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843-78"020 city of Zephyrhills Permit Application Fax-81;5-rovw4 <br /> Building Department <br /> Date ReceWed phone contwi for Permitting <br /> tac,for Permitting <br /> N�ftf <br /> owmes Ham 4 D town!er Phone umber <br /> Owners'Addlressl&����O �r 1)r Owner Phone Number <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS "or i-h IaAe, r LOT# <br /> e\Iy- PARCEL,Dv <br /> SUBDIVISION -aip P-1 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Q SFR = COMM Q OTHER <br /> TYPE:OF CONSTRUCTION Q BLOCK Q FRAME STEEL r7 r <br /> DESCRIPTION OF WORK V�111 All,AlA 112.7Ap t)#—J- *.")At%vvi rv)ku <br /> IF LA-W 954—WA -0 0 <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL IS AMP SERVICE PROGRESS ENERGY r7 W.R.E.C. <br /> =FLUMBING is 71 i 1 <br /> U <br /> C61ECRANICAL 1$67 oc.M) VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> =C.'kS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED r100R ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATUR4 F REGISTERED I Y/ N FEE CURREN <br /> Address License#F— <br /> LECTRICON COMPANY <br /> IGNATURIE REGISTERED I Y/ N FEECURREK I Y/N <br /> Address license lt <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURREt, <br /> Address ucans�# <br /> MECHANICAL <br /> 4 .COMPANY "Fseaa= sii :rrz(:!, <br /> SIGNA*rur'1:L I YIN FEE CURREN I Y/N <br /> Address CIL// !114. --2.' -- License#1ffl4.D(43C1W I <br /> OTHER COMPANY = I <br /> SIGNATURI., REGISTERED Y/N FEE CURREN <br /> Addrv;s License# <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building Plans;(i)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 Plans w/Bill Fence Installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdtvisions4arge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Paw,(i)set of Energy Forms.R-o-w Permit for new oonstruction. <br /> Minimum ten(W)workinq days after submMal date. Required onsite.Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpstar.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERIvIrr Attach(2)sets of Engineered Plans, - I . 1 .1 ; . . .. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Fill ou!application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AfC 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 s.,Iingfes Sewers. Service Upgrades ,Fences(PlDVSurvey1Foo1age) <br /> Driveways-Not over Counter if on publicroadways-needs ROW—l-,,:, <br /> p' <br />