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s�saeo-oo2o Ci#y of Zephyrhills Permit Application Fax 813-780-QQ21 <br /> ,. <br /> � Building Department <br /> Qate Recefved <br /> Phone Contact far Permittin <br /> t <br /> Owne�'s Nams �nrtn r� � Owner Phoae Number <br /> Owner's Address Owner Phone Num6er � � <br /> Fee Simple Titleholder Name �� � Ownar Phone Number �i � <br /> Fee Simple Titlehalder Address <br /> JOB ADDRESS D L� �0' � � �5 LOT# �� <br /> SUBDIVISION PARCEL ID# � - <br /> (OBTAINED FROM PRdPERTY TAX NdTiCE} <br /> WORK PROPOSED , e NEW CONSTR e ADDlALT [� SIGN [� C] DEMOUSH <br /> INSTAI,L REPAIR <br /> PROPOSED USE � SFR [� COMM [_� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK ,UU!" !� -�{�" C��l�L'� � <br />'i BUII.DING SIZE SQ FOOTAGE� HEIGHT L�� ' <br /> QBUiIDiNG � � VALUATION OF TOTAL CONSTRUCTION <br /> ���� <br /> ,.�ELECTRICAL $ QO� AMP SERVICE�t}� Q PRQGRESS ENERGY [� W.R.E.C. <br /> D�' <br /> OPI.UMBlNG I,� � <br /> �-�- � <br /> �MECHANICA�. � � VALUATION OF MECNaNtCAI INSTALLAT{ON <br /> Q�� Q ROOPING Q SFECIAL'i'Y �� OTHER <br /> FINI5HED FLOOR ELEVATIONS �—_—� FLOOD ZONE AREA QYES NO <br /> I <br /> I BUiLDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE GURRE� Y/IV <br /> Address License# � � <br /> SIGNATURE� �� <br /> ( _ .. �%t/V�, can�Pawv t'� , c c � � r� .�4�� �° d� <br /> REGISTERED Y/ N FEE CURREA Y/N <br /> ' Address l Ltcense# (Gy ��� � <br /> PLUMBER � � COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> , „ . ... <br /> MECHAt�11CAt COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �^ � <br /> OTHER COMPAMiY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ,,,,. ,,,. ,,... <br /> Address License# �� � <br /> RESlDENTIAL Attach{2}Pto#Plans;(2}sets of Buitding Plans;(1)set af Energy Forms;R O-W Persnit far new conshuction, <br /> Minimum ten(1Q)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facititiss&1 dumpster_SSte.Wark Permit far subdiv_isionstlarge projects . __ <br /> COMNfERClAL Attach(3}comptete sets of Build'mg Ptans ptus a Life Safety Page;(1)set af Energy Forms.R-O-W Permit fo�new ct�nstnsction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaclliNes 8 4 dumpster.Site Work Permtt tar aii new proJec#s.Ail cammercia!requlrements must mee#comptfance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """'PROPERTY SURVEY required for all NEW construcUon. <br /> Dlrections: <br /> FIII ouk application completely. <br /> Ir Qwner&Gontractar slgn baak of applfcatlan,notacized <br /> tf over$2500,a Notlae of Commencement ls required. (A/C upgrades over 57500) <br /> " Agent(for the contractor�or Power of Attomey(for the owner)would be someone with notarized{etter from a�nmer authodzing same <br /> DVER THE COUNTER PERMITTING ,(Front af Appiication Oniy} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurveylFootage) <br /> Driveways-Nat over Caunter if on public roadways..needs ROW � ' � <br /> � <br />