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813-780-0020 City of Zephyrhills Permit Application Fax a�saaaoa2l <br /> Buiiding Department <br /> �� ' � . <br /> Dake Recelved �� phpne Contact for Psrmlttfn 1 ' <br /> Oaaner's Name i 1 ~ � � Owner Rhane Number �,� � <br /> Owner's Acldress ,�. dwmer-Phone Number � � <br /> Fee Simple Tltleholder.Name ! i� Owner phaae IVumber � � <br /> � <br /> Fee Stmpl�a Titleholder Address ' <br /> JdB ADDRESS � � LQT# �_�_--� <br /> SUBDIVi3tON � PARCEL ID# <br /> (88T11INED FROM PROPERTY TAX N0T10Ej <br /> WORK PROPOSED ' NEW CONSTR ADD/AlT C,� S1GTV Q Q DEMOLISH <br /> INS7ALL REPAIR <br /> PROPOSEQ USE Q SFR [�] COMM Q OTHER <br /> TYPE OF GONSTRUCTIQN Q BLOCIC ' Q ERAME � S3'EEi. CJ <br /> DESCRIPTION OF WORK �- � v1 � <br /> BUILDlNG SIZE � � SQ FtyOTA C� HEIGH7 ��� <br /> QBUlLDING �`� VALUATION�`;OF TOTAL CONSTRUG710N <br /> QELEGTRICAL $ AMP SERVICE Q PROGRESS ENEFtGY Q W.R.E.C. <br /> �_�� <br /> QPLUMBING ��� � � � <br /> -�MECHANICAL $ . YALUATION QF MECHANICAL INBTALLATlQN � � � <br /> � <br /> QGAS Q ROOFING Q SPECIALTY C� OTHER �� � �(Q <br /> / <br /> FINISHEp FLOOR ELEVATI4NS FLOOQ ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE GURREE Y i N <br /> Address License# � ��� <br /> � <br /> E�ECTRICIAN CdMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE GURREt� Y/N <br /> �,ddress - �License# �� � <br /> PI.UMBER � COMPANY <br /> SIGNATURE REGI8TERED Y/ N FEE CURREr Y/N- <br /> Addreas License# � ���� <br /> .--.�. <br /> MECHANICAL � jj COMP/WY � <br /> SIGNATURE ti~ti/'"�' REGISTERED Y./ N �E CURFten Y/N <br /> Address License# �-#��$ 3 3�D� � <br /> OTHER ',� ��� COMPANlY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y-/.N . <br /> Address � i:tcense#•1 —�`� <br /> RESIDENTIAL Athach(2).Flot'Plans;.(2�sets:of8uililing�`Plans;(1�set ot Ene"rgy�Forms;R-0=W Petmit for new,co»stniGtion, <br /> Minimum,ten.(t1p);worlcing�,'days;after�'subhni#tal date.=Requlred onsite,Construction�Plans;�Stormwate�'Plans w/SIIt Fence installed, <br /> SanftaryFac�li�es�&1.,dumpster,Site:War,ic.;Rertnitfot'sutidivisionsllargepmjects �'' <br /> COMMERCIAL Attach{3)'complete sets of Buildtng Ptans plus a Ufe Safety Page;(1}set af Energy Fotms.R O-W Permft#ar new constructSon. <br /> Mtnlmum ten(10)working days after submittal date. Required onsite,Ccrostrucdon Plans,Stormwater Plans w/SiR Fence installed, <br /> Santtary Factlities&1 dumpstar.Site Work_Permit for aRl new.projects.All cammerciat requlrements must meet comptiance <br /> SIGN PERMIT Attach'(2j"sets of�ngineer.ed�P.lans.; �. <br /> ""'PROPERTY SURVEY required for a0 NEW canstniction. <br /> Directlons: <br /> Ftll out epplication completely. <br /> Owner 8 Contractor sign back of appiicatlon,notarized � <br /> tt'over�2504,a Nottce of Cammencement 1s required. (AtC upgrades over 57540j <br /> " Agent(for tSte contractot)or Power of Attarrtey{for the.awner}-woutd be someone with notarized tetter from owr�er autharizing same <br /> DYER TtlE COUNTER PERMi1'TING {Front of.Appilcatioii'O'niy} <br /> Reroofs if shtngles Sewers Service Upgrades./VC';;,��Fences�(Plof/Survey/Footage) . <br /> Drlveways-NaE over Counter if on puhiic roadways..needs ROW � <br />