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4 a_1 UV_VU4U City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> f <br /> Date Received Ty C-OM <br /> I Phone Contact for Permitting <br /> Owner's Name Inc- Owner Phone Number <br /> TOwner's Address luoot— 1�' PQ,fij��3�Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 M\i?t70Atr1Km 55�16 LOT# <br /> SUBDIVISION rb(1kkWv�, �ARCELID#1_S5-- Z. _V_ ONO_60soo _ W6 <br /> 'E� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL F__] REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> J _J <br /> -Iq <br /> BUILDING SIZE F_ SQ IFOOTAGEF HEIGHT <br /> ]BUILDING Immo I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> __01 5 <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> GCS C� <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS *%*30 FLOOD ZONE AREA [ YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER '_ <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> COMPANY nc, <br /> SIGNATURE 6) REGISTERED FEE CURREN Y/N <br /> 1 � <br /> Address I -D� 2w License# C&2 II�')02 Te e win 41 <br /> =-LECTRICIAN COMPANY <br /> SIGNATURE I o-;;�Z'� REGISTERED <br /> Address S:1,4na: Qkw I License# �C'1� o o <br /> 'LUMBER COMPANY 5 t j n5 <br /> 3IGNATURE REGISTERED FEEICURREN I -(/N <br /> Address *V) S4-f /0M HA License# 1 <br /> VIECHANICAL COMPANY <br /> SIGNATURE REGISTERED VVN I FEECURRENV I Y/N <br /> Address DciS' r NhLWb,6_q -WE" License# I (-A C6 33 <br /> ETHER COMPANY <br /> 35IGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address ' Qw m--&hw License# I cc <br /> IiiliitililllilillliiiliIIIIIVlilllll111II11111ii1111iliiiltilitilii <br /> ZESIDENTIAL 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/Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> ,OMMERCIAL Attach(2)complete sets of Building 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&I dumpster.Site Work Permit for all new projects.All commercial requirbments'must meet compliance <br /> 'IGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> )erections: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -■ - <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> k Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> )VER THE COUNTER PERMITTING (copy of contract required) <br /> leroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />