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813-78MO20 City of Zephyrhills Permit Application Fax-813-780-0021 /( (�— <br /> Building Department ^ J/ Y's <br /> Date Received _ <br /> Phone Contact for Permitfing ) <br /> EEEEiEEEIV noy `r EHEEt <br /> Owners Name V' Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS v ^ CL LOT# M <br /> SUBDIVISION1 PARCEL ID# -+ " — 8 W- <br /> Coop <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEWCLL e REPAIR SIGN = = DEMOLISH <br /> INSTAPROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK n/ 0 FRAME Q ,STEEL Q <br /> DESCRIPTION OF WORK -lime �i'/ (sh }1 V <br /> mela CM <br /> BUILDING SIZE SQ FOOTAGE HEIGHT J <br /> =BUILDING $ t"1 1 Q/ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 1��(J AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> j <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> JU W <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO �( <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address license# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED <br /> Address A License# <br /> OTHER C PANY <br /> SIGNATURE R 16YY N FEE CURREN../ IN <br /> Address License# <br /> 01ch <br /> RESIDENTIALlot Plans;(2)sets of Budding Plans;(1)set of Energ OKW.Permit for new const4yFtipnr <br /> Minimum ten(10)working days after submittal date.Required onsite,Construe Ion'PCa S'SIOr�i av P a w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivistonsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life 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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> FBI out application completely. <br /> Owner&Contractor sign back of application,notarized" <br /> if over$2500,a Notice of Commencement Is required.(AIC upgrades over$7500) <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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />