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813.78G-0020 City of Zephyrhills Permit Application Fax-8ta-7806002e <br /> Building Department <br /> Date Received phone Contact for Permitting - <br /> OwneFs.Name 361 (iLUc;( QchG cr>KP Owner P hone Number #r�I3 '�Id8- 47 <br /> Owner's Address .S".S't3 Jo}LSL 4t-fN (2t-)IUS OwnerPhone•Number „i <br /> Fee Simple Titleholder Name Own®cPhona Number <br /> rr <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 fi/lG D (.Q P Z`N E0 Gt.S 'LOT# <br /> SUBDMSION 1 PARCEL,109 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK-PROPOSED NEW CONSTR ADDlALT � SIGN Q = DEMOLISH <br /> ® INSTALL 8 REPAIR <br /> PROPOSED USE SFR Q COMM OTHER. <br /> TYPE OF CONSTRUCTION © BLOCK 0 %•FRAME STEEL• 0 <br /> DESCRIPTIONOFWORKGtt/ S/NGGC <br /> BUILDING SIZE �T SO FOOTAGE C� HEIGHT-' <br /> =Bl11LOING IS VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL l$ AMP SERVICE Q 'PROGRESS ENERGY = W.ME.C. <br /> =PLUMBING $ <br /> 7 DU0 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR'ELEVATIONS� 7--] FL-OOD ZONE AREA AYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1.Y/ N ', FEE CPRREI, LLY!N <br /> Address License#. <br /> ELECTRICIAN COMPANY <br /> SIGNATURE• REGISTERED �-Y f N FSE cuR"RI, L Y!N <br /> Address Ucense#I <br /> PLUMBER _ COMPANY ��UY ALA PiIl3tfXG rtY� <br /> SIGNATURE I REGISTERED /'N FEECURREC N <br /> Address <br /> ucense# :e 'C 1tfoZ9_Z1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED -[�Yt N -FEE CUR'REn- ••' Y!'N.Yt N <br /> Address Ucense#.,l <br /> OTHER - COMPANY <br /> SIGNATURE REGISTERED I Y I N, FEE CURREn Y!N ' <br /> Address Ucense#, <br /> 1 1 1"P1'1 1.1 1 1.1.i 1 1'1 1.1 i 11'.1.1 1:1 1 1 F1.LIrl;1 1 1 1,1 1 1:1 1 1.1 1 1.1.1 1'1 t I 1,0 hb1 1,1'1 1`1 1 I'I'i`1 1 <br /> RESIDENTIAL Attach(2):Plot,Plans;(2)sets of Building Plans;(1).sat of Energy Forms;:R-O'W Permit for new constricilon. <br /> Minimum ten(10)working days after submittal date.'Required onsite.Construction-Plahs;Stormwatef Plans.w!Sfft Fence Installed. <br /> Sanitary Facilities&1 dumpster,Site Work Perm#for subdivislonsflarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.ROW Permit for new construction. <br /> Minimum ten(10)working days—after—submittal date. Required onslte,Construction Plans,Stormwater.Plans wl Sill Fence.installed. <br /> Sanitary Facilities 8,1 dumpster.Site Work Permit for allnew projects.All commerdai requirements must meet comp0an0e <br /> SIGN PERMIT Attach(2)sMo.fEngi6eerediPians. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> FRI out applicatlon completely. <br /> Owner 8 Contractor sign back of application.notarized <br /> if over$2500,a Notice of Commencement is required. (AfC upgrades over$T500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing some OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroois N shlrgles Sewers Service Upgrades'AIC Fences(PlotrSurveyll ootage) <br /> Driveways-Not over Counter B on public readways.:needs ROW <br />