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s�s-�so-oozo City of Zephyrhills Perrnit Application Pax 813-780-0021 <br /> t y Buitding Department <br /> Date Received � � Phone Contac#for Permittin �� � � — `-� ��� <br /> a <br /> Qwner's Name Qwner Phone Number <br /> Ownar's Address � u ' Owner Phone Nnmber _,_, <br /> Fee Simpie Titleholder Nama �— � � Owner Phone Number �� � <br /> Fee Simple TItlBholder Address <br /> JOB ADdRES5 Q �C� LQT# � <br /> SUBDNISION � PARCB�tR# <br /> (OSTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROpOSED , e NEW CONSTR 8 ADD/ALT �„] SIGN Q Q DEMOLlSH <br /> INSTALL REPAIR <br /> PRQPOSED USE Q SFR [,� CC1MM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WQRK C- � C_.Y\f.M � <br /> BUiLDING SIZE � � SQ FOOTAGE NEIGHT ��„� <br /> OBUlLDiNG � VALUATtOP!QF TOTAl.CONSTRUCTION <br /> QELECTRiCA� �� AMP SERVICE [� PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING ($ � <br /> L.._.._.` <br /> [�CHANIGAL $ � � VALUATtON OF MEGHANICAi.INSTALLATION <br /> C]GAS [� ROOFI4VG Q SPEClALTY Q t}THER <br /> FtiVISHED F�.00R ELEVATiONS �-�� FLOQD ZONE AREA QYES NO <br /> SWLDER COMPANY <br /> SI�'aNATU12E REGISTEREb Y/ N F'EE CURRE� Y/!+I <br /> Addres� � llcense# �� � <br /> ELECTRFCiAN i � COMPANY <br /> SiGNATURE ( RE(31S7EREp Y/ N FEE CURRE� Y/N <br /> Address Ucense# �� � <br /> PLUMBER � � COMPANY <br /> SICaNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANlGA! ��,,;Q,� COMPANY ��'''�"� <br /> SlGNATURE c REGtSTERED Y/ N �E cUw2en Y!N <br /> Addre�s , ,_,_,_,�_,___ License# � � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address ` ~ Ucense# � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms:R-O-W Permit far new consVuctton, <br /> Minimum ten(10)working days after subm{tkal dats. Required onsits,Construction Pfans,Stormwater Plans w/S11t Fencs 3nsiaNed, <br /> Sanitary FacUtties&1 dumpster,Site Work Pem�it far subdivistons/large pro]ects — <br /> COMMERCIAl,- Attach t3}complete-seks of Suildirig Plans plus a Life Safety Page;('1)set af Energy Forms.R-O-W Permit Eo�new aonstnsction. <br /> Minimum ten{!0)working days after submittal date. Required onsfte,ConsUuctian Pians,Starmwater Pians wi 8iit Fence instaited, <br /> Sanitary Fac(llUes&1 dumpster.Site Work Permtt for a!!new pro)e�ts.Ail commerciai requfrements must meat campilance <br /> 5lGN PERMIT Attach(2)sets of Engineered Plans. ' <br /> '"'•PROPERTY SURVEY requtred for all NEW construcBon. <br /> Dlrectlons: <br /> Fill out applfcaUon comptete{y. <br /> Qwner&Cantractor sign back of appifcallon,notarized � <br /> If over 52500,a Natice af Commencemsnt is required. (A/C upgrades over ST500j <br /> " Agent{for the contractor)or Power of Attomey(for the ownar)would be someone with notarized Istter'fiom owner authortiing sariye.,, ': � <br /> DVER THE COUNTER FERMiT1'ING (Front bf Appiication Only}. '� � 3 <br /> Reroofs if shingles Sewers Service Upgrades�A1C� Fences(PiotlSurvey/Footage) ; . <br /> dNveways-Not over Counter if on public roadways;.needs ROW,�� � " ` ` �- � ' ' "` <br /> _-_ . -., __ .- ,,,., - ___ . .. <br />