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813;�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department . <br /> Date Received <br /> Phone•Contact for Permittin - <br /> Owner's Name � .,Q � �`e- Owner Phone Number <br /> L �� ` � fi <br /> Owner's Address Owner Phone Number • <br /> Fee Simple Tltleholder:Name Owner Phone Number " <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> < , _ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED - NEW:CONSTR ADD/ALT � SIGN` Q Q DEMOLISH <br /> e.- INSTALL B REPAIR <br /> PROPOSED=.USE � Q. SFR Q COMM Q OTHER � <br /> TYPE OF CONSTRUCTION � Q ' BLOCK " Q FRAME [� STEEL Q � <br /> DESCRIPTION OF WORK � C�V (� (/�� <br /> BUILDING SIZE `SQ FOOTAGE�_ HEIGHT� � <br /> QBUILDING S VALUATION'"OF`TOTAL CONSTRUCTION <br /> ELECTRIGAL $ " � AMP SERVICE Q PROGRESS ENERGY Q W.R:E.C. <br /> 2oD <br /> QPLUMBING $ ' <br /> , <br /> QMECHANICAL $ VACOATION OF MECHANICAL INSTALLATION . <br /> Q�S , Q ROOFING .Q SPECIALTY � OTHER <br /> FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ,NO <br /> BUILDER . COMPANY` i <br /> SIGNATURE REGISTERED Y/ N _ FEE CURRE� Y/N I <br /> Address ` - � L(cense# � <br /> , , � <br /> ELECTRICIAN; • - .`'C�OMPANY ' �- � <br /> SIGNATURE ' REGISTERED Y/ N F�curt��'` G N- - <br /> �►ddre'ss , , License#:��(,Dl� � <br /> PLUMBER ' COMPANY � � <br /> SIGNATURE' ' � , REGISTERED . Y./•N.. : Y.,FEE CURRE� Y/N. <br /> Address License# 'I <br /> MECHANICAL' � � ' COMPANY <br /> SIGNATURE ` REGISTERED N. Y,/ N _ FEE CURRE� Y L-N = <br /> Addre�s��� , ' . `� ' � License# <br /> OTHER ;' f ;COMPANY � <br /> SIGNATURE <. ^ " ` REGISTERED Y/ N_,., FEE CURREA Y/N. <br /> Addre�s • License# � <br /> RESIDENTIAL:;�,--•Attach'(2).P-,Io.tcPlans;�(2)sets.of�Building'Rlan's;'(1)'sefof��Energy>Foiins;R-0=W Penr%lt for new construcBon, <br /> :;;Minimum;ten;(�1.0):�workfng�days?aRer.;submittal`date:;:Requl�ed onsite,�Constiuctlon-Plans;Stormwate�`Plans w/Silt'Fence installed, <br /> � ? `� �Sanitary Fadlitles,&�1,,dumpster�Site Wor1c;P.,ermit#orsu6diVislons/large�projects <br /> COflAMERCIAL At�ch(3)`compl'ete`�sets'of Building Plans plus a Ufe�Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)worlcing days after submlthal date. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlides 81 dumpster.Site Work Permit for all new projects..All commercial requlrements must meet ccmpliance <br /> SIGN PERMIT Attacfi'(2)-sets of Engineered�Plans.;; ._�, - , �_ <br /> ""PROPERTY SURVEY reguired_for all NEW constructlon. . <br /> Directlons: • � • � <br /> Ffll out applicaUon completely. <br /> Owrner&Contractor sign back of applfcatlon,notarized <br /> If over 52500,a Notice of Commencement ts required. (A/C upgrades over 57500) <br /> " P�qent(for the contracto�)'o7 Pb�i�t of Attoriiey;�fo�the owner)would be'someone with notarized letter from owner autho�izing same <br /> �� w:;J,.:.:i.�_w..... ; <br /> �VER THE COUNTER PE�MITT,iNG,r:=��(Fr4nE af:AppllaaUon�Only) - � - "" � <br /> Reroofs if shingles Sev�rers .;':5er"vice<Upgrades`a/Ct.�,:,:,F�nces(PIoUSurvey/Footage) <br /> . ...� �•y.1..!e.��:.ri�::::1!'�•.. r�i�:r.elL.,t':,..i �i�'.ra..�� .S " � Y � ,. .,...r <br /> Drivewaya-Not over CoilrlteT�iP 6n"�ii�ti�ic Foadway's::n""ee�s`Rb'V1I' � <br />