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sfaaeo-0ozo City of Zephyrhills Permit Application Fax-813-78041021 <br /> Budding Department <br /> Date Received $ Phons Contact for Permitting <br /> �t'T7 5 t <br /> as <br /> Owner's Name i Owner Phone Number <br /> OwnersAddross t Owner Phone Number <br /> Fee Simple Titleholder Name C Owner Plsenn ur•,-bc; �� t <br /> Fee Simple Tdtehotdir Address <br /> JOB ADDRESS , LOT31 ,, <br /> N 11 <br /> SUBDIVISION r l\1 f' C-'> I PARCEL ID& <br /> (deTA{ttED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEwcowTR ADDALT ❑ SIGN ❑ ❑ DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE r SFR ❑ r r?apne f TFtir: <br /> TYPE OF CONSTRUCTION ❑ BLOCK ❑ FRAME ❑ STEEL ❑ <br /> c , ` <br /> DESCRIPTION OF WORK SV <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ❑BUILDING 1 VALUATION OF TOTAL CONSTRUCTION <br /> ❑ELECTRICAL (3`4-1 AMP SERVICE [❑ PROGRESS ENERGY ❑ W.R.E.C. <br /> ME <br /> PLUMBING <br /> ❑MECHAMCAL S VALUATION OF MECHANICAL INSTALLATION }, <br /> ❑GAS ❑ ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES ND <br /> BUILDER (� COMPANY <br /> SIGNATURE ( REGISTERED I YIN FEE CURREN I YIN <br /> Address ' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ! REGISTERED I YIN FEE CURREN Y I N <br /> Address License# <br /> n Gt+�`G "ic�r 'Capl"ri <br /> PLUMBER ! -' � COMPANY <br /> SIGNATURE n"tU?SIERED /i •TTt f` F££GURREN Y/N <br /> Address t �..f Li ms0# <br /> MECHANICAL i, COMPANY <br /> SIGNATURE IYIN FEECUJR'REENN Y <br /> Address LiCenseli [ <br /> OTHER COMPANY —� <br /> SIGNATURE REGISTERED I YIN FEECURREN Y/N/N <br /> Address i License# 1 <br /> 1t1111t11t } t ! 1 ! ! ! !11 ! } ! 1 ! } } lllltlllt }} } IIttllittttttlttttitttttttit <br /> RESIDENTIAL AttaCri!(2)Hot mans;(1)sets or twiloing Flans;(1)set of tnergy Farms;K-U-W Wennit ror new Construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans W Sift Fence installed, <br /> San tary Facilities&t dumpster,Site Work Permit for subdivisionsliarge projects <br /> COMMERCIAL Attach�(2)complete sets of Building Wens plus a Life Safety Page;(1)Set of Energy Forms,R-0•W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required cnsite,Constructon Plans,Stormweter Plans w1 sift Fence installed, <br /> Sanftaiy Facilities&1 dumpstet Site Work Permit for all new projects.Alt commercial requirements must meet compliance <br /> SION PERMIT ARachi(2)sets of Engineered Plans. <br /> "^PRt)PFJ2TY SURVEY required forailNEW construction. <br /> Dlrrettons. 1. <br /> .Cal out nT•liom v.c;.mpletaij. <br /> Owner <br /> &Comractorslgn back at application,notarised <br /> if over$2600,a Notice of Commencemant Is required. (AIC upgrades ovor S7500) <br /> '• Agent(for the contractor)or Power of Attorney(for the planer)Would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Re roofs if shingles Sewers . Service Upgrades A/C Fences(PloUSurveylFootage) <br /> DrIvoways-Not over Counter if on public roadways..nereds ROW <br /> i <br /> r <br />