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s��-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , � Building Department <br /> ` �" r Y`� .,�// <br /> date Recatved j'I � Phane•Contact for Permittin �i � {�' <br /> Owner's Name � � Owner Phone Number ��'rt�'��`j`P j �� <br /> Owner's Address � �� ��.l "f �L �wrier Phone Number �— � <br /> Fee Slmple Titleholder Name �r � Owner Phone Number � <br /> � <br /> Fee Simple Titleholder Address ' <br /> JOB ADDRESS <br /> "" 'r li� LOT# C'__� <br /> SUBDIVISION � � PARCEL tD# <br /> (08TAINED FRQM P OFERTYTAX N4fi10E) <br /> WORK PRQPOSEQ � ° NEW CONSTR ADQiALT � S1Caly � Q OEMOLtSF3 <br /> e INSTALL 8 REPAIR <br /> PROPOSED:US6 � � Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 6LOCK " Q FRAME [� STEEL Q <br /> DESCRiPTiON OF WORK J�ts�f�G� �N �-•7 � ��II y�i��`�1� 'f' �) Cf� �L <br /> BUILDINfi,S#ZE SQ FOOTAGE�� HEIGHT C_� <br /> �BUILDING �61r;��� WAIUAT(OI<t`tJF't'OTAC CONSTRUCTION( f �� � C-iU <br /> QELECTRICAL �� AMP SERVICE Q PFtOGRESS ENERGY C) W.R.E.C. <br /> QPLUMBING $ ' �r 1���` i f�V�\� <br /> �����` <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALIATION J�1-�'� <br /> QGAB Q ROOFING Q SPECIALTY Q OTHER �/��� <� � �y�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �"Q�� ��'�"' <br /> � <br /> � ��1�/G'r <br /> BUILDER � '�t� COMPANY 'T����A' ��(s'� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address � r✓�� ,�� �t� � License# �-'� t. t�(��,�-�+�� . <br /> _�._.,�_ 3.�5��� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE " REGlSTEftED Y! N FEE CURRE� Y/N <br /> Address license# � �� <br /> PLUMBER � � CONIPANY <br /> StGNATURE REGISTERED Y/ N FEE CURREl+ Y/IV <br /> Address l.icense# � � <br /> MECHANIGAI. ' , COMPANY . <br /> SiGNATUI2E " REGISTERED Y/ N FEE CURREt� Y/N <br /> Address I.icense# ��! I <br /> OTHER . COMPANY <br /> SIONATUFtE REGISTERED Y/ N . FEE CURREA Y/N <br /> Address ` License# �— � <br /> RESIDENTIAL Attach(2)�I?lot Rlans;.(2)sets of Building Plans;{1)set of Energy Forms;R-O-W Permit far new constru�tian; - <br /> -Minimum�ten(10):worktng'days aftee.subinitta)date. Required onsite,Construction�Plansr Stormwatar Plans w/Slit Fence installed, <br /> San}fary Factil�es.&=i dumpste.r,Site WaTtc�Permit for subdtvisigns/iarge proJects <br /> COMMERCIAL Attach(3)oomplete sets of Builcling Plans plus a life Safety Page;(1)sei of Enetgy Fonns,R O-W Permtt t'ar new canstru�tian. <br /> Mlnimum ten(10)working days'after subrnittal date. Required onsite,CanstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permi#for ali neint project's.Alt commerciat requirements must meet campllance <br /> SIGN PERMIT Attacti(2J sets cf Engineered.Plans... ,: � <br /> """PROPERTY SURVEY required for all NEW canstrucBan. � <br /> Dlrectionss <br /> Ffll out applicatlon completely. <br /> Owner&Contractor sign back of applica8on,notarized <br /> ff over�2540,a Notice of Commencemee�t Es required. {AlG npgrades over 57500j <br /> " Agent(far ttie cantractor)or"Power of Attomey{for the owner}woulci;,be someone with natadzed letter from owner author3zing same <br /> QVER THE GOUNTER PEitMiITiNG :, {Front af Appilcation Only),. ,�; <br /> Reroofs if shingles Sewers : Service Upgrad�s A/C Fences,{PIoUSurveylFootage) <br /> Qriveways-Not over Counter if on public roadways..needs F2t�W <br />