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JS <br /> 513-780-0020 City of Zephyrhills Permit Application Fax-slsaeo-oo21 <br /> :Building Department <br /> Date Received. <br /> Phone Contact for Permitting - <br /> Owners Name �CIIn& a Owner Phone Number 43 33�3 <br /> Owners Address't a Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number. <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ; _ Lunn2 S LOT# <br /> . I <br /> SUBDIVISION PARCEL ID# ' ' <br /> . <br /> ... .. (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED . e NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL. REPAIR <br /> . . . .PROPOSED USE' ... ... 0,. "SFR- .. 0 .. COMM "0 OTHER. ... <br /> TYPE OF CONSTRUCTION.' BLOCK FRAME STEEL .." <br /> - o <br /> DESCRIPTION OF WORK e <br /> .. .. <br /> BUILDING SIZE SO FOOTAGE HEIGHT, <br /> BUILDING $; VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE :. = PROGRESS ENERGY = W.R.E.C.-- <br /> .� =PLUMBING $. ... <br /> + =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY = OTHER :. <br /> FINISHED FLOOR ELEVATIONS:: FLOOD ZONE AREA =YES NO <br /> I <br /> iF <br /> BUILDER COMPANY <br /> SIGNATURES _ _ REGISTERED I YOL I FEE CURREN III Y FN <br /> Address.. - License <br /> -- _ - <br /> ELECTRICIAN - COMPANY <br /> SIGNATURE "' REGISTERED I Y/N' :-" FEE CURREN <br /> Address License# <br /> PLUMBER' COMPANY ' <br /> SIGNATURE - - - _ REGISTERED I Y/N FEE CURREN 11 •Y/N <br /> Address. " " " License# <br /> MECHANICAL COMPANY - <br /> SIGNATURE REGISTERED :"Y/N FEE CURREN :Y/N <br /> .' <br /> Address L icense# <br /> OTHER / COMPANY. :: Q ty o. _p7a = <br /> SIGNATURE ' : REGISTERED -: YIN FEECURREN: 17 Y/N <br /> Address3 <br /> :14"License# �� <br /> ttilf�!(.i�titi7i■ital<�'9'lfil�l.1.I1'!litil<i(.ili�•I■i'ltii'!\1.II.l.l.�1L�I�iSil�5LZa14 ' <br /> RESIDENTIAL, Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite;Construction Plans,Stormwater Pla s w/Silt Fence installed, . <br /> Sanitary Facilities&1 dumpster,Site Work Permit forsubdiv'isionsllarge projects . <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set'Of Energy Forms.R-O-W Permit new.Construction. <br /> Mlnlmum ten(10)working days after submittal date.Requlred onsite,Construction Plans,Stonmwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pernitifor all new projects.All 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 /> Fill 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 Attomey:(for the owner)would be somene with notarized letter from owner authorizing same <br /> .0 <br /> ... . <br /> OVER THE COUNTER PERMITTING. (copy of contract required) <br /> Rerobfs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways:.needs ROW <br />