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8113-780-0020 City of Zephyrhills Permit Application <br /> Building Department <br /> Date Received I Phone Contact for Permulfinq <br /> . . . . . <br /> Owner s Name Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholdir Name <br /> Fee Simple Titlehotdiir Address <br /> JOB ADDRESS lLas eac,4Z*Y4�/C'S-Vnl -715 LOT# <br /> EL 100 <br /> SUBOWISION \a e PARI: F <br /> 100TAINED FROM PROPERTY TAX NOTICE) <br /> WOW PROPOSED NEW COIATRR AM r- <br /> ALT "7 SIGN r7 DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR rywhs = 07 Z;-' I <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION Of WORK Fu—rr-":� <br /> BUILDING SIZE C t 50 FOOTAGE HEIGHT <br /> F7BUILDING is VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTFdCAL AMFSERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> &ZPLUMBING <br /> =MECHANICXL S VALUATION OF MEQ-tAffiCAL INSTALLATION <br /> 7 <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> i <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES No <br /> . . . . . . . . . . <br /> Bull O"r <br /> SIGNATURE COMPANY <br /> IG UR REGISTERED I Y/N FEE CURREN I y <br /> Address License# <br /> ELECTRICIAN <br /> COMPANY <br /> SIGNATURE i REGISTERED I Y/N FEE CURREN L_LLN <br /> Address License# <br /> PLUMBER go <br /> COMPANY <br /> SIGNATURE <br /> EKED FEE CURREN YIN <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FeEcuRREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN YIN <br /> Add.. License 9 <br /> RESIDENTIAL Attach'(;I)idiot mans;(z)sets or tluacing mans:(1)set or triergy forms;R-O-W I-ennit lot newconstruction, <br /> MinlmUm ton(10)Working days aftersubmftWl date. Required onsde,Construction Plans,StormwaterPtanswY Silt Fence installed, <br /> Sanitary Facilities 6 1 dumpster,Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach'(2)Complete sets of Building Plans plus a Lffe 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,Constructon Plans,Storrnwater Plans W Silt Fence Installed, <br /> Sandal y Facilities&1 dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance <br /> SION PERMIT Attach!(2)sets of Engineered Plans, <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Dito164 . . . . . . . . . . . . . . . . . . . . . . . . . 1111 . . . . . . . .. . . . . . . . <br /> Pill out applicnticn.=6ptatat*. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (ATO upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner),muld be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles Savers - Seance Upgrades A/C Fences(Piol/SurveylFootaga) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />