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City of Zephyrhills Permit Application Fax-1:513-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 1(35a )-79G <br /> sommossol 111111awass a - -------- <br /> Ownees Name L-4z-- 11 1 :U Number <br /> 0�S—,o�, ED A-, LLO- Owner Phon Num <br /> Owner's Address 190 "uASoo kzIl 1� Owner Phone Number <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C-,cAk NWA L- <br /> LOT# <br /> SUBDIVISION t,CO\O fN!,� I PARCEL to#135-a5- a I-CK-,J 0- L)S%a)-pocC.') <br /> I's (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONITRR ADDIALT � SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> a WZY-O'eje Lkc%0%> CV-N <br /> DESCRIPTION OF WORK 00n6ef-A Sor, <br /> BUILDING SIZE I I SCI FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> ,P;EIMECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address I License <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED Y/N FEE CURREN LLLN_J <br /> Address I License 9 <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED Y/N I FEE CURREN <br /> Address I License If <br /> MECHANICAL COMPANY =bkk�\e(- <br /> SIGNATURE REGISTERED Y/N FEE CLFRdEN Y/N <br /> Address License If <br /> OTHER COMPANY = <br /> SIGNATURE f REGISTERED Y/N FEE CURREN Y=N <br /> Address License# <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 ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpater;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL 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(110)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Pence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *—PROPERTY SURVEY required for all NEW construction. <br /> Directions: <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 /> 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 />