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613•78MO20 City of Zephyrhills Permit Application Fax-e13-780.0021 <br /> Building Department a <br /> Date Rocelvod 8_ Q ZI'� Phono Contact for Permittingg <br /> A I IT"1-rf T 1"T'T1Z - <br /> Owner's Name Owner Phone Number 79 45 3�00� <br /> Owner's Address Owner Phone Number <br /> Foo Simple'Trdoholder Nims I Owner Phone Number <br /> Fee Simple Titleholder Address p� <br /> JOB ADDRESS ,3951 a!- 3.7PT1 LOTY <br /> SUBDIVISION SUr)slef 6S PARCELIDI Z-2!o'2 - 3G10-OL10L10-022 <br /> tOBTAINFA FROM PROPERTY TAX NOTICEI <br /> WORK PROPOSED B NLW CONSTR B ADD/ALT ❑ SIGN ❑ ❑ DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR ❑ COMM ❑ OTHER <br /> TYPE OF CONSTRUCTION 64 BLOCK ❑ '`F`RAME ❑ `STEEL ❑ <br /> DESCRIPTION OF WORK E 1 �- W- U S;sze hii; L Z 72 -I <br /> BUILDING SIZE, SO FOOTAGE HEIGHT <br /> ��UILDING S 1?3K VALUATION OF TOTAL CONSTRUCTION <br /> ❑ELECTRICAL S/ AMP SERVICE ❑ PROGRESS ENERGY ❑ W.R.E.C. <br /> ❑PLUMBING S �20 <br /> ❑MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r <br /> ❑GAS ❑ ROOFING ❑ SPECIALTY❑ OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ❑YES NO <br /> BUILDER COMPANY N �Qy. I *-^fC9S U—s- <br /> SIGNATURE REGISTERED I YIN FEE CURREs I Y I N <br /> Address ►�O t 1 5 t O 3 ��(Ala � Licensed If(oC_t 5G t{17 <br /> 32875 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REOI81'ERED I Y/N FEE CURREN <br /> Address License A <br /> PLUMBER COMPANY <br /> SIGNATURE L REGISTERED I YIN FEE CURREA LILN <br /> Address I License 0 <br /> MECHANICAL COMPANY <br /> SIGNATURE L REGISTERED I YIN FEEGURRFA Y!N <br /> Address License S <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREn I YIN _ <br /> Address License OF- <br /> RESIDENTIAL <br /> IIIIIIIIIIIIIIIIIIIIIIIIttIt11t111111111111111111111111111111t1I111 <br /> Attach(2)Plot Plans;(2)sets of Building Plans;(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 6 1 dumpster Site Work-Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite.Construction Plans,Slormwater Plans w/Sill 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 /> y� 'A ! ' • f 1 f 11111 t ' 1a I111 - -- <br /> Directicit <br /> Flit out application completely. <br /> Owner 6 Contractor sign'back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (NC upgrades over S7500) <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 /> Retools if shingles Sewers Service Upgrades A/C Fences(PloVSurvey/Footage) <br /> Driveways-Nol over Counter if on public roadways-needs ROVY <br />