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813 780-0020 City of Zephyrhills Permit Application Fax-813-780-4021 <br /> ; Building Department <br /> date Received ���j '� O�S Phone Contact for Permitting � � — (/�� <br /> Owner's Name a �� (.'�.� �'4' Owner Phone Number �,�` 3/�7��G'6 �' <br /> Ow�er's Address � g � I �(/ Qwner Phone Number �— � <br /> Fee Stmple Titlehotder Name �I �"j dl/l/ �/''d S'� Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADORESS �-~�`� � E� � LOT# �___,_� <br /> SUSdIVIS14N � � PARCEL ID# <br /> (087AINED FROM PRQPERTY 7AX NOTICE) <br /> WORK PROPQSED e NEW CONSTR 8 AdDlALT � SIGN Q Q DEIViQ�[SN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SPR Q COMM 0 OTtiER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIflN QF WORK � JG J G l G �r C.t a <br /> BUItDING SIZE J�O ��.� SQ FOOTAGE S�� HEIGHT C�1� <br /> QBUl�DING �� VALtJAT10E!OF TOTAL CONS1'F2UCTION <br /> QELECTRICAL $ ���� Q� AMR SEF2VICE Q PR4GRESS ENERGY [� W.R.E.C. <br /> QPLUMSlNG $ ������ �� �rtS <br /> �,� ,.. <br /> QMECHAMCAL $ VALUA710N QF MECHANtGAL INSTALLATtON <br /> C]GAS Q RQOFIIVG Q SPECIALTY 0 OTHER <br /> FINISHED FLOOF2 ELEVATIONS r�� FLOOD ZONE AREA QYES NO <br /> L <br /> SUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� �� <br /> / � <br /> E�.ECTRICIAN � CO3i�PAtdY �t`�/L1 . �G�' L�tf' <br /> SIGNATURE v REGISTERED Y/ N FEE CURREI� Y!N <br /> Address l.icense# �— � <br /> P�UMBER I COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# � � <br /> MEGHANICAL CQMPAMIf <br /> SIGNATIIRE �^ REGISTBRED Y/ N FEE CURRE� Y/N <br /> Address �icense# �— � <br /> OTHER COMPANY <br /> StGNATURE REG�STERED Y I N FEE CURRE� Y/N <br /> Address �icense# �� ! <br /> RESIDENTIAL Attach(2)Plot Pfans;(2)sets af Buildirig Plans;{1}set of Ene�gy Forms;R-O-W Perrnit for new construction, <br /> Minimum ten(10}warking days after submittat date. Requited ansite,Construction Plans,Stormwater Ptans w/Silt Fence instatfed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach{3}camplete sets of Bu3lding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new cons#n�c8on. <br /> Minimum ten(10}working days after submittat date. Required onslte,Construction Pians,,5tormwater Ptans w/Silt Fence Installed, <br /> Santkary Facilities&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compifance <br /> StGN PERMIT Attach{2)sets of Engineered Pfans, <br /> *"'PROPERTY SURVEY required far a(I NEW construction. <br /> Dtrectians: <br /> Fifl aut application campletety. <br /> Owner&Contractor sign back of application,notarized <br /> If over$250Q a Nottcs af Commencement Is required. {AIC upgrades over$75Q0) <br /> '* Agent(for the contrector)or Power af Attomey(for the owner)would be sarrieone with notarized letter from owner authorizing same <br /> DVER THE GOUNTER PERMITTINtG {Front of Appticafion Onty} <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-lVot over Counter if on publlc roadways..needs RQW <br />