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813=780-o020- City.of•Zephyrhills Permit Application. Fax-e13a80-0021 <br /> Building Department: <br /> Date Received b � _ �S <br /> Phone Contact for Permitting D <br /> ## # # E,.! <br /> Owner's Name I�/ Owner�Phorie Nuri>Ib'er al ' 60-3/IY D, <br /> Owner's Address ��Jj 22 Y <br /> ;I.� J.: .Owner Phone Number., <br /> Fee Simple Titieholder Name-" OWher•Phone Number ` <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS-. . r '. 23>Y (� :++... <br /> LOT.# <br /> SUBDIVISION` " ' PARCELID# 0 "� <br /> i .;•. ::.. (OBTAINED FROM PROPERTY TAX NOTICE). <br /> WORK PROPOSED NEW CONSTR ADD/ALTLien SIGN = Q DEMOLISH <br /> INSI°ALL e: REPAIR <br /> PROPOSED USE SFR, �,- COMM, OTHER17 <br /> - <br /> TYPE OF CONSTRUCTION '���=' ,f(BLOCK = '�' FRAME`'= STEEL`'' '° - - <br /> DESCRIPTION OF:WORK . /:X:�"" 'I-� ;O. l <br /> g� c l�`� �(-6)FJ b <br /> BUILDING'SIZE V J SQ•FOOTAGE1 HEIGHT, <br /> ��BUILDING, il'1o_� VALUATION OF TOTAL CONSTRUCTION <br /> , <br /> =ELECTRICAL $ AMP,SERVICE 0. .:,. .PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION. <br /> =GAS ROOFING ,= SPECIALTY OTHER - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES-r'' NO <br /> SV <br /> BUILDER COMPANY <br /> SIGNATURE (� t� -REGISTERED,-- Y-/-N-:; - ECURRE/N- .-_.Y/-N- <br /> Address 6 ��0 1G� Z� . License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE,, ":',: REGISTERED' Y/N FEE CURREN Y/N <br /> Address ' L'icense#` ` <br /> •-.,• <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED - Y/N.- FEE CURREN . _,. Y/N --. <br /> Address.. License-# <br /> -7 <br /> i. :. <br /> MECHANICAL. COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License.# <br /> OTHER - -COMPANY.. <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# — <br /> ! ! ! # !.!# !# ! I,!- <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 <br /> 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 subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Budding 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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities'&'1'diyrlipster:Site,UVork'?erriilt`for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Eng-irieered'Plans:"", <br /> ****PROPERTY SURVEY"requireti for aICNEWU construction, <br /> Directions: <br /> Fill out application completely----- <br /> Owner <br /> &Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required.(A/C upgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from 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 />