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$��-78�-�d2� , City of Zephyrhills Permit Appiicatian Fax-813-�8d-0021 <br /> ' Building Department <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name v R Owner Phone Number ,,a c.^��2 � 2 {�.� <br /> Qwner's Address r l � Owner Phone Number 1J ��Z� `'( ��� l''I`����,.-e <br /> Fee Simpte Titlehotder Name � � Owner Phone Number SZ. ��0� 5�(p � ��'v"� <br /> Fee Simple Titlehotder Address <br /> JOB ADDRESS � S �� ! � S �-� LdT# j � <br /> SUBdtVIS10N �- � PARCEIID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPQSED e r�Fw carasrR 8 ADDlAIT [� SIGN � 0 t3EMOUSH <br /> INSTALL REPAIR <br /> PRQPOSEQ USE 0 SFR Q CC}MIM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WQRK � P � r l �UO Y } <br /> BUtIDING SIZE SQ POOTAGE� NE[GNT �.. � <br /> ��������� � � VA�UATION OF TOTAL CONSTRUCTION <br /> G-_ ��.� <br /> ���ECTRIGA� $ �^",,�c�� AtuIP SEFtVICE��y � PROGRESS ENERGY � W.R.E.C. <br /> �� Z� --� <br /> �PLUMBING �s � <br /> OMECHANICA�. �^� VALUATIQN QF MECNANIGAI.INSTA�lATION I j jn� � <br /> t�r � <br /> OGAS � ROQFING Q SPECIALTY � OTHER � <br /> FINISHED FLOdR ELEVATIONS FLOOD ZONE AREA DYES NQ �� <br /> BUIIDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> „_,,......,,_,,._„ <br /> Address License# � �� <br /> E�ECTRiC1AN �" COMPAPtY Q 4r I �.. <br /> SIGNATURE ,��` REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��1� � License# �� 2�Z � � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� i� <br /> ... ...... <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �- � <br /> OTNER � � COMPANY <br /> SIGMATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ticense# � � <br /> RESIDENTIAL Atfach{2}PEat Plans;{2)sets of BuiEding Plans;{1}set of Enerc7Y Forms;R-Q-W Permit for new cor�sfruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/5ilt Fence installed, <br /> Sanitary Facilitles&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCtAL Attach(2}complete sets of Bui(ding Plans plus a�ife Safety Page,(1}set of Energy Forms.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 FaciGfies&1 dumpster.Slte Work Permit for ai!new profects.Atl commereiai requIrements must meet comptiance <br /> StGtd PERMtT Atfach{2}sets of Engineered Plans. <br /> '"•*PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appl'scation,notarized <br /> tf aver$2500,a Natice of Commencement is required. (AIC upgrades over$7500) <br /> '* Agent{for the contracior)or Power of Attorney(for the owner}wou(d be someone with natarized letter from owner authorizing same <br /> OVER THE COUNTER PERMtTTiNG (capy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />