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613-760-0020 City of Zephyrhills Permit Application Fax-B13.7MMZ1 <br /> Building Depadment [�^� <br /> Data Received Pitone,Contact for Permittin �——`DCA <br /> Owner's Name •�L Owner Phone Number <br /> 01 es,Address Owner Phone Number _ <br /> r <br /> Fee Simple Titleholder Noe Owner Phone Number <br /> Fee Simple Titleholder Ad ROSS <br /> JOB ADDRESS \'W 23n cg'o' 93\"d LOT# <br /> SUBDIVISION ���d dC.�CJ•Ca i PARCELIDS <br /> (caTAw50 FROM PROPERTY TAX NOM0) <br /> WORK PROPOSED B NEW CONSTR 8 ADDIALT = SIGN DEMOL15H <br /> tNSTALL RE?AiR <br /> PROPOSED USE i = SFR Q Comm L J OTHER <br /> TYPE OF CONSTRUCTiOl I 0 BLOCK 0 FRAME = STEEL [� <br /> DESCRIPTION OF WORK, <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE Q PROGRESS 04MGY = W.R.E:C. <br /> PLUMBING C� <br /> =MECHANICAL S W rVALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVA rIONS FLOOD ZONE AREA =YES NO <br /> i <br /> BUILDER COMPANY <br /> SIGNATURE RE016�TE'R(E0 Y/ N FEECURREt Y/N <br /> Address I License tl <br /> ELECTRICIAN COMPANY <br /> SIGNATURE I Y/N FEE CURRM YIN <br /> Address License i6 —� <br /> PLUMBER COMPANY �C�1 ~ �Q F±E <br /> SIGNATURE I REGiMRED N FEECURReT Y 1 <br /> Address License D - ti a O <br /> MECHANICAL COMPANY <br /> 31GRt0iURE nLatcTCRCD I Y 1 N rec oum En 7/N <br /> Address License a <br /> OTHER I I COMPANY <br /> SIGNATURE REGI8TERE0 I T/ N FEECl1RREA LILN <br /> Address License N f <br /> 1111111r1111,Illtllltl111r1r11111111111111r1111111111111111111111111 <br /> RESIDENTIAL Attach 2)Plot Plans:(2)sets of Building Plans;(1)set of Energy Forms:R-O-W Pemtlt for new construction, <br /> Minft m ten OU)working days after submittal(late. Required onsite.Construction Plans,Stormwrater Plans w/Sdt Fence installed. <br /> Smile/Facilities&1 dumpster,Site Waik Permit for subdivislonsnarge projects <br /> COMMERCIAL Attach 2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Mlydm m ton(10)working days after submittal Cato. Required oneite,Construction Piano,Stbrmwator Plane wl Silt Fence Installed, <br /> Sanit j Facliltles&1 dumpster.Site Work Permit for all new projects.All commerdal requirements must meet compliance <br /> SIGN PERMIT Attach 2)sets of Engineered Plans. <br /> PR)PERTY SURVEY required for all NEW construction. <br /> "All JDirections:Fill out application cnivetely. <br /> Owner&Contrattor s;gn back of application,notarized <br /> tf ovor$2600,n Noti�o of Commoncomont is roqui od. (A/C upgmdas ovor$7600) <br /> Agent(for the contra lor)or Power of Attorney(for the owner)would be someone w161 notarized latter from owner authorizing same <br /> OVER THE COUNTER P RMITTING (copy of contract required) <br /> Reroofs if Shinglos S"wers Service Upgrades NO Fences(PloUSulvey/Footage) <br /> Driveways-Not over ounler If on public roadways„needs ROW <br /> t <br />