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813-780-0020 City af Zephyrhills Permit Application Fax-sTSasa-oaz� <br /> Building Department <br /> Date Recelved ' d' Phone Contaat for Permitting (� �G� — � 1 <br /> Owner's Name Yl c � Owner Phone Number <br /> Owner's Address �r�. Owner Phone Number �— � <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Stmple Tlttehotder Address <br /> JOB ADDRESS �U��' lti.' �'2 �!� � LOT# � <br /> SUBdtVIS18N � FARCEL ID# <br /> (OBTAINED FROM PROPER7Y TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT [� SiGN Q Q DEMOLISN <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTIQN Q BLOCK Q FRAME � STEEL Q , <br /> \ p� <br /> DESCRtPTtON OF WORK � � �i� il <br /> BtlILdIFICa SIZE � � SQ FOO'iAG��____i� HEIGHT ��� <br /> �BUILDlNG $1_/_ ����f VALUATIOR!OF TOTAI.CONSTFtUCTCOt� �,,i��� <br /> ����- < <br /> QElECTF2ICAL �s ----�� AMP SERVlCE 0 PROGE2ESS ENERGY [� W.R.E.C. <br /> QPLUMBING �> t �����,f„ , �`V <br /> � ���� <br /> ..�-�--�""� <br /> OMECHANICAL �> � VALUATtQN QF MEGHANICAI.ENSTAl.tATiQN ���p�jlril <br /> � <br /> QGAS Q ROOFING Q SPECIALTY � OTMER ,I j j ��� <br /> FINISHED FLOOR ELEVATIONS FLOQD ZONE AREA QYES NO ��` r `�� <br /> BUILDER. �r-���� ��COMPANY �-'�N��'E,��--� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �� � <br /> E�ECTRICIAN CQMPANY <br /> SIGNATURE REGISTEf2Ep Y/ N FEE CURRE� Y/N <br /> Address License# �- � <br /> PLUMBER �� GOMPANY <br /> SIGNATURE , ,,, , Recisrea�o Y/ N Fe�cuRRSn Y/N <br /> Address � �icense# �` � <br /> MEGHANlGAL COMPANlf <br /> SIGNATURE ,, ,,_. R�cisrEReo Y/ N Fe�cuRREn Y/N <br /> Address �icense# �- � <br /> Q'f HER CQMPANY <br /> S1GFIATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I.icense# � � <br /> RESIDENTIAL Attach{2�Plot Ptans;(2�sets of Buitding Plans;{1}set af Energy Forrns;R-O-W Permit for new canstruction, <br /> Minimum ten.(10}warking days aftet submittal date. Required onsite,Construction Ptans,Stormwater Plans w!Siit Fence installed, <br /> Sanitary Facill8es&1 dumpster;Sike Work Permit for subdivisions/large projects <br /> COMMEi2C1AL Attach(3}compfe#e sets of Butlding Plans plus a Llfe Safety Page;(1)set of Energy Farms.R-O-W Permit far new construcGon. <br /> Minimum ten(1D}wprking days affer submittal date. Required,onsite,Constnaction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciflUes&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SiGN FERMIT Attach{2}sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for at�NEW construction. - - - •- - - -- ` <br /> Dfrecttans: - <br /> Fiil out appUcation campletety. <br /> Owner 8 Contractor sign back of application,notarized <br /> tf aver�25d0,a Notlae of Camm�ncament is reqaired. (AfC npgrades av�r$�500} . _ ., _ _, _.�, . ..„ . , _ „ , <br /> � . <br /> " Agent(for the contraator)or Power of Attomey(for the owner)would be someone with nota�ized letter from awner autFiorixing same .� , • <br /> DVER THE COUNTER PERl1#IITTiNG {Front af Application Only) - -. � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) , , � � , , <br /> Driveways-Not over Counter if on public roadways..needs RdW <br />