEE CURRM /aaN <br /> 40 Li I CM Address 9 .# Ispol <br /> III 111111 11111111111111lollIIIIIIIIIIIIIII111111IIIIIIIIII11111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fonts;RAW Permit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storrtwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislons/large projects <br /> COMMERCIAL Attach(3)complete sets of Building 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 date. Required onsite,Construction Plans,Stornwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.AI commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> FII out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over S25M a Notice of Commencement is required. (XC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone uft notarzed letter from owner authaiang Same <br /> OVER THE COUNTER PERMITTING (Front of Applrad-Orly) <br /> Retools if shingles Sewers Service Upgrades A/C Fens 0%t/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />