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813-78MO20 City of Zephyrhills Permit Application Fax-813.780-11121 <br /> Building Department <br /> Date Received a Phona contact for Permitting <br /> 'iT T rl i-1 1" <br /> Owner's Name ," Owner Phone Number. <br /> Owner's Address t Owner Phone Number <br /> Fee Simple Tidaholdir Name <br /> i <br /> Fee Simple titleholder Address <br /> JOB ADDRESS 1, . _^ 1 _ LOT# .7.L•S..J„� <br /> SUBDIVISION *. lit E'�G�`fit C� PARCEL iDA <br /> ;OBTAItIED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW COt�6TR 8 ADDIALT � SiGN Q Q oEMOUSH <br /> INSTALL REPAIR <br /> PROPOSED USE ! SFR 1 1 rYtlat}_e J CT'>`fi L_ I <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME L_J STEEL Q <br /> I. <br /> DESCRIPTION OF WORK N <br /> BUILDING SIZE = r^� SR.FOOTAGE HEIGHT <br /> i <br /> OBUILDING f, �� VALUATION Or-TOTAL CONSTRUCTION <br /> QELECTRICAL � AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> r I <br /> M2rPLUMBING I, S !� „ <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION C I n <br /> =OAS ROOFING SPECIALTY OTIyER t `� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> i <br /> BUILDER i COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURRRREN I YIN <br /> Address License#1 <br /> ELECTRICIAN 4 REGISTERED <br /> SIGNATURE Y�FEE CURREN, <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE FEE CURREN <br /> Address License#It <br /> MECHANICAL COMPANY <br /> SIGNATURE I Y 1 N FEE CU(RREEW Y/N <br /> Address License Is <br /> OTHER COMPANY <br /> SIGNATURE I REGISTERED YIN FEE CURREN <br /> Address ( i License# � ! <br /> iiiitlitllltttttitiiititttittltltitttiltllllllllllllllllllllltllllt <br /> RESIDENTIAL Attach,v)Prot Plans;v)sets or rtDnemg Mans;(1)set m tnergy Famns;Ha)-vV Permit for new construction, <br /> Minimum ten(10)woddng days after submittal date. Required onsite,Construction Plans,Stormwater Ptans wl Sift Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonsAarge projects <br /> COMMERCIAL Attach,(2)complete sets of Building.Plans plus a Lrfe Safety'Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(W)working days after iubmittai date. Required onsite,Constructon Plans,Stormwater Plans wl SIR Fence installed, <br /> San a,t Facilities&1 dumpster.Site Work Permit for all new 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 /> Dlraet)ons:, y <br /> cal outap;Ni=ticcr.Mplets4Y• <br /> Owr+er&Contractor sign bacWof application,notarized <br /> ?''IwHL.i�var$2000,a Notlr'e of Commencement Is required. (AIC upgrades over$7600) <br /> • I:P .. <br /> •�;��, i � ),AOent(for the contractor)or Power of AROmey(1Drtne owner)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers . Service Upgrades AIC Fences PloUSurve IFoota ) <br /> Dr(VDwayt-Not over Gtoumer IT on public roadways..needs ROW <br />