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„ 813-�0-002o City af Zephyrhills Permit Application FaX a�saaaoo2� <br /> Building department <br /> Da#e Rgceived —�Q�� Phone C ntact for Permttting <br /> t}wnar's Flame � Ow»er Phoae Number <br />'i Owner's Address Owner Phone Number � � <br /> Fee Simple Titleholdar Name � � Owner Phone Numbar <br /> Fee Simple Titleholder Addres� <br /> JOB ADDRE3S � I� {� LOT# [� <br /> SUBDIVISIdN � � PARCEL ID# <br /> {QST/tlNED FROM PROPERTY TAX NdTiCE) � <br /> WORK PROPOSED � � NSTALL�R e R�P AL�T � SIGN [� [� DEMOI.ISH <br /> L��! <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CQNSTRUCTION Q BLOCK Q FRAME [� STEEL [� <br /> DESCRIPTION OF WORK ��..l. � � � �' G�J <br /> BUILDING SIZE � � SQ FOQTAGE�� HEIGHT <br /> �BUtLDiNG � VALUATION OF TOTAL CONSTRUCTIO � �� <br /> QELECTRICAL ($—� � AMP SERVICE , Q PROGRESS ENERGY [� W.R.E.C. <br /> L.. <br /> QP�UMBiNG ($� � <br /> �” � GL� <br /> QMEGHANICAI $������ VAIUATION OF MECHANICAL INSTALLATION � ��.2-- � <br /> QGAS Q FtOt)FING Q SPECIALTY Q OTHER � � ���� <br /> � � <br /> FINISHED FLOOR EI.EVATICINS FLOOD ZONE AREA QYES NO <br /> BUILDER CdMPANY �`}`� '--�`'t � �... <br /> SIGNAT REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RBGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ltcense# � � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> MECHAFi1CAL CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> OTHER • CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE GURRE� Y/N <br /> Address ' „, ,_,_ ,,.__. Ucense# � � <br /> RESIDENTIAL Attach(2)P1ot Plans;(2}se#s of 8uilding P}ans;(1)set af Eaergy Forms;R-Q-W Pertni#for new c:onstruc6on, <br /> Minimum ten(1Q)working days after submittal date. Required onsite,Construcdon Plans,Stormwater Plans w/Sflt Fence installed, <br /> Santtary FacititIes&1 dumpster;Sfte Wark Permi!for subdivistonsllarge projects _ _ <br /> COMMERCIAL Attach(3}complete sets of Bu3lding Pians pius a life Safety Page;{1)set of Energy Forms.R-O-W Permtt for new canstnsction. <br /> Minimum ten(1 Q)working days'after submfttal date. Required onsite,Gonstruotion Plans,Stormwater Plans w/Silt Fence lnstalled, <br /> Sanftary Facllities&1 dumpster.8fte Work Permix far aii new pmjects.Ail commercial requtrements must meet compNance <br /> SIGN PERMFT Attach(2)sets of Engineered Plans. <br /> """"PROPERTY SURVEY required for all NEW construotion. <br /> Directians: <br /> FIII out application completely. <br /> Owner 8�Contraator slgn back of appltcaHon,notarized <br /> if over'b2500,a Notice of Cammencement is requlred. (A!C upgrades over;7500) <br /> " Agent(for the cuntractor)or Power of Attomey(for the owner)would be someone with notadzed letter from awner authorizing same <br /> OVER THE COUNTER PERMiTTfNG (Front,of Appiication Oniy}�'��= <br /> Reroofs if shingles Sewers Service Upgrades NC Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on putilic roadways,.needs ROW � ��� <br />