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"='""-u»4v City of Zephyrhills Permit Application Fax-818-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name nC_ Owner Phone Num er <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> SUBDIVISION 1D# <br /> (OBTAINED FiRdIVI PROPERTY TAX NOTICE) <br /> WORK PROPOSED mamcowSTn Aoo/ALT F---1 m|GN �—� F--� .DEMOUSM <br /> Ef INSTALL F_l REPAIR <br /> PROPOSED USE �—� uFR �—\ Comm F--� OTHER <br /> TYPE OFCONSTRUCTION �--J� BLOCK �—� FRAME �---� GTEEL �--� <br /> DESCRIPTION OF WORK F i�;w L7Zj&nCj2_ �;—'Fed 51 CA 27 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ' <br /> �—�oU���)N� <br /> �--� VALUATION OF TOTAL CONSTRUCTION <br /> F--lELECTR)CAL AMP SERVICE �--� PROGR�G8�NERGY �--1 YY.R.E.C. <br /> oo <br /> ` <br /> =PLUMB\NG <br /> =MECHANkCAL VALUATION OF MECHANICAL INSTALLATION / <br /> v <br /> =aAa ��� R�OFNn F—� SPECIALTY F---1 OTMER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA F--\YE8 NO <br /> BuILoER COMPANY <br /> SIGNATURE neoIersnso <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE :__JREGISTERED <br /> Address <br /> :'LUMBER COMP/NY <br /> 3|GNxTURE neu/arsnso <br /> xdumms License# <br /> wEcHAN|cAL COMPANY <br /> BaNpJURE nea/arsnso <br /> Address <br /> )THER COMPANY <br /> ;|oNxTUBE nsa�ar�nso <br /> FEE CURREN <br /> Address &hw License# <br /> Zso|DEmTh4L Attach(2)Plot Plans|Cqsets of Building Plans;(1)set of Energy Forms;F-O4W Permit for new construction, <br /> Minimum-ten(1o)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/.Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects'DMMERCu\ Attach(2)complete sets of Building Plans plus aLife Safety Page;(1)set ofEnengy'F6�me_}.F- ' 'Permitfnrnmw 'cmnntrowUon. <br /> Minimum ten(1O)working days after submittal date. Required onaite.Construction Plans,Stormwater Plans y/Silt Fence Installed, <br /> Sanitary Facilities 81dumpater SheYVorkPnnnitforo||ne*podacts./A|cnmmonoia|requirbmonts'mustmeeLuomp|ianoe <br /> UGNPER0[T Attach(2)sets of Engineered Plans. <br /> °°**PROpERTY SURVEY required for all NEW construction. ' <br /> ' _'..�. - <br /> Fill out application completely, <br /> owmer&Contractor sign book of application,notarized <br /> n over$25ou^a Notice of Commencement is required. (AIC upgrades over*7500) <br /> ^ Agent(for the contractor)or Power of/#tomn�(for the owner)would bo someone with notarized letter from owner authnridn same <br /> mER THE COUNTER PE0MRT|NG (copy ofoonh re <br /> quired) <br /> � <br /> mmofs if shingles Sewers Service Upgrades A/C Fences(PloVGuwoy/FuotaQo) . ' <br /> Driveways-Not over Counter ifun public modvaymaondoROW ' <br /> ! <br /> ' <br />