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818-780-0020 City of Zephyrhills Permit Application Fax-8113a8041MI <br /> Building Department <br /> Date Received I <br /> Phone Contact <br /> 1 1 1 1 l 1 l tt for Permitting l`( 5 —qq qq Q ry <br /> Owners Name6�eilwdOwner Phone Number V d 0 <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address �� <br /> JOBADDRESS 1 ^ LOT# <br /> SUBDmsION PARCEL ID# Yh(n- el./- MUD-U 2- <br /> (OZAurED FRom PROPERn TAx Noncq <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME I= STEE'! yL Q <br /> DESCRIPTION OF WORK /1 S y r` y / 0 CW <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �I <br /> =BUILDINGc. $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ nt— AMPSERVICE = PROGRESS ENERGY = W.R.E.C. t/ <br /> =PLUMBING $ ` 02,�-tO" <br /> =MECHANICAL $ AL, VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDERDO(W COMPANY UMMar IcurnDv,cn <br /> SIGNATURE REGISTERED /N I FEE CURREN YIN Q <br /> Address JACIVII {—)License# 0� !oC n— <br /> ELECTRICIAN COMPANY 0C�t�1 S , OAd( t_./ t(l)Q Wat!S <br /> SIGNATURE REGISTERED IDN FEECURREN I YIN <br /> Address 3 License#KC <br /> PLUMBER COMPANY �L,t r Namn g Y IL I vch <br /> SIGNATURE REGISTERED /N FEE CURREN Y/N <br /> Address ' ^ License# 0 (D 2 <br /> W MECHANICAL COMPANY outtS Q A C c/ C L{r/ a UAb <br /> SIGNATURE p REGISTERED YIN I FEE CURREN )/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRE14 Y l N <br /> Address I License# <br /> ltlllllilitlllll.11llllit1illllllllll.lt_lllli/llll.11r11111121talilit28lli <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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes_RAW Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stomwmter Plans W Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized' <br /> ff over$2500,a Notice of Commencement is required(A►C upgrades over$7500) <br /> Agent(forthe contractor)or Power of Attorney(for the owner)would be someone with notarized tetterfmm owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />