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o Io-rau Uuzv City of Zephyrhills Permit Application AA gRaax-sls-Tao-oo21 <br /> Building Department 4Mm W" wl& 7_2— <br /> Data Received PhonecontactforPermit" i 35 <br /> Owners Name SIT V V Owner Phone Number (�- <br /> Owner sss Addre Owner Phone Number F— <br /> Fee Simple Titleholder Name Owner Phone Number { <br /> Fee Simple TitieholderAddress <br /> IVI <br /> JOB ADDRESS f� /� /� LOT#-t/�pC�tt�l <br /> SUBDIVISION PARCEL,o# V5'ab' - QQT0- Vd 100 � yV <br /> (OBTAINED FRO.PROPERTY TAX NOTlcE, <br /> WORKPROFOSED NEVyCONSTR� ADO)ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = !COMM � OTHER � 5yS fi <br /> TYPE OF CONmucnON = BLOCK Q :,FRAME STEEL Q I DESCRIPTION OF WORK I VA1 nLSystM <br /> BUILDING SIZE SQ FOOTAGE o HEIGHT <br /> =BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTIk-- <br /> =ELECTRICAL <br /> $4.15 05 <br /> AMP SERVICE Q PROGRE W.R.E.C. <br /> PLUMBING S <br /> =MECHANICAL is <br /> VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEECURPEN YIN <br /> Address �- 7 License# /� /IF�j j 1 f <br /> ELECTRICIAN COMPANY V i J d 10," b 4rdW� <br /> SIGNATURE REGISTERED I YIN I FEE CURREN LKLN <br /> Address License#I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y 1 N I FEE CURREn LZ 1 N <br /> Address License#F 7 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREn LKLN J <br /> `( <br /> Address License# i <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y/ N I FEE CURREn <br /> Address License# <br /> 11 [ ![ 1t11tI ! [ tt [ ! [ tiI [ t ! t ! t[ tlitl [! I [ It [ tt [ tI [ 1 ! tltllllt [ tttl ! [ tI [ I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fors;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit for new construction. <br /> Minimum ten(10)wortdng days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 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 far all NEW construction, <br /> . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . ... . . . . . ... . .. . . . <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. (AIC 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 PERM"NG (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />