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e�s-�aaoo2o City of Zephyrhills Permit Application Fax-813aaaoa7� <br /> 8u1lding Department <br /> Date ReGeived ,--- PhonaContac#far Permitting – <br /> t}wner's Name �""'� Owner Phane Number <br /> Owner's Address ��""" � Owner Phone Number � � <br /> Fee Simple Tltleholder Name Owner Phone Number r— � I <br /> ( <br /> Fee Simple Titiehotder Address � <br /> i <br /> JOB ADDRESS LOT# C�� i <br /> SUBDIViS10N �— � PARCEL ID# ' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW tON5TR ADDJALI' O ���� O O DEMOLISH <br /> INSTALL 8 REPAIR � <br /> PROPOSED.USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION � Q BLOCK ` FRAME � STEEL Q <br /> DESCRIPTION OF WQRK <br /> BUILDING 81ZE �— � SQ FOOTAGE HEIGHT C`_� <br /> ���j�'��N�' i"5 �,,,, ALUATION�"IJiF TOTAL CONS7RUCTION ' <br /> L�e=',_�.� O <br /> QE�ECTRiCA� (y> � AMP SERVICE Q PRQGF2ESS ENERGY Q W.R.E.C. <br /> L ��� <br /> QPLUM8ING $ �SA <br /> �vK_ V <br /> '�C <br /> OMECHANICAI $ VALUATiQ(�l OF MECHANICA�.INSTACIATIOt�! <br /> OGAS , Q ROOFlNG Q SPECIA�TY [� OTHEF2 <br /> FINISHED FLOOR ELEVATIONS �`� FLOOD ZONE AREA C]YES NO <br /> BUt�DER COMPANl' <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> E�ECi'RICIAM COMPANY <br /> SIGNATURE ~' REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# �_ � <br /> PLUMSER COMRANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> MECHANICAl. COMPANY <br /> SIGNATURE REGI$TERED Y./ N FEE CURRE� Y/N " <br /> Address Li se# <br /> O'TIiER �"��� /�COMPANY <br /> SIGNATURE �+'REGIS7ERED Y N FEe curtrt�n Y/N <br /> ( Addr$ss License# �� <br /> RESlD�NTIAi: At#ach(Z)PlofiPlans;(2}setsaf Buitding Plans;{1)set o#Energy�Forfns;R-0=W Perinit for new construa#ion, <br /> MiMmum.ten(1.0}working'days aRec submittal dake. Requlred onsite,ConstrLctibn Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitery Facilltles&1.dumpster Site Wo►1oRertnit for subdiVislonsAarge proJects ' <br /> CON{MEFLCtAL Attach{3)complete sets af Buildltig PEans plus a I.ife Safety Page;(1)set of Energ}t Forms.R-O-W Perimit far new constniction:` <br /> Minimum ten(10)working days'after submittal date»�Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence instailled, <br /> Sanitary Facilides&1 dumpster._SIte�Work Pertnit for all new proJects.All commercial requlrements must meet compffance , <br /> SIGN PERMlT Attach{2)'sets of Erig4neerei!'Pfans., .: ' ' <br /> ""PROPERTY SURVEY required for all NEW construcUan. . , , <br /> Dirsatlons: - <br /> FIII out applicaUon completely. - , . <br /> Owner 8 Contractor sign back of appltcaUon,notatized <br /> if aver�2500,a Notice of Commencement is required. {A!C upgrades over$7500) <br /> '" Agent(for the contractor)or Power of Attamey(far the owner)would be someone with notarized letter from owner authorizing same <br /> ..�:.._..._..,:, ..:_..;.. . . <br /> dVER THE CGUNTER AERM11°fiNG,�..y1.�,(Front of Applicat3on Only)" <br /> Reroofs if shingles Sewens -,,;Service Ijpgredes;A/C ` 'Fenaes(PIoUSurvey/Faotage) <br /> Driveways-Not aver Coun#er if on pubtic r,oadways..needs RQW ` <br />