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- -- City of Zephyrhills Permit Application Fax a13.7e0.0021 <br /> Building Department <br /> DWWROCelved G�/�] <br /> t✓ Phone Contact for Permltlln : �J 9. — !f 2 s <br /> 4yff , (} G7 <br /> } Owners Name /7 Owner Phone Number 3�RP _9.3 <br /> Owners Address . 3 1� T' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ! <br /> JOB ADDRESS J V /-7 L/O�TT# � I <br /> SUBDIVISION PARCEL <br /> (OBTAINED FROM PROPERTY TAX NOTICE) I, <br /> WORK PROPOSED NEW CONSTR ADDIALT [� SIGN [� Q DEMOLISH <br /> e; ST � REPAIR <br /> [PROPOSED USE 7 SFR 0 COMM OTHER Ii <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL = <br /> DESCRIPTION OF WORK mill <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> i <br /> i <br /> =ELECTRICAL Is AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING �i ` <br /> MECHANICAL $ r I VALUATION OF MECHANICAL INSTALLATION <br /> =GAS =] ' ROOFING SPECIALTY = OTHER <br /> FiNISHED•FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> COMPANY <br /> SIGNATURE <br /> 4 <br /> fitGNATURE ( ReGISTeRSD Y/•N FEHCURREn Y!N <br /> S 'I <br /> Address (� ( ucense# <br /> ELECTRICIAN ( COMPANY ( 4 <br /> SIGNATURE ` REGISTERED Y/N FEE CURREA Y!N <br /> Address License# l <br /> I <br /> i <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED Y/N FEE CURREA Y 1 N I <br /> Address I..Icensc S j <br /> SICHANICAL COMPAN i <br /> GNATURE REGISTER Y i N FE URR / <br /> ( 111 Ii Address ice s 1 <br /> OTHER COMPANY j <br /> SIGNATURE REGISTERED I Y/ N FEE CURM Y 1 N �`� <br /> Address License#t — t <br /> IIIi 61IIiiIIIIIIIIIIIIIIIaII h illII1D111111111111111111111111111011 i <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, j <br /> Minimum ten(10)workng days after submittal date. Required onslte,ConsWction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit.for subdivisionstierge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page;(1)set,of Energy Fortes.R-O-W Permit for new construction. <br /> Mlnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanhary Facilities 8.1 dumpstar.Site Work Permit for all now projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sate of Engineered Plans. ! <br /> 'PROPERTY SURVEY required for all NEW construction. <br /> Dlrecttonsr. • . <br /> Fill out application completely. <br /> Owner$Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required. (AiC upgrades over$7600) <br /> Agent(for the contractor)Or Power of Attorney.(for the owner)would be someone with notarized!after from owner authorizing same <br /> OVER THE COUNTER PERMIT ING (copy of contract required) <br /> Remelts N shingles Sewers Service Upgrades AIC Fences(Plot/SurveylFootage) <br /> ! <br /> Driveways-Not over Counter If on public roadways-needs ROW j <br /> i <br /> I , <br /> I <br />