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a��-�8u-�,��� Gity of Zephyrhills Permit Applicatian Fax-813-780-0021 <br /> Buitding Department <br /> Daie Received � a� ' Phone Contact far Permittln p �`-� �`� � – V 1� <br /> Ownar's Name , �� U Owner Phane Number _, <br /> Owner's Address Owner Phane NumbQr �� � I� <br /> �} i <br /> Fee Slmple Titleholder Name � � Owner Phana Number �� I �� <br /> �� <br /> Fee Slmpie Titleholder Address I� <br /> � <br /> JOB ADDRESS �l.� � t� � I,�� LOT# [�� <br /> I SUSbiVlSION � � PARCEL ID# <br /> (OBTAINED FROl41 PRQPERTY TAX NQTIGE} ,.'�� <br /> WORK PROPOSED e NEW tONSTR 8 ADD/ALT � SIGN � Q DEMQLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q 5FR Q COMM [� OTHER <br /> NPE OF CONSTRUCTION [� BLOCK Q FRAME [� STEEL Q <br /> I DESCR1PTiON OF Wf3RK �� �'S <br /> , BUlLDlMG SIZE � � SQ FOOTAGE�,_� HEIGHT C�� <br /> I QBUILDING �� VALUATION OF TOTAI CONSTF2UCTION <br /> QELECTRICAL $�'� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �— <br /> �PLUMBING $ �}b� 'b(�� <br /> `.._r., _. <br /> QMECHANICAL �-� VALUATION OF MECHANICAL INSTALIATION <br /> QGAS Q ROQF►NG Q SPECIA�TY � OTHER <br /> =1N�SHEd FLOOR ELEVATIONS � —f—� FLOOD ZONE AREA QYES NO <br /> 3UILDER COMPANY <br /> 51GNATURE REGISTERED Y/ f� FEH CURRE� Y/N <br /> � <br /> Address .� —,.—�—..—. License# I � <br /> , ELECTRICIAN COMPANY <br /> , iIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> � Acldress License# � � <br /> � <br /> ' �I.UMBER � GOMPANY <br /> iFGNATURE REGISTERED Y/ I� FEE CURRE� Y/N <br /> Address license# �` �`� <br /> �ECHANICAL COMPANY <br /> i1GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# � � �1 <br /> 17iiER COMPANY e�� t � �/"� I �0 Vl . <br /> >IGNATURE _ . REGtSTERED Y 1 N FEE C RRE� Y N <br /> Address ��1./ ��.,J � � Lfosnse# �t� ��j.3� � <br /> ;ESIDEN7IAL Ai#ach(2}Ptot Plans;(2)sets of Building Plans;(1}set of Energy Forms;R-O-W Permit for new conshuction, <br /> Minlmum ten(14)woticfng daysafter submlttal date. Required onsite,Construction Ptans,Stormwater Pians wl Sitt Fence insta(led, <br /> Sanitary Facillties 8�1 dumpster,'Site Wat1c Permit for subdivistonsllarge proje�ts <br /> OMMERCIAL Attach(3)complete sets af Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new conatruction. <br /> Minimum ten(10}working days after submittat date. Required.ons3te,Cans#ruction Pians,-Stortnwater Ptans w/Sitt Fence installed, ��"-- <br /> Sanitary Faoiltties&1 dumpster.Site Work Permit for aN new projects.RI!commeraiai requlrements must meet comptlance <br /> IGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required far alt NEW canshuction. <br /> irections: <br /> Ftit out appiicafion completely. <br /> Owner&Contractor sign back of appllcatfon,natarized <br /> If over$2500,a Nottce of Commencement fs required. {A/C upgrades over$7500) , w,,,, <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner autttorizing same ' �; <br /> VER THE COUNTER PERMITI'INCy (Front of Application Only) ` <br /> croofs if sfiingtes Sewers Service Upgrades A/C Fences(PlotlSurveylFoakage) � <br /> DNveways-Not over Counter if on public roadways..needs ROW ,� .~ . � . <br />