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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> . <br /> Bu3Eding dep rtment <br /> date Recefved • 1�`� Phane-Contact for Pe itt�n t�1'�..� � L{ — <br /> Owner's Name � � Owner Phone Number <br /> Owner'a Address ��� i:.-"'/'i S Owner Phone Number � � <br /> Fee Slmple Tltleholder.Name �� � Owner Phone Number � � <br /> Fee Simple Tttleholder Address <br /> JOB ADDRESB �zG7 ��/�� S �e , � "� LOT# �,� <br /> SUBDIViS10N � � PARCEL ID# �" (,n� �`�'i�+ a -1 CS <br /> (OBTAINED FROM PROPER7Y TAX NOTICE) <br /> WORiC PftOFOSED NEw CONSTR ADD1AlT C� SIGN � [� DEMOI.ISH <br /> INSTALL REPAIR <br /> PROPOSED.USE Q SFR [� COMM I� OTNER <br /> TYPE OF CON$TRUCI'ION � BLOCK " Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK � r.^-ncY�c( �, �n5�(��,., . �. <br /> BUIlD1TtG SIZE SQ FOOTAGE HEIGHT <br /> Q����'�l�� � , � (� �^p� VALUATION OF T TAL CONSTRUGT�ON <br /> --L`J <br /> QELECTRICAI. � � AiU1P SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �]FLUMB!ltiG $ � <br /> �� „ . ,-,� <br /> QMECHANICAk. $ VAlUAT10N OF M�CHANICAI.lNISTALI.ATION <br /> f� <br /> OGAB Q ROQFiAtG Q SPEGlAl.'FY I OTHER <br /> FINISHED FL04R ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUILDER �~ COMP ' �� �r%L. <br /> SIGNATURE �`. REGISTER D Y/ N FEE URREK /(�Jr <br /> Addres� L'icanse# r� � <br /> �lEC'tRlCIAN COMP� <br /> SIGNATURE � REGISTER D Y/ N FEE CURRE� Y/N <br /> Address Ucense# �� � <br /> PlUMBER i � COMP <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address license# � � <br /> MECHANIGAt. COMP <br /> SiGNATURE REGIS7ER D Y/ N FEE CURRE� Y/N <br /> Address license# r � <br /> OTHER CQMP�` <br /> SIGNATURE REGISTER�o Y/ N FEE CURRE� Y/N <br /> Address license# � � <br /> RESfQENT1AL Attach{2}Pto#Rlans;(2}sets of�Bu3lding Plans;{1}set af Ene Forms;F2-O-W Permlt for new canstrucUon, <br /> Minimum ten(10);working.days aftersubm�ttat date. Requir onsite,Constructlan Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaailiUes&1 dumpster,5ite Work Permit#or subdivislonsAarge projects <br /> COMMERCIAL Attach(3}camplete sets of Bulldirig Plans plus a Life Safety P`age;(1}set of Enetgy Forms.R O-W Permit fior new construction. <br /> Minimum ten(10)working days after submittal dake. Requiretl onsite,CanstrucUon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new rojects.All commercial requirements must mest compliance <br /> SlGN PERtYtIT Attach{2)sets af Engineered.Plans. <br /> •••'PROPERTY SURVEY required for all NEW construcUon. <br /> Dlreetions: <br /> Fiil out appiicadon completely. <br /> Owner 8�Contraotor sign back of applicarion,notarized <br /> tf over 52500,a Nattce aE Commencement is required. (AtC upgrades var�7500) <br /> '* Agent(for the contractor)or Power of Attomey(for the owner)wauld be som�ne with notarized letter fram owner authorizing same <br /> OVEft THE COUNTER PERMIT3iNG {Front af App#ication Only} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoU urvey/Footage) <br /> Drtveways-Nat over Counter iF an publ#c roadways..naeds ROW <br />