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' 813-780.0020 City of Zephyrhills Permit Application Fax 513-780-002t <br /> Building Depadment <br /> Date Received Phone Contact for Permitting `7�J�t '—t C7�a <br /> T7 T'4-T"7-i <br /> Owner's Name ��; l owner Phone Number <br /> Owner's Address Owner Phone Number <br /> 1 <br /> Fee Simple Titleholder Name � _. OWatPr Pit+Ettn au.^.+w.^.: <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# E .> <br /> SUBDIVISION ,`�\t�" C� C� PARCEL ID# <br /> iOBTARIED FROM PRCPERTY TAX N(TICE) <br /> WORK PROPOSED NEWCONSTR= AMALT �� SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR i�l r_ukh <br /> TYPE OF CONSTRUCTION = BLOCK <br /> ^ Q FRAME Q STEEL <br /> 1 <br /> DESCRIPTION OF WORK h! <br /> BUILDING SIZE FBI SQ FOOTAGE HEIGHT <br /> QBUILOING VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL (3 AMPSERVICE PROGRESS ENERGY M VtRE.C. <br /> E20-LUMBING S <br /> =MECHANICAL $ VALUATION OF MECHANICAL iNSTALLATION <br /> =GAS Q ROOFING © SPECIALTY = OTI-iER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> SUt»D.h COMPANY I <br /> SIGNATURE I REGISTERED I YI-N FEECURREN LLLN <br /> Address License# r�` <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREN <br /> Address { License# <br /> PLUMBER COMPANY <br /> SIGNATURE. _ ettvslERED 11 T ft!1 1---FEE CunRCN Y 7m I <br /> Address �. , License# <br /> MECHANICAL ' COMPANY <br /> SIGNATURE L� flEG15TERE0 YIN FEE CUIRREN I Y I N <br /> Address License# y <br /> OTHER i� COMPANY —Mr <br /> SIGNATURE ((( REGISTERED I YIN I FEECURREN I Y I N <br /> ;Vass. License a i _ ___---� <br /> ]RESIDENTIAL Attach('1)Plot mans;(.C)sets or tiuming mans;(1)set of cmargy t-onns;H-U-W Hermit for new ConstNction, , <br /> Minimum ten(10)working days aRersubminai date, Required onsde,Construction Plans,Stormwater Plans M Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsfiarge projects <br /> COMMERCIAL Attach"(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required on site,Constructon Plans,Stormwater Plans wd Silt Fence Installed, <br /> Sanitary Facilities&i dumpstec Site`Mork Permit for ail new projects.All commercial requirements must meet Compliance <br /> SIGN PERMIT Attach,(2)sets at Eng:neerad Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> olrecttons: i <br /> Kiln rue <br /> Owner&Contractor sign back of application,rotarized <br /> If over$2600,a NoOce of Commencement is required. (AIC upgrades over$7500) <br /> •• Agent(for the contraG or)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Roroofs If shingles Sewers . Service Upgrades A/C Fences(Plot/SUNeylFootage) <br /> Drlveway3-Not over Counter if on public roadways..needs ROW <br /> t <br /> I <br />