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o��-�o�w��� City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Buitding Department <br />� Date Received �` Phone Contact for Permitting – <br /> Owner's FFame f/I Owner Phone Number f���3 . � <br /> Owner's Address 3�� ��^"�'" Owner Phone Numb�r _ _, <br /> Fee Simpia Titleholder Name � � � Owner Phone Number � �� <br /> Fee Simple Tltleholder Address <br /> JdB ADdRESS � - LOT# � <br /> SUBDIYISIQN ����{Jt. �O�fITK_ 1 PARCEL ID# `T � �! o� {� � � (�� /}�Ll� <br /> (QBTA1NEb FROM PROPERTY TAX NOTlCE} <br /> WORK PROP05ED e NEw CONSTlt 8 ADQ/A�T �� SIGN [� [� DEMOLISH �,S"�f d� <br /> INSTAI.L REPAIR j,,��� <br /> PR4POSED USE [� SFR Q COMM � OfiHER F/"'/�/`c`�G <br /> TYPE OF CON37RUCT10N Q BLOCK Q FRAME Q STEEL Q �J t' <br /> �j �u��'�� <br /> DESCR1PTfON OF WORK �2/ /y� !2��r � f�/� <br /> BU}LDING SIZE SQ�OOTAGE� HEIC,rHT _ <br /> QBUILDING �--�� VALUATlON OF TOTA�CONSTRllCT10N <br /> QELECTRICAI. �6 �� AMP SERI/ICE [�J PROGRESS ENERGY Q W.FE.E.C. <br /> OPLUMBING �s � <br /> (�MECHANICAL $�/� „��j� VALUATION OF MECHANICAL INSTAI.LATION <br /> `jT� P!� <br /> QGAS Q RQOFING Q SPECIALTY � OTHER <br /> FiNISHED FLOOR ELEVATIONS � � FLOOD ZdNE AREA QYES NO <br /> BUILDER �� ..—..—. COMPANY <br /> SIGNATURE [� ' REGISTERED Y/ N FEE CURRE�___ _ Y/N <br /> Address ticense# �� � <br /> ELEGTRICIAN COMPMIY <br /> StGNATURE REGISTERECI Y/ N FEE CURRE� Y/N <br /> Address ��—� �icense# �-----� <br /> PLUMBER � COMPANY <br /> StGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address LfCense# �i �� <br /> MECHANICAL � .�""' COMPANY /�`'`r �l � <br /> SIGNATURE ^�'D G` �� REGISTERED Y N F6E CURRE� Y N <br /> Address ,�/ .� �/ � 1% ' ������L'scense# �` i� <br /> OfiHER CbMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N. <br /> Address License# �- i � <br /> REStDENTIAi. Aftach(2)P�ot Plans;(2)sets of Bullding Plans;(1)set of Energy Eorms;R-O-W Permit for new conshvcUon, �' ' <br /> - ` Y Minfmum ten(10}working days after submittal date. Required ansite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facfl(des&.1 dumpster,Site Work Permit for subdtvisiansAarge projects <br /> COMMERCIAL Attaafi(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit for new canstructlon. <br /> Min3mum ten{�0}working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilltfes&1 dumpster.Site Work Permit far a0 new projects.All commeccial reguErements mvsf ineet comptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PRCIPERTY SURVEY required for alt NEW construction. <br /> Directions: <br /> Fiil aut application t�mptetety. <br /> Owner 8�Contr�ctor sign back o#appifcatlan,notarized <br /> If aver 52500,a Notice of Commencement Is required. (A/C upgrades over$7540} <br /> " Agent(for the contractor)or Power of A4tomey(for the owner)would be someone wikh notarized letter from owr�er authorizing same <br /> OVER THE COUNTER PERMITTING (Front ofApplicatian Onlyj,...__,,,_ ., .. - -- • - .. � <br /> Reraofs if shingtes Sewers Seniice Upgrades;;A%C;; „ ,Fences(PlobSurvey/Footage) � � ' ' _ " • � <br /> Drlveways-Not over Caunter if on public raadWays..needs•ROW _ n � _� ; ;•` , � - � '' <br /> , �. , .. . .��, , . ,. :' i,. , - �. -. _. : -,., _ . . <br />