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s��-�so-oa2o City of Zephyrhills Permit Application Fax 813-760-0021 <br /> BuHding Departrnent <br /> Date Recelved 'Phone Contact for Parmittin – <br /> pwner's Name `ca Owner Phone Number <br /> Ownar's Address Owner Phone Number � � <br /> Fee Simpte Tittehatder Name �� � Owner Phone Flumber C � <br /> d <br /> Fee Simqle Tiflehatder Address - <br /> JOS ADDRESS I.OT# � <br /> SUBDIVISION �— � PARCE�ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROpOSED �NEW CONSTIR ADQ/AL7' � SIGN [� Q DEMOLISH <br /> � e INSTAI.L 8 REPAIR <br /> PROAOSED USE _ Q SFR [� COMM [� OTHER <br /> rr��o�cor�s�rRucr�oH . � 4 Bc.aex " Q ��nnE �] s�e�� � <br /> DESGRIPTtON OF WOttK <br /> BUILDING SIZE ���� SQ FOOTAGE f �1 HEIGHT ��� <br /> QBUILDING $ "-'"'L "-'�-� <br /> VALUATION OF TOTAL CONSTRUGTION <br /> QELECTRICAL ($^�'� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> L.._� <br /> [�PI.UMBING �—� � <br /> QMEGNANtCAi. $ VALUATtON OF MECHANlCAL INSTALtAi'iON J'" <br /> QGAS Q ftOQF1i�EG Q BPEClAITY � OTHER <br /> ��`� ��� <br /> FtiVISFiED F�OOR E�EVATfONS ��� FL04D ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGtSTERED Y I N FEE CURREt� Y.1 N .- <br /> Address License# �` � � <br /> ELECTRICiAN ., COMPANY <br /> SIGNATURE REGISTERED Y/ N �e cuRi�n Y!N <br /> Address • Ucense# r— ( <br /> PLUMBER 'l ,,,� COMPANY E� �t� l�.uN� lf� <br /> SlGNATURE '����/' 1 REGlSTERED Y! N FEE CURREh Y/N <br /> Address .License# ����—� <br /> MECHANICAL COMPANY <br /> 31GMATURE REGlSTERED � Y:I 1�3 FEE CURREI� Y/N,- <br /> Address . License# ! ! <br /> OTHER COMPANY - <br /> SIGNATURE REGISTEREQ Y i N . ��cuRR�n Y J N <br /> Address License# �^ � <br /> RESIDENTIAL °AEtaah(2}Rioti Ptans;:(2}sets of.Buitding,`Plans;(1)set of Energy•Fatms;R-tO=W,Perrriit for new_constnicUon, <br /> Mlnlmum;ten�(1,0),working;days.after,submlttal date. Requlred anslte,Construction�Plans,•Stormwaier`Plans wt Sift Fence instatled, <br /> � Sanitary FacillUes;&-1,,dumpster Slte':Wor1c�P.ermlt for sutidivislonsAarge proJects � � � � <br /> C4MMERCtRL Attach(3)complete se#s'of Building'Plans plus a L1fe Safety Page;(1}set of Energy Forms.R-O-W Permit for new consUucUon. <br /> Minimum ten{10}working days after submltial date. ReqaEted onsite,Construat�an Pians,Starmwater Plans w/S3tt Fence insNatled, <br /> San(tary Fac111des 81-dumpster..Site Wark Permit far all new proJects.All commercial.requlrements must meet compAance <br /> SIGN PERNIIT Attach(2)sets of Engineered Ptans.,,�- ^-- __ <br /> *""PROPER"f'Y SURVEY requlred_for a!1 NEW construction. - � <br /> Dfrectlons: � <br /> FIl1 out applicaUon cample#ely. <br /> ( Owner&Contractor sign back ot appllcatlon,natarized <br /> If over=2500,a Not�ce of Commencement is required. (AIC upgrades over E7500) <br /> '" Agent(for the contracfor)or Pbwer cif Attomey(for the owner)would be someone with notarized letter from owner authodxing same <br /> �'01LER THE COUNTER PERMiTfING (Front of Appllcation Only) <br /> Reraofsd#,shtngles Sewers Service Upgrades A/C Fences(PtotlSurvey/Footage) <br /> �.. <br /> DNveways-Not over Counter If on public roadways..needs ROW <br />