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� <br /> 813-784-dd20 City of Zephyrhills Perrnit Appiication Fax-813-78d-0021 , <br /> Building Department ' <br /> bate Reaeived � Phone Contact for Permitting — <br /> Owner's Name � Wp✓ Owner Phone Number (`� 7�"� ��y�� <br /> Owner's Address L✓` "`�r'�I�,� '�' � Owner Phone Number �� � <br /> Fee Simpte Titlehoi er Name ��'�C'�'� ��,�_� Owner Phone Number � � <br /> Fee Simple Titleholder Address l�* n ��i �' ��ST �R i � �� <br /> JOB ADDitESS LOT# �� <br /> suso�v�sioN �- � � PARCEi.ID# ! 5 - 26 - Z,t - �t�,o _ o0000 - o�90 <br /> (OBTAINEp FROM PROPERTY TAX NQTICE) <br /> WORK PROPOSSD e NEW CONSTR 8 ADDIA�T � SIGN � Q DEMOI.ISH <br /> INSTALL REPAIR <br /> Pt20POSEQ USE Q SFR [� COM{iri � OTNER <br /> TYPE OF CONS7RUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OP WORK �`����Sti -���'li O � <br /> SUILDING SIZE �� � SQ FOOTAGE C�� HEIGHT �� � , <br /> �Bt11l.DING $ / -�x✓y� VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> �ELECTRtCAt. � � AMP SERV[CE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING �> � ����r� <br /> OMECNANtCA� $ VALUATION flF MEGHANtCA�lNSTA�LATIQN � <br /> QGAS Q RQQFING Q SPECIALTY � OTHER <br /> FINISHED FLOQR ELEVATIONS � � FLOOD ZONE AREA QYES NO <br /> BUI�DER '1 �^ �fCOMPAI+IY � �' t�+�4�'�/ <br /> �IGNATURE K� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> EI.ECTRICIAN � COMPAMY � <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PI.UMBER CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUFtRE� Y/N <br /> Address License# �� � <br /> MECHATdICAL �'"'- _�-�"�'„�—�-7� • <br /> � �_ °�c--COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> QTNER J � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ,,....., �„_,,._,_ <br /> Address License# r� � <br /> RE3IDENTIAL AEtach{2}Plot Plans;{2}sets of Buitding Pians;(1}set af Energy Farms;R-O-W Permit#ar new construc#ian, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Santtary Facilities&1 dumpster;Stte Work Permit for subdlvisionsAarge projects <br /> COMMERCIPd. Attach{3}complete sets of Suitding P1ans plus a Life Safety Page;{1}set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)warking days after submittal date. Required onsite,Construcfion Plans,Stormwater Plans w/Silt Fence installed, - <br /> -- Sanitary Facilities&1 dumpster.Site Work Permit for aii new projects.A41 commerciai requirements must meet compl'sance <br /> 3IGN PERMtT Attach{2)sets of Engineered Ptans. <br /> ""PROPERTY SURVEY required far all NEW construction. <br /> Diractions: <br /> Fill aut application completely. <br /> Owner 8 Cantractor sign back of appi�cation,notarized <br /> tf aver$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> "* Agent(for the contractor)or Power of Rttamey{for the owner}would be someone with notarized istter from owner autharizing same <br /> OVER TNE COUNTER PERMITTiNG (Front of Applicatian Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />