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813-�eo-oozo City of Zephyrhills Piermit Application Fax-813-780-0021 <br /> ` : Buflding Qepartment <br /> Date Received Phone-Contact for Permtttin – <br /> er"a Name n°�"'<<�'" � o u 3 n �e S /��1' Owner Phone Number 0 ��� l..� '�r��Q <br /> �er r's Address �P ( � � Owner Phone Numlaer � � <br /> Fee Slmple Titleholder Name � � Owne�Phane Number � � <br /> Fee Stmpte Tltleholder Address <br /> JOB ADDRESS LOT# C�� <br /> SUBDIVISiON �_ _ —� PARCEL tD# <br /> I (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WQRK PROPOSED NEw CONSTR ADD/ALT � SiGM1t Q Q DEMOI.ISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFF2 Q CON1M � OTHER <br /> TYPE OF CONST(RUC'fION � BLOCK " Q FRAME �� STEEL Q <br /> 1t�'e-�&J° �� � � � � <br /> DESCRIPTION OF WO�RK j� <br /> BUILDlNG SiZE �� � SQ FOOTAGE C�� HEIGHT ���� <br /> ��u��"d���" ` I"'� � VALUAT{ON OF TOTAI CONSTRUCTION <br /> _ <br /> �L "� .�J <br /> QELECTRICA�. � � AMP SE12t/fCE Q PROGRESS ENEF2GY Q W.R.E,C. <br /> [�PLUNt81RfG �� � , <br /> OMECHANICAL $ YACUATION OF MECHANICA�INSTRLLATION <br /> QGAS Q ROQFINt^a Q SPECIR�TY �� OTHEF2 <br /> FINISHED FLOOR ELEVATIqNS �-� FL.00D ZONE AREA QYEB NO <br /> � <br /> BUILDER CBMAANY <br /> SIGNATURE REGI$TER�o Y/ N FEE CUI2RE� Y/N <br /> Address License# �` � <br /> E�ECTRICIAt� COMPAt�Y ~ <br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Addr�ss r Ucense# � � <br /> FIUMBER ���. COMP� <br /> SIGNATURE " - REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �iceriSe# � � <br /> MECNANIGAI. CQMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N � <br /> I <br /> Address ' License# � � <br /> OTHER COIVIPAFIY <br /> SIGNATURE REGISTERED Y/ N FEE CURF2E� Y/N <br /> I <br /> Address � license# � � <br /> � - <br /> RESIDENTtAl. Attach{2}Plot Plans;{2}sets af 8alldiitg P1ans;{1}se#of Energy°Forms;R Q-W Permlt for new consWction, <br /> Minimum:ten(1.0)working days after.submittal date. Requ�reii onslte,Construcdan Plans;Stormwater Plans w/S(It Fenae installed, <br /> Sanitary FaoiliUes.&1.dumpster,S(te•Wor1c Rermit for subdWi�lonsflarge projects <br /> COMMERCIAE. Attach{3}camptete sets 6f 8ail�ing Plans plus a Life Safety Page;(t)set of Energy Famts.32-O-W Permit far new construc�tion. <br /> Minimum ten(10)working days after submittal date. Requfre�onsite,ConsUucUan Plans,Stomnwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site Work Permit for all new proJects.All wmmercial requirements must meet compqance <br /> SIGN PERMIT Attach{2}sets of Engineered Flans. <br /> '•""PROPERTY SURVEY required for aII NEW canstrucUon. <br /> Dlrectlons: <br /> Ffll out applfcallon completely. <br /> Owner&Cantrackor sign back of applfcattat�,notarized <br /> if over=2540,a Nottce af Commencement is required, (A!C u�agr.�des over�7500) <br /> " Agent(far the cbntractor)ar Power of Attomey(for the ow�er)wauld be so�eone with notarized letter from owner authorizing same <br /> OVER THE COUNTEl2 PERMtT-TIt+iG {Front af Appllcatian Only) <br /> Reroofs lf shingles Sewers Service Upgrades A/C Fences(PIoU urvey/Footage) <br /> Driveways-Not aver Counter if an pubiic roadways..needs ROW <br />