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City of Zephyrhills Permit Application Fax-1113-78D-Ml <br /> Budding Department <br /> CkQCAS <br /> ved 4R <br /> Data RaIrl <br /> sai. "'d ��,,,Ph�onNumb�er owner phone Number <br /> Oxvnees Na 0 <br /> ure <br /> Ovinter's Address O=er Phone Number F <br /> roe Simple Titleholder No no Owner PhatioNumbor <br /> Fee Simple TTIfteholder Ad rem <br /> JOB ADDRESS U j LoTia <br /> SUBDMStON d PARCELID0 <br /> (CMAINSID PROM PROPWIT?TAXWOTICS) <br /> WORK PROPOSED NEW CONSTR r7 ADuIALT F--j SIGN ❑ r—j DEMOLISH <br /> INSTALLREFAIR <br /> PROPOSED USE ❑ SFR ❑ COMM ❑ OTHER <br /> TYPE OF CONSTRUCTIO]I 1 7-1 BLOCK''' <br /> FRAME ❑ STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING Size F— SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECT RICAL S AMP SERVICE' ❑ PROGRESS ENERGY ❑ W.R.G.C. <br /> �LUMBING S <br /> ''I',"",',,TD; � C yIyl <br /> =MECHAMCAL 16 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING ❑ SPECIALTY= OTHER <br /> FINISHED FLOOR Et EV FIONS FLOOD ZONE AREA [AYES NO <br /> . . . . . . . . . . . . . . . . . . . . . .. . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURRM <br /> Address I License#F— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGIMERSO I YIN FERCURRM I YIN I <br /> Address Licensett <br /> PLUMBER COMPANY Ml M- -�r4rity <br /> SIGNATURECE REGISMRED <br /> FSE oURR-0 <br /> Address <br /> License a <br /> MECHANICAL COMPANY <br /> SIGNATURE I Y/N miziewsrus, <br /> Address License#F- <br /> 07HER COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURM <br /> Address License 9 <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 orlslte,Construction Plans.Storrawater Plans w/Sit Fence installed, <br /> Sanitai I Facilities&I dumpster;Site Wink Permit for subdivIslonsilarge projects <br /> COMMERCIAL Attach t2)complete sets of Building Plane plus a Life Safety Page;(1)set Of Energy Forms.R-O-W Permit for now construction. <br /> Mtrdmn m ten(10)worlilviii days after oubmittal data. Required onelte,Construction Plans,Slarmwalar Piano w/Slit Ponca Installed, <br /> Sailital t Faellitlea&1 dumpater.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach 1,2)sets of Engineered Plarls, <br /> PR)PERTY SURVEY required for all NEW construction. <br /> Ditc.tItt <br /> FBI out application co nplately. <br /> Owner&Contmmcftor s.gn back of application,notarized <br /> It ovor$2500,a Not:0 of Commoncomont Is required. (A/0 upgradas ovor 07600) <br /> Aigent(for thor contra <br /> I)or Power of Attorney(for the cmeir)would be someone with notafted latter from owner authorizing same <br /> OVER THE COUNTER WITTING (copy of contract required) <br /> Reroofs If shinglos 9 wars SeNleo Upgrades A/C Fuca(PlollSurvey/Footage) <br /> Dfivowolis,Nol over -,ounter It on Public ro3dimiya.riveds ROW <br />