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e13-700-0020 ' City of Zephyrhills Permit Application Fa:-6117800021 <br /> Building Department (� G <br /> Date Received Phone Contact for Permitting <br /> Owner s Name `�- Owner Phone Number <br /> Owner's Address ! Owner Phone Number <br /> i <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 1� <br /> JOB ADDRESS DwroLOT <br /> SUBDIVISION i C.J 0 PARCEL IOM <br /> loaTAWED FROM PROPERTYTAX 1,40110E) <br /> WORK PROPOSED B NEW 10 !,la e Au7DiALT = SIGN = DEMOLISH <br /> ItvSTALL REPAIR <br /> PROPOSED USE $ = SFR = cor im = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK'� FRAIdE = STEEL = <br /> DESCRIPTION OF WORK e�� �` �'r\ 1 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING 5 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY = W.R.F C, <br /> PLUMBING S <br /> =MECHANICAL s VALUATION OF LGtCf IANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NC <br /> If <br /> BUILDER COMPANY <br /> SIGNATURE ! REGISTERED Y I N FEE CURREt, LY/N <br /> i <br /> Address License p <br /> I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREA LILN <br /> 4 <br /> Address License# <br /> rN <br /> PLUMBER COMPANYrr <br /> SIGNATURE ` /'• REGISTER® N FEECURRfl, Y! <br /> Address � � Liroerse 0 '� 11,1 kys a C)S�� <br /> MECHANICAL - COMPANY <br /> SIONATUftE et_tit.T4,ct Y!N !tttl.Rli_7 7 f N <br /> Address License:g <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE Cl>RRr7, <br /> Address License e <br /> I11111111111IIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111 <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 onsne,Construction Plans,Stormwater Plans w/Sill Fence installed, <br /> Sanitary Facilities 6 i dumpsler,Site Waik Permii for subdimsionsnarge projects <br /> COMMERCIAL Atlachl(2)complete sets of Building Plans plus a Lire Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsile,Construction Plaits,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Altach:(2)sets of Engineered Plans, <br /> PROPERTY SURVEY required for all NEW construction, <br /> Directions:, I <br /> fin but application completely, <br /> Owner&Contractor sign back of appicalion,notarized <br /> H over$2600,a NoUco of Commoncoment Is roqulrod. (A!C upgrades over$7600) <br /> Agent(for the contraclw)or Pourer et Atmmey(for the owner)would be someone with notarized letter from owner autnorizifg same <br /> OVER THE COUNTER PERMITTING (copy,of contact required) <br /> Reroofs if shingles Salvers Service Upgrades A/C. Fences(PlotGurvey/Footage) <br /> 1 <br /> Drivaways-Not over Counter if on public roadways-needs ROW <br /> I <br />