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s-i3-780-0020 City of Zephyrhills Permit Application Fax-813-7ami)21 <br /> Building Department <br /> ................... <br /> Daft Received me Phone Contact for Permitting <br /> Owner's Name owner Phone Number <br /> Owner Phone Number <br /> owners Address E <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Address F- <br /> LrJOB ADDRESS )4765 Vd L.OT# E= <br /> SUBDIVISION F-- PARCEL IDOW C2 100' 000 00301 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEWCDNSTR ADDIALT SIGN DEMOLISH <br /> P INSTALL u REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION r7 BLOCK 0 FRAME STEEL Q 17" <br /> DESCRIPT-ON OF WORK <br /> BUILDING SIZE So FOOTAGE[ HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL r_- AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =FLUMBING is <br /> ED'V'ECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =C.,A's Q ROOFING SPECIALTY = OTHER <br /> FINISHED rLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> REGISTERED I Y/ N <br /> SIGNATURIM FEE CURREN Yam/N <br /> Address License# <br /> LFECTRIMAN COMPANY = <br /> IGNATURE t REGISTERED I YIN I FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY = <br /> SIGNATURE F- REGISTERED I YIN FEE CURREK <br /> Address 1 A License#I <br /> MSCHAN't" COMPANY It-A <br /> SIGNATU. TERFD Y1 I FEE CURREN I YIN I <br /> qq, <br /> Address awc1 License#lalicbq <br /> OTHER COMPANY <br /> SIONATURP. L REGISTERED Y/ N FEE CURREN LILN J <br /> Addre-z License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Sift Fence installed, <br /> Sanitary Facilities&I dumPster,Site Work Permit for subdivislonsftrge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Pam;(i)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date, Required onsite.Construction Plana,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projects-Ali commercial requirements'must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . &4464-"wN mom wows N <br /> Fill ou'application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC 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 AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways,.needs ROW <br />