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. j <br /> aTs��ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 , <br /> Building Department , <br /> � 4'� � <br /> Dafe Receivetl phone Contact for Permitting <br /> Clwner's Ha le �, (� E.'l.�i..tr Owner Phone Number G313' �7O' ���.3 ; <br /> � � ' <br /> Qwner's Address ,�(r��5 � `��'f'? �• Owner Phone Number �, <br /> Fee Simple Titleholder Name � Owner Phone Number � � i� <br /> �--- <br /> i <br /> ) <br /> Fee Simple Ti�leholder Address ; <br /> r 30B ADDRESS r_jD S�Jr l�`�1 ��' LOT# [i�� ! <br /> � � <br /> , SUBDtViStON �— � PARCEL ID# ; <br /> � {q8TA1NED FROM PROPERTYTAX NdTICE} � <br /> ' � <br /> � WORK PR4P.'SED �tEW CONSTR ADDlA�T � SIGN [� Q DEMfJLtSH ' <br /> � { e INSTALL 8 REPAIR � <br /> E PRaP05Ea U�SE Q SFR Q COMM � OTNER i <br /> i TYpE OF CO�STRUCTION Q BLOCK Q FRAME � S7EE� Q ! <br /> il � i <br /> � DESCRIPTIO OF WORK ' <br /> j � ,� ' <br /> BUiLDING SiZE � � SQ FOQTAGE� HEtGHT ' <br /> � I , <br /> �8�����lNG $ VALUATION OF TOTAL CONSTRUCTION � <br /> AMP SERVtCE � PROGRESS ENERGY � W.R.E.C. <br /> �ELECTRICAL $ j� �� � <br /> � <br /> �PLU�BING $ ��� <br /> � � <br /> QMEC ANICAL $ VALUATION QF MEGHANICAL INSTRLLRTION i <br /> QGAS� Q ROOFING Q SPECIALTY 0 OTNER <br /> FINISHED FLQOiR ELEVATIQNS FLOOD ZONE AfZEA DYES NO ' <br /> I �—� <br /> SUt�DER COMPANY <br /> SIGNATURE � ,�P/y"i–�- REGtsTEReo Y i N FEe CURREa Y/N <br /> Address � � [ 9� • License# �� �� : <br /> ELECTRtC1AN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y/R1 <br /> Address i License# �— �� <br /> .� <br /> P�UiU1BER i COMPANY <br /> SIGNATURE �� _ REGISTBRED Y I N FEE CURRER Y J N i <br /> Address �� Liaense# � � � <br /> � <br /> MECHANICAL ` COMPANY � <br /> SIGNATURE REGlSTERED Y/ N FEE CURREP Y 1 N <br /> i <br /> Address License# r— �`�� ; <br /> � � <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y! N FEF cu�RE� Y!N <br /> Address License# � <br /> RESIDENTtAL A#tach(2)Piat Pians;{2)sets of Suitding Plans;(1}set of Energy Forms;R-O-W Fermif for new construction, <br /> Minimum ten{10)working days after submi#al date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> __ _ Sanitary.Facilities&1 dumpster;Site Work Permit for subdivisions/large projects � -, <br /> CO{VIMEI2CIAL Attach{2}complete sets of Buitding Plans plus a Life Safety Page;(1}set of Energy Farms.R-O-W Permit for new construction. <br /> Minimum ten(40)working days after submitkaf date. Required onsite,Const�ctian Pians,Stormwater P►ans wt Sitt Fsnce installed, <br /> Sanitary Facilities&1 dumpster.Site Wark Permit for all new projects.All commeraial requirements must meet complianoe <br /> SiGN PERMIT Attaah(2)sets of Engineered Pians. ; <br /> "*'PR4PERTY SURVEY required for a11 NEW construcfion. � <br /> Directions: ' <br /> Filf aut appiication compieteiy. � <br /> Qwner&Co�ntraotor sign baok of application,notarized <br /> if over$250d,a Notice of Commencement is required. (A/C upgrades over$7500) , <br /> '* Agent tfor thle contractor)or Power of Attorney(for#he owner)would be someone with notarized letter ftom owner authorizing same ; <br /> OVER THE COU�VTER PERMITTING.-_<• -(copy,yof corifractjregui'red) -•- ' _. , �- , . ' j <br /> Reroofs if shingle� Sewers :,Service Upgrades,>AJG Fences(Plo#/Survey/Footage} ; , Y ' . �I <br /> 'g ;a , � •�I} 1:' . .t ' � .7 ! <br /> Driveways-Not aver Counter if on:public roadways..needs ROW ` ' ,_ , � `' <br /> � _. .., ..._�_ �.:,, w' ,..,. .. ,., _� t - .. .. ...... . . . . ... � . .�. - ;. I <br /> i <br /> i __. — <br />