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813-78"UZO _ City of Zephyrhills Permit Application Fax-013-78U-UU11 - <br /> Building Department �,�qq, U <br /> Date Received L/ ✓' Phone Contact for Permitting <br /> [E[[!E[E [[!!E <br /> Owner's Name P } Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 I Q —� ,Va LOT# <br /> SUBDIVISION PARCEL ID# is 3 rZ o1 • e o oo t O O • oo <br /> �PROPERTY TAx NOTICE) <br /> WORK PROPOSED Q NE�R ADD/ALT 0 Q DEMOLISH <br /> NSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK I cvs 4 n 1\CkI t <br /> BUILDING SIZE 1 119 L F SQ FOOTAGE HEIGHT ,' rr <br /> "ETC"CZ"C-CCC CL"E E'LIE W'E.C'ux'L :wwL_€EA.CSE'S'CCC"S FEZC"S S.E.C.S.i.X: .C-C><-.L'CE-Q-L C S-C CS"S-XE'6 CCr <br /> BUILDING 'Cl as <br /> �^ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ — AMP SERVICE Q PROGRESS ENER Q W.R.E.C. <br /> =PLUMBING $ ot <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ® dif' ' / <br /> =GAS = ROOFING 0 SPECIALTY = OTHER l�(✓ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO /ler✓1 <br /> BUILDER COMPANY _I <br /> SIGNATU4 F REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> CCrtc 0-C+Crc <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> a-1e z�.7 coSpea p c'ce FC Obk� <br /> Address - � } � License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> g a t a g-s t gag"I ff I/l a ff a t It <br /> WE <br /> g.g.l g g g l a s at <br /> lag a g I E E g all I I.1 1 1 a g l l l l![g.l II a a a I I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W all 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&1 dumpster;Site Work Permit for subdivisionstlarge 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(10)working days after submittal date.Required onsite,Construction Plans,Stormwater 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 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.(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 PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />