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813-��20 City of Zephyrhills Permit Application Fa�$�a-�8o-002� <br /> Buflding Depertrnent <br /> . • <br /> Date Reeehred phone Contaet for Permittlng — � <br /> Owners Name I r � Owner Phone Num ( �V/ <br /> Owners Address 2� ��1 �I j�J :J � Owner Phone Number <br /> Fee Simple Titleholder Name �I � r �`QOwnar Phone Number f � <br /> Fee Simple Titlaholder Address <br /> JOB ADDRESS ���` �� I'S �✓�L LOT# � <br /> SUBDIVISION PARCEL IDM � �� + �f '"1�/V`��I D <br /> BTAINED FROM PROPER7Y TA1C NO7ICFa <br /> WORK PROPOSED NEW CONSfR B ApplA6'� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTiON BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK I i � ` , <br /> BUILDING SIZE I 1—/� � SQ FOOTAGE� HEIGHT � �f l�/ ��- <br /> BUILDING �'/].,C , VALUATION OF TOTAL CONSTRUCTION <br /> '7l,-/ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> ' QPLUMBING S ��`,���,� <br /> v� <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES �O <br /> BUILDER �MP�Y <br /> I SIGNATURE r�cisr�� Y! N �Cuaa�r. Y/N <br /> Address Z � License S (/v — � <br />� <br /> ELECTRICIAN COMPANY <br />� SIGNATURE r�aist�n Y/N �cuqrs�n Y/N <br /> Address License� <br /> PLUMBER COMPANY <br /> SIGNATURE r�cisr�n Y/N �cuw�n Y/N <br /> Address License 8 <br /> MECHANICAL COMPANY <br /> SIGNATURE r�aisrsr�n Y/N �cuart�n Y/N <br /> Address License� <br /> OTHER COMPANY <br /> SIGNATURE REGISTErt�o Y/N �CURf�n Y/N <br /> Address License S <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllllllltlllllll <br /> RESIDENTIAL Attach(2)Plot Ptans;(2)sets of 8ulding Plens;(7)set oF Energy Fortns;R-O-W Pertnit for new canstrudion, <br /> Mlntmum ten(10)working days aRer submitlal date. Required onsite,Construcdon Plans,StortmNater Plans w/Silt Fence fnstalied, <br />, Sandery Faalfies 81 dumpster,SRe Work Pertnit for subdivisiansllaige projects <br /> COMMERCIAL Attach(2)camplete sets of Building Plans pius a liFe Sefety Page;(1)set of Energy Forms.R-O-W Pertnit(or new consWdion. <br /> Mnimum ten(70)worldng deys after submittal dffie. Required onsite,ConsVudion Plarts,Stomnvater Plans w!S0t Fenoe insla0ed, <br /> Senitary Faal'�tles&1 dumpster.Site Work Permit for all new projeds.All commercial 2quirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required forall NEW consWdion. <br /> DireeBona:• � <br /> FII out application completely. i <br /> Owner 8 Contractor sign badc of applicatlon,notarized <br /> If over 52500,a Notice of Commencement is requfred. (A(C upgrades over S7�) I <br /> ~ /\qent(for fhe contractor)or Power of Attomey(tor fhe owner)wouid be sameane wifh notarized lettet from owner authormng same i <br /> OVER THE COUNiER PERMITi1NG (copy of contract 2quired) , <br /> Reroofs if shingles Sewers Service Upgrddes AIC Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter ff on pubfic ioadurays..needs ROW I <br /> �' I <br /> l . r._ <br />