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-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � � ` Building Departrnent <br /> ��ecelved phone Contact�for_Permlttin — <br /> ♦ <br /> ner'a Namel Owner Phone Number <br /> Owner's Addr I ss r Owner Phone Number <br /> ��I <br /> Fee Slmple Tit�eholder Name Owner Phone Number ' <br /> ;► <br /> Fee Simple Titleholder Address� "' <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION, � PARCEL ID# ' <br /> � (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROP�SED - NEW'CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> � B. INSTALL � REPAIR • <br /> PROPOSED: SE SFR. Q COMM Q OTHER <br /> TYPE OF CO I STRUCTION - � BLOCK " Q FRAME Q STEEL Q <br /> DESCRIPTIO OF WORK �+ � � U� <br /> BUILDING SItE � SCl FOOTAGE HEIGHT�. <br /> QBUIi DING � �ON'OF�TOTAL CONSTRUCTION <br /> QEL ICTRICAL $ ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPL�MBING ` $ " <br /> ��( / <br /> QME�HANICAL $ VALUATION OF;MECHANI.CAL INSTALLATION <br /> � .. <br /> QGAI Q RaOFING Q SPECIALTY � OTHER <br /> FINISHED FL� OR ELEVATIONS FLOOD ZONE AREA QYES. NO <br /> I - . <br /> SIGNATURE COMPANY` - 5�� `�. ?� �Gll <br /> REGISTERED Y/ N FEE CURRE� /N <br /> Address License# ' <br /> ELECTRICI.. COMPANY <br /> SIGNATURE i ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address' � . License# � <br /> PLUMBER ' - COMP,ANY � <br /> SIGNATURE; REGISTERED Y./.N FEE CURREN Y/N <br /> Addressi ;License.# . <br /> MECHANIC COMPANY <br /> SIGNATURE• � REGISTERED Y,/,N FEE CURREP= Y/•N <br /> Address��- � ' - � License# <br /> OTHER �I;I - t ' '.'COMPANY . ; <br /> SIGNATURE' -� • � � � ' ' � REGISTEF2E0 � ' Y/ N..- FEE CURRE�' Y/N <br /> Address, _ � �- - � ' � - Llcense# ' <br /> ,._.;. . � a;._ <br /> RESIDENTIAL: • �Attach"(2)�Plot�.P,laris;;:(2)sets:of:Building�Plans;(.1)'sef of=EnergyFortns;R=0=1N�Perinit far new construction, � <br /> � : =Mlnimum;ten:,:1.0;workin ;da,.:after`"subriiiftal date.�R"�uired onsite,�ConstiucBori=Plans;•Stortnwate�'Plans vir/SIIt Fenbe installed, <br /> . .t� ).. _ . .9 YS 84 <br /> ��Sanite'ry'Facillties,&rlydumpster�.SiteWork�P..ermitfors,ubdivisions/large:projects; - <br /> COMMERCIA,L Attach(3)'complete sets ofBuilding Plans plus a Life`Sefe{y Page;(1)set of Energy Fortns.R-O-W Permtt for new constructlon. - -- - -- <br /> Minimum ten(10)wrorking days'after submtttal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new.proJects:.All commercial requl�ements.must meet compliance <br /> SIGN PERM11� AttacFi(2)"sets of Engineered._Plans.,�� �� � � - <br /> I ""PROPERTY SURVEY requirecl for_all NEW constructlon., <br /> Directlons: � � . ; ' <br /> Fill out appltcatlon completely. <br /> Owner B��IContractor sign back of appltcaUon,notarized <br /> If over S2S00,a Notice of Commencement is requlred. (AIC upgrades over sT500) <br /> '•:i :`-: <br /> " Agent(folr the�contr'actor)or Power of Attomey(for tFie owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER,.PERMITTING • ----(Front of�Application Only)- � <br /> Reroofs if shiigles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> DNvewa. -Not over Counter if on public roadways..need"s ROW <br />