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813-78HO20 City of Zephyrhills Permit Application Fax etaaaa 2t <br /> Building Department hr•� <br /> Data Received <br /> Phan.contact for Permitting <br /> Owner's Name koc Owner Phone Number r <br /> Owner's Address t Owner Phone Number 1 <br /> Fee simple Titleholder Nam. __ own*!Ph- <br /> Fee Simple Titlehotdir Address <br /> JOB ADDRESS ; LOT# <br /> SUBDIVISION \� Y�C�.��r( � r PARCEL10& <br /> toaTADlED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CON5TR AODIALT Q SIGN Q Q DEMOLiSFI <br /> j INSTALL Q REPAIR, <br /> PROPOSED USE SFR Q r^nranq t C eft r <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF(WOIRK uoc <br /> BUILDINO SIZE i 1 I SQ FOOTAGE I HEIGHT <br /> =BUILDING 4; VALUATION OF TOTAL CONSTRUCTION <br /> QELECTFUCAL (3 � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> G2rPLUMBiNG <br /> =cs3 S-f t oft <br /> =MECHAMCAL $ VALUATION OF MECF(PAIICAL INSTALLATION <br /> S�=GAS i" Q ROOFING Q SPECIALTY © OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> t:{ttLDEf� ii ' COMPANY 1 <br /> SIGNATURE I i REGISTERED I YIN I FEECURREH LILN <br /> Address License# ^� ! <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED LYIN FEE CURREN Lyj N <br /> , <br /> Address License# <br /> PLUMBER sl. COMPANY J C <br /> SIGNATURE r(etr.SIERED ji FEECURREN� Y/tN <br /> Address M i CT Dense# <br /> MECHANICAL I COMPANY <br /> SIGNATURE I Y/N FEE CU(RRREEN'� <br /> Address Lice I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN — FEECURREN �Y I N <br /> Address I �' i License# <br /> rrrrrrrrrrlrrrrrrrrrrrrrrrrrrrrrrrrlrrrrrrirrrrrirrrrrrrrrrerrrrrrr <br /> RESIDENTIAL AtteCti.C't)Fiat glans;(t)sets of tnioning Frans;(1)set of tnergy t-omts;H-V-VV rermit tor newconstruction, <br /> Minimum ten(l0)Narking days after Submittal date. Required ensue,Construction Plans,Stormwater Plans vd Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsllarge 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 onsite,Constructon Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sandajy Facilities&1 dumpster.Site Work Permit for ail new projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attaohi(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Directions: I <br /> .Pill out 3'R'spl!o:tvn aCni..etaly, <br /> owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> •• Agent{tor the contractor)or Pomt of Attorney(10i'Me owner)Would be someone with notarized letter from owner authorizing same <br /> I <br /> OVER THE COUNTGR PERMITTING (copy of contract required) <br /> Reroois if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drtveways-Nat over Counter IT on public readways..needs ROW <br /> fi <br /> I' <br /> 4, <br />