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S�aaso-oo2o City of Zephyrhills Permit Applicatian Fax 813-780-002� <br /> Building Department _ <br /> : <br /> Date t�eceived phone Cantact#or Permtttin <br /> Owner's Name r�� � Ctwner Phone Number <br /> Owner's Address Qwner Phone Ntfmber �! � <br /> Fee Simple Titleholder Name �— � Owner Phone Number � � <br /> Fee Simple Titteholder Address <br /> JOB ADDRESS ��! � �� � L07# � _ <br /> SUBDIVISION PARCEL ID# ��/—���.1'' � ��'�G23(.0 � <br /> (OBTAFNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> e INSTALL 8+ REPAIR <br /> PR4P8SED USE ,, C] SFR Q COMM � OTHER <br /> TYPE OF GONSTRUCTION . Q BLOCK ` Q FRAME [� STEEL Q <br /> � <br /> DEBCRIP710N O�WORIC � W--V Cc.d�"�-1 <br /> BUILDIMG 51ZE SQ FQOTAGE C�. HEIGHT �__� <br /> QBUILDING �� �.���::.,.,. _..�r�w <br /> VAI.UATION OF TOTAL CONSTRUCTION <br /> �LECTRICAL $ 0� AMP SERVICE �d Q PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING �ys� �^���� ��/ ����.� <br /> L <br /> OMECHAMCAL � ���, VA�UATIQN OF MEGHANICAL 1NSTALtATlON � ���r} <br /> � <br /> QGAS Q RQQFING Q SPEC1AlTY � OTHER <br /> FIIVISHED FLOOR ELEVATIONS � � FLOOp ZONE AREA [�YES NO <br /> BUILDER COMPANY <br /> SIGNATUttE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�es� License# � � <br /> ELECTRICIAN ���J -a GOMPANY C ' � .�G l '�'1. "� V� rJ <br /> SlGNATURE C���/" � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address l.icense# ��(�DOD ���T, � <br /> PLUMB�R � � COMFANY <br /> SIGNATURE REGISTERED Y/ N F�H CURRE� Y/N ' <br /> Address License# � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N F�E cuwtE�- Y bN� <br /> Address ' l.icense# � � <br /> 07HER ' COMPANY ' <br /> SIGNATURE REGISTERED Y! N. . F��cuRa�n Y/N. <br /> Address • License# I I <br /> RESIDENTIAI: � Attach(2)Plat�Fians;(2}sets of Builiiing Pians;(1)set of Energy�Forms;R-t3-W Permlt for new aanstructian, <br /> Minimum:ten(1;0):working days.;after.subrtilttal date. Requlred ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanifaty Facilities&�1.dumpste.r,.SIte�Work�Permit far subdidisiansllarge pro�e.cts ' - - - <br /> COM9dl�lR�lAL-.� Attach-(3)compleca sefs of Buiiding Plans plus a ltfe Safety Page;(1)set af Energy Fo�ms.R O-W Permit for new canstruction. <br /> Minlmum ten(10),wprking days after submittal date. Required onsfte,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciil�es&1 dumpster.Site Wark Permit far ail new projects.A41 commercial requirements rswst meet compltance <br /> SIGN PERMIT Attaati(2)sets of Engl�eeced�Plans. , ' <br /> ••'•PROPER'TY SURVEY required far ail NEW construction. <br /> Directlons: <br /> FIII out appiicaHon completely. <br /> Owner 8 Gontractor sign back of applicatton,notarized <br /> If over S2S00,a Natice of Commencement ia raquired. (AIC upgrades over�iTS00) <br /> '* Agent(for the contractor)or Pawer cif Attomey{for the owner}would be someane w[th notarized letter from awner autho�izing sacne <br /> OVER THE COUNTER P,ERMITI'ING (Front of Application Only) <br /> Reroofs If shingles Sewers 5ervice Upgrades A/C Fences{PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways.,neads ROW <br />