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613-78MO20 City of Zephyrhills Permit Application Fax-813-78D-0021 <br /> _ Building Department n <br /> Date Received Phone Contact for P�ip;nt,Mpq, -' In - •• Z C7[[[ [aI <br /> Owner Name ' 1 b )''G-LLC`` f Owner Phone Number <br /> Owner's Address . � %� 'r /7 �f�1�r&mar Phone Number <br /> 33s�i L <br /> Foe Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ` <br /> JOB ADDRESS _� C �� � 1 S .3�S LOT# <br /> J <br /> SUBDIVISION PARCEL 109 '�W Z. l c,I G" C—�vU V rJV <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN ❑ ❑ DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE ❑ SFR ❑ COMM ❑ OTHER I <br /> TYPE OF CONSTRUCTION ❑ BLOCK //❑ FRAME ❑ STEEL <br /> C ❑ <br /> DESCRIPTION OF WORK r �f"' 1 O J LL} 1flea.-)' <br /> BUILDINGSIZE SO FOOTAGE vHEIGHT <br /> L t CS C C C t t t LC CC Ct t-L CtC CtttttC tt Ctt CC-EX EEC CCC'tCt LtCCit Ctt tttC Ctt CCr <br /> ❑BUILDING IS C VALUATION OF TOTAL CONSTRUCTION <br /> ❑ELECTRICAL AMP SERVICE ❑ PROGRESSENERGY ❑ W.R.EC. <br /> ❑PLUMBING <br /> ❑MECHANICAL — VALUATION OF MECHANICAL INSTALLATION f 17A <br /> ❑GAS ❑ ROOFING ❑ SPECIALTY ❑ OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ❑YES NOTZ <br /> �� <br /> BUILDER COMPANY �: <br /> t LCNlC r ` �4 OF � <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address JILT Lt...#1 C 7 7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N JJ <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address Ucense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN L.YLN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Add. License# <br /> lt\tt[tt\liltl\![\\[t\t1-t\t1111[[[t\t\Itltllt[Ill lt[[tllll\[\tlttll; <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fwms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required ansite,Construction Plans,Stomtwater Plans w/Sill Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdi0sionsharge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page.,(1)set of Energy Forms,R-0dN Permit for new conanution. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans.Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for 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 /> DlrecNorts: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> over$2500,a Notice of Commencement Is required.(AIC upgrades over$7600) <br /> Agent(far the contractor)or Poorer 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 B shingles Sewers Serviee Upgrades A/C Fences(Plol/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..neads ROW <br />