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si�-�s��20 City of Zephyrhills Permit Applicatian Fax 813-780.0021 <br /> Buitding Department <br /> Date Re�efved " � Phone Contacf far Fermlttin <br /> Owner's Mame � Owner Pbone Nnmber <br /> Owner's Address �� (�� OwnerPhone Number �� � <br /> Fee Sfmpie Titlehoider N�me �- � Owner Phone Number � � <br /> � <br /> Fee Simple Tltiehotder Address " <br /> JOS ADDRESS LOT# [� <br /> SUBDWISION � � AARCEL iD# - <br /> (09TAlNED FROM PROPERTY TAX NOTlCE) <br /> WORK PROPOSED • NEW CON57R ADD/ALT � SIGN� Q [� DEMOl,ISH - <br /> � e INSTALL � REPAIR <br /> PROPOSED USE [� SFR Q COMM � O7HER <br /> TYPE OF CON3TRUCTiON Q BLQCK ' Q FRAME Q STEEL Q <br /> �� � �'� , � <br /> QESCRIPTION OF WORK '�'t�j� �r v��� <br /> BUILDING SIZE � � SQ FOOTAGE�_� HEIGNT C,_ ,,� <br /> QBUILDING $ � VALUATlC1N"C?F'1'Ql'AL CONSI'RUCTION <br /> ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �.5�c��--- <br /> OPLUMBtNG �� <br /> QMECHANtCA� $ VALUATION t3F MECHANICAL INS7ALLATION <br /> �__._� <br /> [�GAS Q ROOFING Q SPECIALTY [� OTHER <br /> FINiSHED FLOdR E�BVATiONS � � FLOt3D ZONE AREA �YES NO <br /> BUtLDER COMPANY <br /> 31GNI0.TURE REGiSTERED Y/ N FEE CURREh Y/N <br /> Address Llcense# �� � � <br /> ELEGTR1CiAN COMPANY T�J� G-��SS �-��.c `�r-w�-' <br /> StGNATURE {J ' REGISTERED Y J N FEE CURRE� Y/N <br /> Address � ( l � - �Ucense# ��-���� � <br /> PI.UMBER COMPANY <br /> sIGNATURE REGI3TERED Y/ N1 ��cuw�n Y!N <br /> Addrass Ltcense# � � �� <br /> MECHAAIICAL COMPANY <br /> SIGNATUEtE RE�lSTEREd Y,! N FEE CURRER Y!°iV <br /> Address Ucense# ��i��� <br /> {}THER GBMPANY <br /> SIGNATURE RE�tSTERED Y J N . �s cuR�R Y/N <br /> Address License# � �� <br /> '-S,.. <br /> RESIDENTIAi. Attach{2):PCot��Plans;.(2}sefs:af:BuElding';Ptans;'(1)setof�Energy�Fartns;R-Q=WPerriitt.for;new,construction,_ <br /> Minimum�ten�(10),working days;after'submlttaililate.=Required onsfte;Gonstivc�amPlens,�3tarmwater'Pians wt Sil#Fence instailect, <br /> Sanitary EaGlities&..1,dumpste,r.,�Site�.Work.�Permlt far sutidlvislonsAarge proJect's •-• ;:=�' � � <br /> COMMERCtAt. Athach{3)coriiptete sets of Btiilding Plans pttis a Life Safety Page;(1}set of Energy Forms.R-Q-W Permit for new constru�tion. <br /> Mi�imum ten(10}warking days aEter submlttai date. Reqttfred o»site,CortsUua#!an Plans,Siormwater Pfans w!Sitt Fence instaited, <br /> Sanit�ry Facllitles&1 dumpster.Sfte Work Permlt fqr all new projeots.All commerclal requlremenffi must meet compllanca <br /> BiGN PERMiT Attacti(2)"se#s of Engineered Ptans.. . <br /> ""PRQPERTY SUR1%EY requlred fo�ai!NEW cansUuc@on. <br /> dtrectians: <br /> FI{I aut applicatton complete{y. <br /> Owner&Contractor sign back of applfcadon,notarized <br /> If over 52500,a Notice af Commencement la requlred. (AIC upgrades ov�►r b7500) <br /> " Agent(for the confractor)or Power af Attoritey(for the owner)would be someone with nota�ized letter 1'rom owner authorizing same <br /> OVER THE COU1dTER.PERMiTTING (Front of Application Onfy) <br /> Reroafs If shingias Sewers Setvice Upgredes AtC Fences{plotlSurveylFcoNage} <br /> Oriveways-Not over Counter if on public roadways..needs ROW <br />