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e13-7804)02o City of Zephyrhills Permit Application Fas•819-780.0021 <br /> Budding Department <br /> Date RecNvb Phom Contact for Pnmllttin� — _ <br /> 1'7T T A' <br /> Owners Noma Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name 1 Owner Phone Number <br /> Fes Simple Titleholder Address <br /> JOB ADDRESS , LOT# <br /> SUBDIVISION TCWn Cp i'4JtCEL1OK — — — <br /> tOOTAnIED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADDIALT Q SIGN Q Q DEMOLISH <br /> 9INSTALL REPAIR <br /> PROPOSED USE ® SFR [] COMM Q OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK I F" CZ a}c°S <br /> BUILDING SIZE SO FOOTAGE HEIGHT VVVV <br /> C201L01NG S �� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 5 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING S / \ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 111 M <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> t <br /> BUILDER COMPANY Cs,T*,MS L.-G, <br /> SIGNATURE REaiWERED I Y/N FEE CURRah I YfN <br /> 77 Address idea I 7$ c' , 2�Ar+ FLLicensed �(rG.i SG$y i 7 <br /> 325�T8 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEFED I YIN FEE CURREA <br /> Address License,$ <br /> PLUMBER COMPANY <br /> SIGNATURE L NeelISTEREo I YIN FEECURREA I YIN <br /> Address l.tcenae i <br /> MECHANICAL COMPANY <br /> SIGNATURE L RE013YFMD I YIN FEE CURFID Y I N <br /> Address 7 Lieeflse i <br /> OTHER COMPANY <br /> SIGNATURE REOISTERED YIN FEE CURREN Y/N <br /> Address Licenses <br /> IIIt11111111111111111111111111 { Iltltttlllltlttlllllllllltllllllllll <br /> RESIDENTIAL AOac h(2)Plot Plans;l2)sets or Building Plans:(1)set of Energy Forms;R-O-W Peril For new construction. <br /> Minimum ten 110)worWnp days after submittal date. Required onsite.Construction Plans,Stormwater Plans wl SUI Fence installed. <br /> Sanitary Facilities a 1 dumpater.Site Work PariNl for subdrwlsions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Lga Safety Page;(1)set of Energy Forms.R-O-W Pe"for new construction. <br /> Minimum ten(10)working days after submitted date.Required ons0e,Construction Plans,Stormwater Peons wl Sift Fence installed, <br /> Sanitary Facilities A 1 dumpster.Site Work Pernlit for all new projects.Ali Commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ^"PROPERTY SURVEY required for all NEW construction. <br /> 11 •11111 . . . . . . . . . . 1.4.111 <br /> p'Iactions: K <br /> Fill out application comptet01y. <br /> Owner a Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required, (A/C upgrades over$75001 <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 /> Remote if sthingfes Sewers Service Upgrades AIC Fences(PIol(Sunrey/Footage) <br /> Driveways-No]over Counter if on public roadways--ads ROW <br /> a '' <br />