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I <br /> „ 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � „ '�� ' Building Depertmenl <br /> Date Received � _ ��� I <br /> Phone Contact for Permltting <br /> Owner's Name �� �41/L b� Owner Phane Number � 7Z7—, i <br /> 1 (�� / /�� <br /> Owner's Address 71p v V l•etr`�(,Q�L�l�'� l�L�� Owner Phone Num6er <br /> Fea Slmple Titleholder Name Owner Phone Number <br /> Fee Slmple Tltleholder Address I <br /> JOB ApDRESS ��� 1�'(� l,LI. I 1 V LOT# � <br /> SUBDIVISION ��1� V YC�(/ PARCEL ID# I�� �S 2� � � O� O <br /> WORK PROPOSED New CoNS7R ADD/ALT �I SIGN NED FR�OM PROPERTY T�n��1 DEMOLISH <br /> � INSTALL B REPAIR I'\ <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME IQ STEEL Q <br /> DESCRIPTION OF WORK (Xl. � f't� _ � _�� _ _ _ <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �JMECHANICAL $ ��� O VALUATION OF MECHANICAL INSTALLATION � v�� �7 <br /> Y� � I <br /> QGAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ,I, <br /> I <br /> BUILDER •COMPANY• <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMP I Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address I License# <br />� I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURRE� Y/N <br /> I <br /> Address I License# <br /> MECHANICAL COMPA�IY ��v"r^ s�V'^�e- 1r � �� <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y/N <br /> �y`, ('� i y <br /> Address "l�l \Q� � � License# � / <br /> I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItltllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O W Permft far new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Conslruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Pertnit far subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life SafetylPage;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all nev�r projects.All commercial requirements must meet compliance <br /> SIGN PERMR Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction� <br />� DirecOons:• <br />� Fill out application completely. <br />� Owner 8 Contredor sign back of application,notarized <br /> If over 52500,a Notice oi Commencement is required. (AIC upgrades over E7500) �- <br /> •' Agent(far the conVactor)or Power oi Attomey(for the owner)would be sojneone with notarized letter irom owner autharizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs if shfngles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br />' Driveways-Not over Counter if on public roadways..needs ROW <br /> L <br />