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813-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � � 8uilding Department <br /> Date Recelved Phone Contact for Parmittln 11 — ��� <br /> Owner's Name �'�C M�S �-�' Owner Phone Number — �^ 3 <br /> Owner's Address O (Q ��`�ICI�1�0.� `� ' Owner Phone Number ' <br /> Fee Simple Titleholder Name • Owner Phone Number <br /> Fee S(mple Titleholder Address <br /> JOB ADDRESS �3Cj 1 I ��l � LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN� Q Q DEMOLISH <br /> � � INSTALL e REPAIR <br /> PROPOSED USE Q SFR [� COMM, Q OTHER _ <br /> TYPE OF CONSTRUCTION � Q BLOCK * Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ri C C.}v� ` <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION _ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ _ `% ,,,� <br /> � 'K��"? <br /> � i�i-, <br /> �MECHANICAL $ ��� VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER ��Z � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address License# <br /> ELECTRICIAN , COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> Address - License# <br /> MECHANIC - COM ANY EC '�KU(C�S o� PASCO <br /> SIGNATUR REGI TERED Y/ N FEE CURRE� Y/N <br /> Address P•�• � Z��11�.� `J3� License# C R C�����q b <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N <br /> Address ' ` � License# <br /> RESIDENTIAL Attach(2).PIot-Plans;.(2)sets•of•Building Plans;(1)sef of Eriergy�Fortn's;R-O-W Permitfor new construction, <br /> Minimum:ten(1,0)worktng,days:after,subriilttal date: Required onsite,Constiuction-Plans;Stortnwater Plans w/Silt Fence installed, <br /> � Sanifary EacillUes&�.1,dumpster Site Wor1i Permit for subdtVislons/large projects " ' <br /> _ COMMERCIAL Attach(3)complete'sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working day5 after submittal date. Required onsite,ConsUuction Plans,Stortnwater-Plans w/Silt Fence instailed, ' <br /> Sanitary Facilitles&1 dumpster.Site Work Pertnit for all new projects.All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach'(2)sets of Engigeered-Plans.'.�, <br /> •"'PROPERTY SURVEY required for all NEW construcHon. ' <br /> Directions� ' ' <br /> Fill out appllcaHon completely. <br /> Owner&Contractor sign back of applicadon,notarized <br /> If over 52500,a Notfce of Commencement is required. (AIC upgrades over S7500) <br /> " Agent(for tFie contractor)or Power of Attomey(for the owner)would be�someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER P_ERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW � <br />