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s�aaao-ooza City af Zephyrhills Permit Application Fax-813-780-Q021 <br /> , � - L• Building Department <br /> Date Received� p ne Conta t for Permitting – <br /> 'Owner's Name �•�+ �� U t/ Owner Phone Number <br /> Owner's Addre s � Owner Phone Number C� � <br /> Fee Simple Titl�holder Nama �� � Owner Phane Number � � <br /> i ' <br /> Fee Simple Titleholder Address <br /> !. � <br /> JOB ADDRES ( � �' LOT# � <br /> SUBDiVIStON �— � PARCEl.!D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPG►SED e , N�w cor�sTR 8 ADDIALT �� S1GN Q � DEMOLiSH <br /> IIVSTALL REPAIR <br /> PROP03ED UI E Q SFR Q CtJMM � OTHEFt <br /> TYPE:OF CON TRUCTION Q BLO K • Q FRAME STEEL <br /> DESCRIPTION OF WORK � � � � � <br /> BUILDING SI� � � SC)FOOTAGE NEIGHT �,,,,_�__--^� <br /> QBUI D1NG � � t/RLUATIOiV°OF TOTAL CONSTRUGTION <br /> � ' <br /> QELE TR3GAL $ AMP SEF2VICE 1�� � PROGF2ESS ENERGY Q W.R.E.C. <br /> 6 <br /> QP1.0 BING �$ <br /> �ME��NANICAL �> � VAIUATlOi3 OF Ni�GHANiCAL 1NSTALLATtON �,/� / <br /> � �t� r� <br /> OGA� Q R40Ft1VG Q SPECIAl.TY � OTHER � <br /> � � }Z>�'' <br /> FINISHED FL��OR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> Bt3tLDER � � COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address Licen e <br /> ELEG7'RICI ` �J��iJ��� . �l f 1 l COMPANY � / �/ � ' <br /> SIGNATURE 1`1 � V EGISTERED / N FEE CURRE� Y N <br /> Address � � J r �� License# � '� Li � <br /> PtUMBER. . COtdiPANY <br /> SIGNATURE 'REGISTERED Y/ N FEE CURRE� Y/N I <br /> Address License# � <br /> MECHANIC � COMPANY <br /> SIGIdATURE REGISTERED Y/ N FEE CUFtRE� Y/N <br /> /�Cdd�e§s � License# �— � <br /> ;z� <br /> OTHER' ' CQMPANY <br /> SIGNATURE - � REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres I� License# �— T� <br /> RESIDENTtA Rttach(2}P3ot Ptans;(2)'sets of Bui[ding�Plans;{1}set of Energy.Forms;R-O W.Permit for new construc6on,. <br /> „ .� Minimum ten:(10)working'.days after submittal date. Required bnsite,Constnickion Plaqs,Stormwater Plans wl Silt Fence installed, <br /> � San�tary,Facilities,&;1.dumpster,Site Work Permit for subdivlsions/large projects <br /> COMMERC! Attacfi(2}compl"ete sets af Buitding Plans ptus a LiEe Safe#y Page;{4)set of Energy Forms.R-O-W Permit for new canstruction.;=� � <br /> � Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans,Stormwater Plans wl Silt Fence installed, � <br /> San9tary Fecilities&1 dumpster.Site UYark Permit fot ail new projects.A(i cammercial requ9rements must meet comptiance <br /> � :SIGN PERMII Attach(2j sets of Engineered Pians. <br /> ****PROPERTY SURVEY required for aII.NEW cpnstructlon. <br /> Di�ectiqns: � <br /> Fill out a plication completely. <br /> 4wner � Gontractor sign back af applicat�on,nobrized <br /> If over �2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent{f�r the contractor)or Power of Attomey{for the owner)would he someone with notarized letter from owner authorizing same <br /> .OVER 7HE �OUNTER PERMITTING (copy of contract•required) � <br /> Reroofs if shi��gles Sewers Service Upgrades'A/C� Fences.(Plot/Survey/Foatage) <br /> . � <br /> Drivew'ys-Not over Counter if on public roadways..needs ROW <br /> �� —_ _ � <br />