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Si3-780-0420 City of zephyrhills Permit Application Fax 8t3•T64 4421 <br /> Budding Department <br /> Date Received <br /> PhoneContactforPerrniffin9 <br /> Owners Name ! !"^t Owner Phone Number <br /> Owner Phone Number <br /> Owmers Address -----� <br /> Fee Simple Titleholder Nano C Ovar Pf!E+tte uC^b"' j <br /> Fee Simple ThIshotdir Address <br /> b q ' <br /> JOB ADDRESS iCCC LOT# <br /> SUBDIVISION PARCEL ID# <br /> L tOBTAnlED FROM PROPERTY TAX NOTICk7 <br /> WORK PROPOSEO ; e NEw am-TR❑ ADDIALT r--J SIGN 0 0 DEMOLISH <br /> $ INSTALL REPAIR <br /> PROPOSED USE SFR ❑ ~mecca f O-r ! <br /> TYPE OF CONSTRUCTION ❑ BLOCK ❑ FRAME ❑ STEEL C] <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ❑BUILDING y' is VALUATION OF TOTAL CONSTRUCTION <br /> ❑ELEeTPICAL �� AMP SERVICE C} PROGRESS ENERGY ❑ W.R.EC. <br /> PLUMBING <br /> vo <br /> ❑MECt-tANtCAL S VALUATION OF MECHANICAL tNSTAILATiON <br /> ❑GAS ❑ ROOFING Q SPECIALTY [=] OTI•ER <br /> FINISHED FLOOR ELE1lATIONS FLOOD ZONE AREA ❑YES NO <br /> I <br /> SUILOSF I' COMPANY <br /> SIGNATURE i' REGISTERED I Y/N FEE CURREN Y N <br /> i <br /> Address License# <br /> ELECTRICIAN i COMPANY <br /> SIGNATURE P; REGISTERED I YIN FEE CURREN V/N <br /> Address License# <br /> PLUMBER - � COMPANY <br /> SIGNATURE nevZTENED fl I QU � FEECURREN IYIN — <br /> Address G^a� License# <br /> gml <br /> MECHANICAL COMPANY <br /> SIGNATURE i♦ REGISTERED I YIN FEE CURREN L /N <br /> Address L(CenSe#{ <br /> OTHER COMPANY <br /> SIGNATURE f REGISTERED I YIN FEE CURREN J YIN <br /> !address License <br /> It11l / 1l111111111 /11l / 1 / / itltttiil ! ! ! i ! !ttlititttitiltttttttttttttl <br /> RESIDENTIAL Attach;(1)~lot elan;('e]sets or ouaomg F'tans;(II set of tnergy I-Orms;Hd1-w Permit ter newconstruCOon, <br /> Minimum ten(10)worldng days after submittal date. Required onsde,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&t dumpster,Site Work Permit for subdNisionslarge projects <br /> COMMERCIAL Aftactl;,,(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fors.R-0 W Permit for new construction. <br /> Minimum ten 00)woddng days after submittal date. Required onsite,Constructon Plans,Stonnwater Plans wf Sift Fence Installed, <br /> Sanitary Facilities 6 1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attachr(2)sets of Engineered Plans. <br /> .PROPERTY SURVEY required for all NEW construction. <br /> DlrecUons; <br /> Pal nut.�,,.t^^t„lxtli::n G:fii.Sti. <br /> Owner S contractor sign back of application,ratanzed <br /> H over$2500,a Notice of Commencement is required. (AID upgrades over S7500) <br /> I <br /> �* Agent(for the contractor)or Powet of AOomey(iorlhe owner)Auld be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Retoofs if shingles Severs . Service Upgrades A/C Fences(Piot/Survey/Footage) <br /> Drivi►way"ot over Counter it on public roadways-neecis ROW <br /> I' <br /> t <br /> ) <br /> 1, <br /> f� <br />