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813-78UO 0 City of Zephyrhills Permit Application Fax-813-766-111121 <br /> r. <br /> Data Received Phone Contact for Permitting Ft;� �jsct 4 <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone N,--:n!:Cr <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 4LAU Cick Cak&2km� —VV LOT# <br /> SUBDIVISION \j v-C—a Ca PARCELID91 <br /> (OBTAINED FROM PROPERTY TAX NOTICE)WORK PROPOSED NEW CONSrRR ADDiALT SIGN DEMOLISH <br /> RINSTALL REPAIR <br /> PROPOSED USE ❑ SFR n rruk, <br /> TYPE OF CONSTRUCTION BLOCK ❑ FRAME STEEL r7 I <br /> DESCRIPTION OF WORK L <br /> I It <br /> BUILDING SIZE 512 FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . - 1 . . . . . . . . <br /> r7BUILDING i Is VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE ❑ PROGRESS ENERGY ❑ W.RE.C. <br /> — i <br /> GZPLUMBING i <br /> =MECHANICA L $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING M SPECIALTY = OTHER L/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE 1 REGISTERED I YIN - FEE CURREN I Y7—N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License#F— <br /> PLUMBER COMPANY <br /> * <br /> SIGNATURE It VEt FEE CURREN YIN <br /> e- <br /> err <br /> Licensetr <br /> SIGNATUREREO!STEREO COMPANY <br /> MSCHMICAL <br /> I YIN FEEcuRREu <br /> Address License# <br /> OTHER COMPANY I <br /> SIGNATURE F REGISTERED I YIN FEECURREN Y TN— <br /> Adams% i a License# <br /> RESIDENTIAL Armen(-I)Plot Plans rz)sets or t5wicing mans:(1)set or t:nergy Forms;H-Q-W Permit tor new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans vd Sift Fence installed, <br /> Sanite'ry Facilities&I dumpster,Site Work Permit for sub(IMsfansiflarge projects <br /> COMMERCIAL Attach'(2)complete sets of Building Plans plus a Lfe 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 wf Silt Fence installed, <br /> Santaty Facilities&I clumicstar Site Work Permit for all new projects.All commercial requirements must meet Compliance <br /> SION PERMIT Attach;(2)sets of Engineered Mans. <br /> P;Z6PERTY SURVEY required for all NEW construction. <br /> 44 <br /> Fill cut 3pp!!=-jCn Zcmwatfitip. <br /> 0101mer&COMracWr sign back of application,rararized <br /> if over$2500,a Notice of Commencement is required. (A)C upgrades over$7500) <br /> 1 <br /> Agent got the contractor)or Pumt of Attorney(for the OWnet)Would be someone with notarized letter from amer authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Retools It shingles sewers - Service Upgrades AIC Fences(Plollftrvey/Footage) <br /> OfIVIlW&J"Ot aver Counter If an public roadways..needs ROW <br />