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tl�3-,a�-�,��� Gity af Zephyrhills Permit Application Fax-813-780-0021 <br /> Buitding Department <br /> r ( <br /> Qate Recetved � Phone Contack for Permittin <br /> Owner's Name Owner Phone Nurnber <br /> Owner's Address � �1 Owner Phone Number � � <br /> Fee Simpie Titteholder Name �� � Owner Phone Number � � <br />� Fee Simple Titleholder Address <br /> JOB AdDRESS � 1X � `1 l.� � � � LOT# <br /> � <br /> SUBDIVtS10M PARCEL ID# <br /> (OBTAINEQ PROM PRQPERTY TAX NQTICE) <br /> WQRK PRQPOSED e NEW CONSTR 8 ADDlALS � SlGIV Q [� DEM4LlSH <br /> INSTALL REPAIR <br /> �'� PROPOSED USE Q SFR C] COMM � OTHER <br /> ', TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� S7EEL CJ <br /> DESCRiPTiON OF WORK ����� �t`� <br /> SUILDlNG SIZE � � SQ FOOTAGE HEIGHT ��� <br /> QBUILDING rs� VA�UATIt3N OF TOTAL CONSTFit1GT10N <br /> � L <br /> [�]ELEC7RICAL $ AMP SERVlCE Q PROGF2ESS ENERGY Q W.R.E.C. <br /> �LUMBING $� �� �� � <br /> QMECHANICAL (S6 � VALUATION OF MECHANICAL INSTALLATION <br /> t <br /> QGAS [� ROOFING Q SPECIALTY C� OTHER <br /> =1NISHED FLOOR ELEVATIQNS �-� FLOOD ZONE AREA QYES NO <br /> 3UILDER GOlUlPANY <br /> �1GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address •�..--....��—. ,.—��.. License# � � <br /> °_�ECTRICIAN CQMPANY <br /> iIGNATURE REGISTERED Y/ N FEE GURRES� Y!N <br /> Addrsss License# � �� <br /> �I.UMBEtt � COMPANY <br /> itGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �- � <br /> �ECHANICAL COMPANY <br /> 41GF1ATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrsss License# �— �� <br /> ►THER '� COMPANY F �! �� J �f� <br /> �{GNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address JG��a ��j � license# S � � ��c�7� � <br /> ;ESIDENTIAL. Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forrns;R-O-W Permit for new construckion, <br /> Minimum ten{10)working days after submittat date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Fac4ltkies&1 dumpster,S{te Work Permif farsubdivisions/targe projects_ -��_. _ `_________.__ —.. .___ <br /> �.OMMERCIAL_ AttacFr;3)comp!�Ya se�of Building Plans plus a Life�Safety Page;(N)set of Energy Forms.R-O-W Permit Yor new construc8on. <br /> � Minimum ten(1d}working days after submittal date. Required onslte,Construc#lon Plans,Stormwater Plans w/Silt Fence installed, <br /> _ Sanitary FacfliUes&1 dumpsfer.Site Work Permlt far a8 new projec#s.Ail commerc.ia!tequirements must meet comptiance <br /> IGN PERMIT Attach(2)sets of Engineered Plans. <br /> ***'PROPERTY SURVEY required for a�l NEW construction. <br /> irections: <br /> Fill aut applica�on completety. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over$2500.a Notice of Commencernent is required. (A!G upgrades over$7540) <br /> Agent{for the contractor)or Power af Attomey(for the ownee)would be someane with notarized Eetter ftam owner suthorizing same <br /> VER THE COUNTER PERMITI'ING (Fronk of App6cation Only} <br /> eroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Foatage) <br /> Driveways-Not over Caunter if on publia roadways..needs ROW <br />