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a�a-�so-oozo City af Zephyrhills Permit Application Fax 813-780-002� <br /> Building Department <br /> 4 <br /> Da#e Received -"`�jQ''' � pnqne Contact for Parmittln — <br /> f}wner's Name Owner Phons Ftumber <br /> Ownar's Address Owner Phone NumSer �� � <br /> Fee 3lmple Titleholder Name � � Owner Phane Number � � <br /> Fee Slmple Titleholdar Address <br /> JOB ADDRESS �^ LOT# �� <br /> SUBDIVISION �� � PARCEI.ID# <br /> (OBTAINED FROM PROP�R7Y 7AX NOTICE) <br /> WORK PROPOSED , e NEW CONSTR 8 Ap0/ALT Q SIGN Q [� DEMOI.ISH <br /> INSTALL REPAIR <br /> PROPOSED US6 Q SFR [� CflMM � OTHER <br /> TYPE OF CONSTRUCTIOPI Q BLOCK FRAME �� STEEL [� <br /> DESCRIPTIQN OF WORK � (i(..(��1.(,V'"Y� <br /> BUILDING SiZE SQ FO TAGE�—� HEIGHT ��_� <br /> l <br />� UiIDING $ ` � 4 .,_,_, VALUATION QF TO7AL CONSTRUCTIO �i( � <br /> Y <br /> QEL�CTRICAI ($ — � AMP SERVICE Q PRQGREBS ENERGY Q W.R.E.C. <br /> �-- ����,�1 <br /> QPI.UMBINCd $ � <br /> C����H���1�� � � VAIUATION OF MECHANtCAL INSTAlLAT10N � � ��,�3�� <br /> v ���d� <br /> Q�,s [� RoaF��� Q SPEClA�TY 0 OTtiER � ��} yt� <br /> r�.. <br /> FINISHED FLOOR ELEVAT'IONS FLOOD ZONE AREA QYEB NO � <br /> BUtLDEit OMPANY �.J"`� �4.� �G �,�7��/`�^�' <br /> SIGNATUR REGISTEREp Y/ N FEE CURRE� Y/N <br /> Address License# r� � � <br /> � <br /> ELECTRICiAN CQMPANY <br /> SIGNATURE REGI$TEREd Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# � � <br /> MECNAFtICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —1 <br /> OTHER COliAPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrss� License# � � <br /> RESIDEHT{Al. Attach{2}Plot Plans;(2)se#s o#Building Plans;{1}set of Energy Forms;R-O-W Perrni#far new const�uctian, <br /> Minimum ten(1 Q)working days after submittal d�te. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence tnstalled, <br /> Santtary FaGliBes&1 durnpster,Site Work Permit for subdivisionsAarge projects _ ' - <br /> GOMMERCIAL At#ach{3}comptete ssts of Buitditig Fians plus a life Safety Page;(1}set of E�ergy Forms."R-O-W Permit#or new c�nstruction. <br /> Minfmum ten(10)working days'after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary Facilides 8 1 d�mpster.Site Work Permit for all new projaots.All commercia!requlrements must meei campllence <br /> SIGN PERN{IT Attacfi{2)sets of Engineered Plans. <br /> "*'"PROPERTY SURVEY required for all NEW canstrucdon. <br /> Diractions: <br /> FIII ouk applicatlon completely. <br /> Qwnar&Cantractor stga back of appitcatlon,notarized <br /> � if ovar�,2540,a Notice of Commenaement is required. (A/C upgr�des over 37500) <br /> ' " Agent(for the contractor)or Pqwer of Attomey(for the uwner)would be someone with notarized letter from owner authorizing same <br /> '� _ _ ., �.. ,. <br /> ; DVER THE COUNTER PERMiTTiNG'�� ';„�(Front of Apptica6on Glnty} <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Caunter if on pubiic roadways..needs ROW <br /> ❑ <br />