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` o,,.,ov-�,�u Gity of Zephyrhills Permit Application Fax-813-78Q-0021 <br /> Building Department <br /> Date Receivecl +� �,3 �`� Phone Contact for Permittin ��� �� C ��f� <br /> Owner's Name <br /> �`��.. f"',�° � Owner Phane Number �'i�- ��y�/a,�� <br />� Ownec's Address (s l �� � � j� Owner phone Number <br /> Fee Simpfe Titiehaider Name � � Owner Phone Number _. <br /> i Fee Sirnpte Titlehoider Address <br /> JOB AQDRESS LOT# � <br /> SUBDIVISION � � PARCEL ID# <br /> (OB7AINED FROM PRCIPERTY TAX NOT�CE} <br /> WORK PRBPOSED e NEW CONSTR 8 ADDlALT C� SiGN Q Q DEMt}LISii <br /> INSTALL REPAiR <br /> � PROPOSED USE Q SFR � GOMM [� OTNER <br /> TYPE OF CONSTRUCTfON Q BLOCK [� FRAME [_� STEEL Q <br /> �, DESCRIPTION OF WORK �� U/l/i l <br /> i <br /> I BUILDING SIZE �� � SQ FOOTAGE�,,,� HEIGHT �� <br /> C,������4N�' � `� VALUATION OF TOTAL CONSTRUCTION <br /> 1—..` <br /> [�E�ECTRICAL $ � AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBlNG �6� <br /> ��'O '� <br /> MECHANICAL $��p.� YALUATION OF MECHANIGAL INSTALlATION � �� ; <br /> � I <br /> OGAS Q ROOFING � SPECIALTY [_� OTHER <br /> FINISHED FLOOR EL�VATiONS C�� FLOOD ZONE AREA QYES NO <br /> BUf�DER �fl�P� <br /> SlGNATURE REGiSTERED Y 1 N FEE CURRE� Y/N <br /> Address Ucense# � � <br /> I SIGNA URE� � COMPAHY <br /> REG1STEf2ED Y I N FEE CURRE� Y I N <br /> Address License# �— � <br /> Pl.UMBER COMPANY <br /> SIGNATURE REGtS3ERED Y/ N FEE CURRE� Y I N <br /> Address License# �� � <br /> I MECHANICAL � �/ CQMPANY' �b� .S .� it/C �AS �-� � <br /> SIGNA7URE REGISTERED Y/ !V FEE URREP Y!tV <br /> Address License# ��'Y��/��z� � <br /> OTHER COMPANY <br /> SIGNATURE REGIS7EitED Y! N �e�cuR�� Y J N <br /> Address � License# � i� <br /> RESIDENT114L Attach(2)Plot Plans;(2)sets of Buiiding Plans;.(1)set of Energy Forms;Ft-O-W Permft for new c,onstruction, <br /> Minimum ten(10)working days after submittal date. Required anstte.Construction Plans,Stormwater Plans w!Sllt Fencs 3nstalled, <br /> 5anitary Faciiities&1 dumpster;Site Work Permit for subdivislansAarge praJects <br /> COMMERCIAL Attach(3)complete sets of Bullding Pla�s plus a Ltfa Safety Page;(1�set of Energy Forms.R-O-W Permit for new canstrvction. <br /> Minlmum ten(10)working days�after submfttal date. Required onsike,ConstruoBon Plans,Storn�water Plans w/S�lt Fence}nstaited, <br /> Sanitary Facilftles&1 dumpster.Site Work Permik for all new proJects.Al!cammerclal requlrements must meet comptlance <br /> StGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERIY SURVEY required far all NEW construation. <br /> Dlrections: <br /> Fill out applicallon campletely. <br /> Owner&Contractor sign back of appitcation,natarized <br /> If over 52500,a Nottcs of Cornmencement is requPred. (AJC upgrad�s aver 57500) <br /> '_' Rgent{for the con#ractor}or Power of Attomey(for the owner}would be someone with natarized letter from owner autharizing same <br /> DVER THE CdUNTER PERMITTING (Frant of Application Only} • - - -- - - � <br /> Reroofs if shingles Sewers 3erviceUpgrades A!C ' �Fer�ces{PIoUSurveylFootage} ` ° � � ", ; <br /> Drtveways-Not over Gounter if an�public roadways..needs ROW � , _ � ° <br /> , � ,. ,� - . , . :'. ,. <br /> I <br />