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613.780.0020 City of Zephyrhills Permit Application Fax-elsaea-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittln a — <br /> 7 . <br /> Owner's Name e• a t��V�t1 t� Ca Owner Phone Number <br /> Owner's Address S 3elG Z (,, owner.Phone Number <br /> Fee Simple Tltlaholder Name Owner.Phone Number <br /> Fee Sfmpie 11119holder Address <br /> JOB ADDRESS 533& C l J 3 LOT# P 7 Q <br /> ' O <br /> SUB15IVISI6N PARCELID# f P:�'6~a k—00 10 ` a oZ 0 "0 O <br /> (OBTAMEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEWCONSTR ADD/ALT = SIGN = = DEMOLISH <br /> B INSTALL B REPAIR <br /> PROPOSED USE = SFR = Comm = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAM STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE Sq FOOTAGE HEIGHT <br /> ILDING VALUATION OF TOTAL CONSTRUCTION <br /> JV <br /> QELECTRICAL $ AMP SERVICE = PROGRESS_ENERGY = W.R:E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONA FLOOD ZONE AREA =YES- NO <br /> BUILDER COMPANY <br /> 'SIGNATURE REGISTERED I Y/N FEE CURREN Y./N <br /> Address Ucenee# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE- REGISTERED I Y/N I FEE CURREN LXLN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE- REGISTERED YIN FEE CURRENL.YJN <br /> Address License#I. <br /> MECHANICAL COMPANY <br /> SIGNATURE REWSTEREo I Y/N FEE CORM, I Y/N <br /> Address License# <br /> OTHER COMPANY Q C �f f.tC prplT <br /> SIGNATURE REGISTERED I YIN FEE CURREM I YIN <br /> Address l �Viv6�t?f' License# W <br /> 11'Iltt /Iltallalllll'11;1111111-1L1111111l111Ililtll.11l.11lill:lll.11ttlll <br /> RESIDENTIAL. Atfech.(2)Plot Plans;(2)sets'of Building Plans;(1)set of Energy Forms;R-0 W Permit for view construction, <br /> Minimum ten(10)workirig'days after submittal date:Requtred,onsite,Construction Plans,Stonnwater Plansw/Silt Fence_installed, <br /> Sanitary',Facilities,&1 dumpsteq Site Work Permit foiaubdivistonsAarge projeeis { <br /> COMMERCIAL Attach;,(2)comptelasels of Building Plans plus a,Life Safety Page;(1)set of Energy Fonns..R-0-W Pennit'for now construction. <br /> Minlmum'ten(10)working days after,submittal data.Required onslie,Construction',Plans,Stormwater.Plans w/Silt Fence installed, <br /> Sanitary Fac0lties'&.1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. t <br /> —PROPERTY SURVEY required for all NEW construction. <br /> -directions: <br /> FBI cufapplicalion completely. <br /> Owner.&Contractor sign back of application;notarized <br /> If over$25DO,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> •• Agent(for the-contractor)or Power of Attorney(far the-owner)would be,Someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING <br /> Of wnt raACtrequired) <br /> Reroofsfstdngles . Sewers ServiceUygrades Fences(Plot/Survey(Footage) <br /> Z <br /> Driveways-Not over Counter If on public roadways..needs ROW 1 <br /> ( <br />