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s��aeo-oozo . City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Depattment <br /> Date Recetv43d ' phone-Con#aat for Permittin – <br /> Owne�'s Name �� \ \1 N Owrner Pbane Number c��Z "t J� ��t <br /> Owner's Address � � � G+-�� � Owner Phone Number � � _ � <br /> i E <br /> Fee 8lmple Titleholde'r Name � � Owner Phone Number �!__ � <br /> Fee$fmple Tltleholdar Address <br /> JO@ ADDRESS � � G��� ��t �'� LOT# �� <br /> SUBDIViSION � � PARCEL 1D# <br /> (OBTAINED FR4M PROPERTY TAX NOTICE� <br /> 1NORiC PROPOSED NE�tJ CONSTR �ADD/ALT � S1GN.. [� Q DEMOLISH <br /> � � INSTAL.L REPAIR <br /> PR4P4SED kJSE � C.�� SFR � COMM � OTHER <br /> TYP6 OF C4NSTRUCTION Q BLOCK �Q FRAME � STEEI. Q <br />�, DESCRIPTION OF WORK CL� S � � �2� � �� r <br /> �p <br /> BUiLDING SIZE �� � SQ FOQTAGE�'� HEIGHT C . � <br /> 08UIlDING � �,�ry� ,-�a"t� VALUATION 4F TOTAL CQNSTRUCTION <br /> UU (/v <br /> QEI.ECTFtICAl. � � AMP SERVICE Q PFtOGRESS ENERGY Q W.R.E.C. <br /> QP�.UMBING $ <br /> C_.,...� <br /> �, QMECNANtCAI � � VALUATtON OF MECHANtCAI tNSTAtlAT10N <br /> ' OGAS Q R04Flt�iG Q SPECIAl.TY [� OTHER <br /> � FINISHED FLOOR ELEVATIONS �� � FL.00D 20NE AREA QYES NO <br /> BUII.DER COMPANY <br /> i SIGNATURE ��„t;,> >...� REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address L(cense# �—. � <br /> ElEGTItiC1AN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� ` � <br /> , PLUMBER CQMPA�IY ' <br /> SIGNATURE REGI8TEREp Y/ N FEE CURRE� Y/N <br /> Address , Ucense# � �� <br /> MECHANICAl. . C{)MPANY ` <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � �� <br /> OTHER COMPANY f <br /> SIGNATURE REGISTERED Y/ N �e CuR�n Y/N <br /> ' Address ` <br /> License# �^ � <br /> RESIDENTIAL Attach{2}Ptot Pians;(2)sets of.Bultding Rlans;{1)sef of Enatt,�y�Farms;R-0-W Permtt for new canstruction, <br /> Minimum.ten.(10)working days aftec submittal dete. Required ansite,Construcaon Plans,Starmwater Plans w/Silt Fence installed, <br /> Sanitary Facilldes:&1,dumpster,S(te Wark�Permitfor subdivisionsAarge proJects " <br /> COMMERCIAL At#ach{3)complete sets of 8u11dirig Plans plus a life Safety Page;{1}set af Ertergy Forms.R O-W Permit for new constnictton. <br /> Mintmum ten(10)working days after submittal date. Required onstte,Construcdon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides 81 dumpster.Slte Wark Pertnit for ail new'proJects.All commercial requlrements must meet compflance <br /> SIGM PERMIT Aitach�{2)sets af Erigineered Plans., �. � <br /> ""PROPERTY SURVEY required for all NEW canstructton. <br /> Dlseations: <br /> F(II out applicadan completely. <br /> Owner&Contractor sign back af applicallon,notarized <br /> tE aver$2500,a Notice of Commencement Is required. (AlC upgrades over 57500} _, ,,. ,, ,,,,..... � ,,,.e ... <br /> " Agent(for the conUactor)or Power of Attome"y,'(fof"the o6irrier)`would`tie:someone with notarized letter ftom oinrner authorizing same; : �•� .� <br /> OVER TFiE Ct3t3N7ER PERMiTTING ;: (Front of Appltcation.Only}'`�. • � _ ,, ,,,� ' � <br /> Reroofs If shingles Sewers Service Upgrades.A/C� Fences(PIo�Survey/Foatage) � . ' , <br /> Driveways-Not over Counter if on pubtic roadways:needs ROVH'"'"'"" '"`� <br />