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a��-�so-ooza City of Zephyrhills Permit Application Fax 813-780-0021 <br /> .�" ' Bullding Department <br /> Date Rsceivad Phone Contact for P�rmittln ^i�i <br /> � � ~ �� � � <br /> Owner�Name Clwrner Phone Number <br /> Owner's Address u� �� ��wner Phone Number � � <br /> Fee Simpte Tltieholder Name Qwner Phone Number <br /> Fee Slmple Tltleholder Address <br /> J08 AC}DRESS �� LQT# �� <br /> SUBQIYISItJN � � PAi2CEL tD# ° . `-fl � <br /> (OBTAINED PROM PRQPE TAX NOTtCE} <br /> WORK PROPOSED , e NEw CoNSTR 8 ADDlALT Q SIGN Q Q DEMOl.lSH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM C� OTHER �,�t� c' <br /> TYPE OF CONSTRUGTION [� BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTlON OF WORK t`o� <br /> BUILDING SIZE �� � SQ FOOTAGE `Z.G?O HEIGHT C-� <br /> QBUILDING �9�°� � VAI.UATiON OF TOTA�CONSTF2UC7{Ot�t <br /> �._. l/�,l�� <br /> [�ELECTRICAL �� AMP SERVICE Q PROGRES$ENERGY [� W.R,E.G. <br /> QPLUMBING � � <br /> QMECHANtCAL (y�---�-� VALUATIQN OF MECHANICAL INSTALLATIQN <br /> � <br /> QGAS Q ROOFING �] SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATtONS ��� FLOOD 20NE AREA QYES NO <br /> BUILDER COMPANY � <br /> StGNATURE REGISTERED Y N FEE CURREA Y/N <br /> AddFess (-.� V• � �.' r ` �.�� t,IcenSe# �� J'� f c.� �Y /( <br /> ELECTRICIAN COMPANY <br /> SiGNATURE REGISTEFtED Y/ N FEE CUF2RE� Y/N <br /> Address Ucense# �i � <br /> PLUMBER � COMPANY <br /> SIGNATITRE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres� license# � i� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address l.icenss# �`��� <br /> OTHER COMPANY <br /> SIGNATURE Recrs��t�o Y t i3 FEE CURRE� Y i N <br /> Address Ucense# 4 � <br /> RESiDENTiAL At#ach(2)Rlot Plans;(2)sets of Building pians;(1}set of Energy Forms;R-O-W Permlt for new construc6on, <br /> Mfn{mum ten(10}warkfng days after subm{tta!date. i2equired onsite,Construo8on Plans,Stormwater Pians wt Siit Fenae 3nsta0ed, j <br /> Sanitary Facillties 81 dumpster,Site Work Pertrrit for su6divislonsAarge proJects <br /> COMMERCIAI Attach(3)comptete sets af 9uitding Plans plus a Life Safety Aage;(1)set of Energy Forms.R-O-W Permit for new constructlon. � <br /> Minimurri ten{14)working days afteF submlttai date. Required onsite,Constcuction Ptans,Starmwater Plans wt Silt Fence lnstaiied,-- �- <br /> SaNtary Facilides&1 dumpster.Site Work Permit for all new proJect&.All commercial cequlrements must meet compllance <br /> SIGN PERMIT Attach(2)sets of Engineered Ptans. <br /> "*`PROPER'i'Y SURVEY requ3red for ati NEW conshuctlon. <br /> Dlrections: <br /> Fill aut appllratlan campleteiy. <br /> Ow�er 8�Contraotor sign back of appllcation,notarized <br /> If over�2500,a Notice af Commencement is requlred. (AIC upgrades over 5750p) <br /> " Agent(for the contractor)or Power of Aktomey(for the awner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PtoUSurveylFootage) <br /> Driveways-Not aver Counter if on public roadways..needs ROW <br />