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� <br /> ` � 813-780-0020 City of Zephyrhills Permit Application Fax-a��-�ao-ooz� <br /> Building Department � <br /> Date Received ' 3 �5 Phone ContactforPertnittin �(J /- ��� ` <br /> Owners Name Owner Phane Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION S PARCEL ID� � - <br /> (09TAINED FROM PROPERTY TAl(N0710E) <br /> WORK PROPOSED � N TALL�R e ADP/AAIL�T 0 SIGN Q Q DEMOLISH <br /> lJ <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK C Il(� �� ��j . a�ry� ' <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ r� VALUATION OF MECHANICAL INSTALLATION <br /> �> <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUF3REN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNA'fURE REGISrEaEO Y/ N FEECURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTeaeo Y/ N �cuat�n Y/N <br /> Address License# <br /> MECHANICAL '.__ COMPANI! _ lM��tQi CI'(�Q 1On,s <br /> SIGNATURE - ' REGISTERED N FEE CURREN Y/N <br /> n� a� � <br /> Address 35uV �v Y n ��� License# ( �7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111 <br /> RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construcUon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Conshuction Plans,Startnwater Plans w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constniction Plans,Startnwater Plans w/Sik Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit far all new projects.All commercial requirements must meet compliance <br /> SIGN PERMR Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWction. <br /> Dlreetlons:. <br /> FII out appfication campletety. <br /> Owner 8 Contractor sign back of application,natarized <br /> If over 52500,a Notice of Cammencement Is required. (A!C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMIT7ING (Frant of ApplicaUon Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Faotage) <br /> Ddvewa -Not over Counter if on ublic roadwa ..needs ROW <br /> Ys P Yg <br />