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,_.:, <br /> .. � <br /> 813-7840020 City of Zephyrhills Permit Appiication F�-s��-78aoozi <br /> Building Department <br /> Date Received phone Contact for Permitting C 3 <br /> r <br /> Owners Name Owner Phane Number <br /> Owners Address ��JT Owner Phone Number <br /> i <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple TiUeholderAddress <br /> � �3�-�� <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION PARCELIDfF � ���—�'� �'(iTiCit"/ <br /> (06TAINED FROM PROPERTY TAJC NOTC� <br /> WORK PROPOSED e NEW CON57R e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �+jQ � � <br /> / <br /> BUILDING SIZE 5Q FOOTAGE HEIGHT <br /> QBUILDING $ . / VALUATION OF TOTAL CONSTRUCTION <br /> L <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� �� �, / V <br /> QGAS � ROOFING Q SPECIALIY Q OTHER � ���, Q�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � <br /> _ � <br /> BUILDER COMPANY <br /> SIGNATURE � aECISTEaEn Y/ N �cURRen Y/N <br /> Address License# ' <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE �cisrER�n Y/ N �cuRREn Y/N <br /> Address License� <br /> PLUMBER � COMPANY <br /> SIGNATURE �Gis7E� Y/ N �cuwzEn Y/N <br /> Address License# <br /> MECHANICAL �(� COMPAN <br /> SIGNATURE � � r�ci Y/ N �cua�en Y/N <br /> Address ` <br /> License# <br /> OTHER COMPANY ��- <br /> SIGNATURE �cisieaen N �c Ren Y/N <br /> Address License� <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)warking days after submiflal date. Required onsite,ConsUuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Faalides 8 1 dumpster,Site Work Pertnit for subdivisions/large projec[s <br /> COMMERCIAL Attach(2)complete sets af Building Plans plus a L"Re Safety Page;(1)set of Energy Fortns.R-O-W Permit for new consUuction. <br /> Minimum ten(10)wortdng days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Faalities&1 dumpster.Site Wo�tc Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWction. <br /> Direc�ons:• <br /> Fill out applicaUon completely. <br /> Owner&Contractor sign back of applicadon,notarized <br /> If over�2500,a Notice of Commencement is required. (A/C upgrades over 5T500) � <br /> " Agent(for Ute conVactor)or Power of Attamey(far the owner)would be someone with r�otarized letter from owner author¢ing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> i Reroofs ff shingles Sewers Senrice Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />