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8�3-780-0020 City of Zephyrhills Permit Applicatian Fax-813-T80-0021 <br /> Suiiding Department <br /> Date Received � � _ �f`��j^ .r' <br />, Phone Gontact far Permitti»g <br /> Owner's Name � Owner Phone Number �/ ^�"" � <br /> Owner's Address `T" U t � Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �1'�� l<.. tJ 1 I� J� ) LOT# C� <br /> SUBDIVtSION � � PARCEL ID# <br /> (OBTAINED FROM pROPERTY TAX NOTICE) <br /> WORK PROPOSED e NSTALLSTR 8 REPAIR O S1GN Q Q DEMOLISN <br /> i PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE dF CONS7RUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION QF WORK � �� � � � � , <br /> BUtLDiNG SIZE �i � SQ FOOTAGE HEIGHT C�� <br />' QBUILDiNG �� VALItATION OF TOTAL CONSTRUCTIQN <br />� <br />' QELECTRICAI. �>� qMp gERtIiCE Q PROGRESS ENERGY [� W.R.E.C. <br /> i <br />� QPLUMBING � .� <br /> "`i— 1 ''1..„ <br /> ECHANICAI. � � � VA�UATION OF MECHANICA�INSTA�tAT10N <br /> QGAS Q ROQPING Q SPECtAl.TY 0 01"HEF2 <br /> FINISHED FLOOft ELEVATIONS � � FLOOD ZONE AREA [�YES NO <br /> BUI�DER COMpANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> E�ECTRtCtAN COMPANY , <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address Ucense# �� � <br /> P�UMBER � COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> MECHANICAL ��y�y;v� COMPANY ��"'"` �'1�1- <br /> SIGNATURE REGI57ERED Y/ N FEE CURRE� Y/N' <br /> Address � <br /> License# � <br /> j t3THER COMPANY <br /> $IGNA?URE . REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �_ � <br /> 12ESiDEfi11'IAL Attach{2}Plot Plans;(2)sefs of Bullding'Plans;{1}set of Energy Forms;R-Q-W Permit for new cortstruction, <br /> Minimum ten(10)warking days after submittai date. Required onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciUties&1 dumpster;Site Work Permit for subdivisionsRarge proJects <br /> COMMERCiAL Attach{3}complete sets af Building P1ans plus a Life Safety Page;{�}set of Energy Forms.R-O-W Pennit fo�new cansUVCtian. <br /> Minimum ten(10)warking days after.submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Rermit for all new proJecks.All commercial requirements must meet comptiance <br /> SIGN PER�lIIT Attach{2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. � <br /> � t?ireatlons: <br /> i Fill out application completely. <br /> Owner&Contractor sign baok of application,notarized <br /> if aver S25dd,a Fiotice of Commencement is raquired,.�{AIC upgradas over S,T500j <br /> `" Agent(for the contractor)or I?ower of�Attomey(foY the owner)would:be someone with notarized letter from owner authorizing same <br /> OVER TtiE COUNTER F'ERMITTiNG �,`'_,t(Frant of=Applicatipn'An1y}', ;, �` <br /> Reroofs if shinglss Sewers , Service Upgrades,NC� �•.Fences(PIatlSurveylFootage) <br /> �� ,.,� , <br /> . ,.�_ . . ----,r.t..w�.�.�a......:..: ....�,, <br /> Driveways-Not over Coun#er if on public roadways..needs ROW <br />