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a,��-�so-aozo City of Zephyrhills Permit Application Fax-813-780-ooz� <br /> , - Building Department <br /> Date Received �'jf� Phone Contact for Permittin <br /> Owner's Name C�`�'` d� �E �. �+, t� Owner Phone Number <br /> Owner's Address �3�/ �� s� Owner Phone Number � <br /> Fee Simple Titlehalder Name � � 4wner Phone Number � � <br /> Fee Simple Titlehalder Address <br /> JOB AbDRESS �} ��c�,,r� �i,� �.�e��f+ 7�,.f �'s�� t{ j� LOT# �� <br /> SUBDIVISION ������.IC*6,�i � PARCEL iU# <br /> (QBTAINED FROM PRQPERTYTAXNOTlCE} <br /> W4RK PROPOSED � e NEw CONSTR 8 ADQtALT Q 3tGN Q Q DEMO�ISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � CQMM � OTHER <br /> TYPE QF CONSTRUC710N Q BLOCK Q FRAME � STEEL [� <br /> DESCRiPTI{�N OF W012K ` I 1't4iL3 �'�.f' ,� c��� S Ca.��.�� wh <br /> �UILDlNG SIZE � � SQ FOOTAGE t� NEIGHT �� <br /> QBUILDING �� VAt,UATiON OF TOTAL CONSTRllC'f10N <br /> ELECTRICAL $ AMP SERVICE C�/PR4GRESS ENERGY Q W.R.E.G. <br /> QPLUMBING ��� <br /> QMECHANICAL (;� � VAI.UATION QF MECHANICAL INSTALLATION i <br /> � <br /> OGAS Q ROOFiNG Q SPECIALTY C� OTHER <br /> FINISHED FLQOR ELEVATIONS �� FLOOD ZONE AREA [�YES NO <br /> BUILDER COMPANY <br /> SIGFIATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas �Ecense# �— � <br /> ELECYRICIAN d�������, —'___..� R�M�D Y/ N FEE CURRE� Y/N <br /> SiGNATURE `�' <br /> Addre�$ Ucense# r� � <br /> PLUMBER � � COMPANY <br /> SIGNATURE ( � REGI9TERED Y J N FEE CURRE� Y/N <br /> Address Ucense# �^ ( <br /> MECHANIGAL COMPANY <br /> SIGNASURE REGISTfRED Y I N FEE CURRE� Y/N <br /> Address � License# �i � � <br /> _ <br /> OTHEFt COMPANY <br /> 31�NATURE REGISTERED Y I �1 FEE CURREA Y/N <br /> Address License# � + <br /> RE3IDEN'TiAL Aktach(2)Plot Plans;(2)sets of 8uilding Plans;(1}set of Energy Forms;R-O-W Permit for new construction, <br /> Minlmum ten(10)working days after submltta4 date. Regutred onsite,Construatlon Pians.Stormwater F'lans w!Silt Fence instailed, <br /> Sanitary FaciliUes&1 dumpster,Site Work Permlt for suhdivislons4arge proJects <br /> COMMERCIAL Attach(3)compiete sets af Buiiding P{ans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcUon. <br /> Mtnlmum ten(1d}wotking days after su6m[ttal date. Requfred onsite,Construction Pians,Starmwater Pians w!Silt Fence instai{ed, <br /> Sanikary FaciltUes&1 dumpster.Slte Work Pertnit for all new proJects.All commercial requlrements must meet compliance <br /> SIGN PERMIT Atkach(2)sets of Engineered Plans. <br /> ""*PROPERTY SURVEY requlred for aEi NEW cansUvatlan. <br /> Dlrec#ions: <br /> Fiti aut applicaH�an campletely. <br /> Owner 8 Contraotor stgn back of app{(caHon,natarized <br /> If over ffi2500,a Notice af Commencement is required. (A!C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> �VER THE COUNTER PERMITfING (Front of ApplicaUon Only) <br /> Reraofs if shingles Sewers Service Upgrades A/C Fences(P1ot/Survey/Footage) <br /> Driveways-Not over Counter if an public roedways..�eeds ROW <br />