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�-- <br /> 81&780-0020 City of Zephyrhills Permit Application Faz 87&780-0021 <br /> . ' Building Department <br /> Date Received �Z J� Phone Contact for Permktin ' � <br /> . �Owners Name �__..� ' � O.wner Phone Number •� <br /> Owner's Addreas � G���er�hone Number <br /> Fee Slmple TiUeholder Name Owner Phone Number <br /> Fee Slmple Titlehalder Address ' <br /> JOB ADDRESS `,� � � LOT i/ � <br /> SUBDMSION '�ARCEL ID# �� "�W' `O <br /> � ' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTf� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL �� REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION OGK Q FRAME Q STEEL, Q - <br /> DESCRIPTION OF WORK ��AJI� Y�I�J�. <br /> 1 � <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT Y <br /> QBUILDING $�j q-��.� VALUATION OF TOTAL CONSTRUCTION <br /> �l) <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING, $ / <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �i\�U� ^,� <br /> /v C,�/ <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER �j �I���� I <br /> � c� <br />� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �YY� �S <br /> SIGNATURE REc�s�t�o Y/ N �cURREn Y/N <br /> Address Q ` 1 License# L <br /> ELECTRICI COMPANY � <br /> SiGNATURE REGISTERED Y! N �e cuwten Y/N <br /> Address �/ icense# <br /> PLUMBER COMPANY Y <br /> SIGNATURE REGISTERED Y! N �cuwten Y/N <br /> Address � � License# � <br /> MECHANICAL COMPANY � <br /> SIGNATURE EGISTERED Y/ N 'e Cutta�n Y/N <br /> Address � License# <br /> OTHER COMPANY <br /> SIGNATURE „REGISTERED Y/ N FEE cuwtEn Y/N <br /> Address License# <br /> 111111111111111111111111111111111111111111111111111111111111111�1111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildfng Plans;(1)set of Energy Forms;R-O-W Pertnit for new constructlon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwatar Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days efter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence inslalled, <br /> Sanitary Facilities 8�1 dumpster.Site Wor1c Permit Tor all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructfon. � <br /> DireeUons:• <br /> Fill out application completely. <br /> Owner 8 ConVactor sign 6ack of application,notarized <br /> If over E2500,a NoUce of Commencement is requlred. (A/C upgrades over 57500) <br /> •• Agent(far the contractor)or Power of Attomey(for the owner)would be someone with notarized lerier from owner authorizing same <br /> OVER THE COUNTER PERMITTiNG (copy of conVact required) <br /> Reroofs if shingles . Sawers Service Upgrades AIC Fences(PIoUSurvey/Footage)�� � _ • •• - - ' <br /> ,' Driveways-Not ovei Counter if on public roadways..needs ROW ; _ � , , . , , ' . <br /> , ' ' �' • , � � �r , - . -' _ „ • <br />