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813aao-ao2o City of Zephyrhills Permit Application Fax 813-780•002� <br /> SuNding 4epartment <br /> :�:� � <br /> Date Recelved phone•Cantact#arPersn[ttin — <br /> a . <br /> Owner's Name � t)wrner Phone Number <br /> Owner's A+ddress J� � � Owner Phone Number � � <br /> Fee Simple Tltleholder Name � � Qwner Phone Number �— � <br /> �— <br /> Fae Slmple Titlehalder Address ' <br /> JOB ADDRESS � LQT# � <br /> SUBDIVISION � � PARCEL 1D# o�'� d '���d���� L 1 `-�' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSEq 'NEw CONSTR ADQtALT � S{GN Q Q QEMOLISM <br /> e INSTALL 8 REPAIFt <br /> PR{3POSED:USE Q SFR Q COMM Q OTHER <br /> TYPE OF GONSTRUCTION - Q BLOCK ' Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK L� � g � � <br /> BUILDING SIZE SQ FqpTAGE IiE1GHT �_ � <br /> _ �:,u <br /> ��������`�' �� VALUATION OF�TOTAL CONSTR�l7CTICIN <br /> QELECTR1CAl $ ��� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBiNG �> � <br /> MEGHANIGAL $ yJ VALUATIO�!OF MECHAfi11CAl IhISTAt,tAT10N `� ���� � <br /> " `��� t ' <br /> QGAS Q ROOFING Q SPECIA�TI Q QTHER � � tl � <br /> � tJ <br /> FINISHED FL04R ELEVA710NS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh ,Y/N-: <br /> Address License# ( � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CUItRE� Y/N <br /> Address - License# � � <br /> PL.UMBER COMPANY <br /> SIGNATURE REGISTERED 'Y 1 N FEE CURRE� Y/N <br /> Address license# <br /> MECHANICAL � CQMPANY � G'v l� G lC-� � /-c �v� aU <br /> SIGNATURE � ��CC' (L � `�r� ��` REGISTERED Y./ N FEECURRE� Y/.N <br /> Address �'.. License# �,p � � <br /> OTHfR COMPAr1Y <br /> 51GNA7URE REGISTERED Y/ N . �FEE CURRE� Y-/N <br /> Address , . Cicense# �� � <br /> RESIDENTIAL Attach(2},RIot=Flans;(2}se#s=of�Butlding"'Plahs.`(1}set of EnergjryFar►ns;R Q-W Peri�ilf for new constructiton, <br /> MinlmumEten(:10)_wprking days aften..subrriittal date, Required onsite,Constructlon-Plans,Stormwater Plans w!Siit Fence installad, <br /> SanttaryFacilitles&�1.,dumpster�SiteWork�PennitforsubdivisionsflargeQrojects . - - -- <br /> COMMEF2CIAL Attach{3}comptete sets of Suitding'Pians plus a k.tfe Safety P�ge;(1)set aF Ene�gy Farms.R-O W Pemrit for new canstsuction. <br /> Minimum ten(10)warking days after submittal date. Required onsite,ConstrucUan Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FacilitEes&1 dumpster.Site Work Permit for all neinr•projects.All commercial requlrements must meet campllance <br /> SIfN PERMFT Atfacfi'(2)sets of Ei'igiiieered P1ans..,. . - <br /> """PROPERTY SURVEY required for all NEW construction. <br /> Dlrections: <br /> Fill out appiication completely. <br /> Owner 8�Cantradar stgn back of appitcattqn,notartzed <br /> If aver 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> '" Agent(for tttie conttactor)ar Power af Attorrtey(fo'r the owner)would be sameone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITfiNG (Front of Aqplication Oniy} <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on pubtic roadways..need`s ROW <br />