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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> �]Date Received Phone Contact for Permitting )Scq kr?' )-- tLkQ�2' <br /> I I I I I I I I I I I a Ir <br /> N <br /> Owners Name 9k- �-Auc n�— Owner Phone umber <br /> Ommar's Address I I Owner Phone Number <br /> Fee Simple rdisholder Name nwnerRh-ane <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# k\ R- <br /> SUBDPASION r C- <br /> PARCEL 10# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADDIALT SIGN r7 r7 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR -C*MINA, OTF0'Z <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK IL --rZDAr-A I k <br /> BUILDING SIZE 1 Sp FOOTAGE HEIGHT <br /> . . . . . . . . . . . <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> ME rPLUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> J. COMPANY <br /> SIGNATURE i REGISTERED I YIN FEE CURREN L_yj N J <br /> Address License <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address Llcensa# <br /> PLUMBER COMPANY <br /> SIGNATURE. -faiisibl-ERED I v rN I— FEE CURREN--UL/NJ <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED E= FEE CURREN <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREN LILN J <br /> Address I I License# <br /> RESIDENTIAL Attach(Z)vlotFlans;(/)sets or building Flans,(i I set or i:-nergy Norms;E<-Q-VV I-ermit tor new construction, <br /> Minimum ten(10)working days aftersubmittal date. Required onsite,Construction Plans,Stormwater Plans md Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivIslonstlarge 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 now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wit Silt Fence 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 /> , . . . . . . . . . . . . . . . . . . . . . . . <br /> It ellons: <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required, (AIC upgrades over$7600) <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 Somers . Service Upgrades A/C Fences(PioVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />