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ii � <br /> 813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> � � Building Department <br /> + �� � . <br /> Date Received �� <br /> u ' Phona Contact for Permitting - <br /> Owner's Name � � V� Owner Phone Number . �� �'"1� -� � <br /> Owner's.Addr�ss .� fi�' Owner Phone Number <br /> I� ' <br /> Fee Simple Ti�leholder Name Owner Phone Number <br /> Fee Simple Ti�leholder Address <br /> ( � r) � � <br /> JOB ADDRESS lu ( -1 � --� LOT# <br /> SUBDIVISION� PARCEL ID# � <br /> II (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED _ NEW CONSTR ADD/ALT 0 SIGN Q � Q DEMOLISH <br /> : � e INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK - Q FRAfVIE 0 S,TEEL Q <br /> � ` <br /> DESCRIPTIO "OF WORK � I C � -�r, �L^� � ! <br /> �UILDING`Si�E SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATION=OF TOTAL CONSTRUCTION <br /> QEL�CTRICAL , $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> � 0 0 <br /> QPL�MBING $ <br /> � <br /> �6AE�HANICAL $ c; VALUATION OF MECHANICAL INSTALLATION � �� <br /> � �s� - 5C�7i� <br /> OG� Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED.F�OR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> i <br /> BUILDER COfVIPANY <br /> SIGNATURE REGISTERED Y/'N FEE CURRE� Y/N <br /> Addres� License# <br /> r. ;� <br /> ECECTRICIAN COMPANY <br /> SIGNATURE� � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Cicense# �� <br /> � <br /> � <br /> PCUMBER;:! COMPANY � <br /> SIGNATIJRE�� �REGISTERED `Y/ N EEE CURRE� Y/N <br /> R <br /> „ Address License#' <br /> , ; ;; ��� <br /> MECHi4WICAL COMPANY -�_�!r � <br /> � SIGNATURE��' ��� � REGISTERED / N FEE CURRE� Y/.N � <br /> , .li <br /> Aad�ess�- (92�y ��5� � I � L��'� '3���1 � � � . <br /> , . �� License# �, C' j ) �(� <br /> �.ii9C:, ,.. . .� <br /> OTHER� :=�.�I COflAPAP1Y. , <br /> `SIGNATUREI�� � - � REGISTERED Y/ N FEE CURRE� Y/N <br /> , �,+� . ., . �; " <br /> Address;t;. - - �' ' . ' License# <br /> i� � , <br /> :`�RE$IDENTI �AL •.; AttacFi.(2);PIot=P.lans;(2):sets�of`Building'Plans;(1)set'ofEnergy Forms;R-O-W Perrriit for new.construction, <br /> . . ,;�,�,°�Minimum�ten:,_(.1Q)workings`days after.'sutimittal�date. Required on§ite;'Construction Plans,Stormwater Plans w/Stlt Fence installed, <br /> - - � ' ' � �8anita.ry.;Facilities:&,51:,dumpsterSite;Work�Permitforsubdivisions/large,projecfs,. -- <br /> •�,COMAAERGIAL. Attach=(2)'complete"sets of`Building-Plans�plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Pertnitfor new construction. <br /> ' Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster,Site Work Permit fo��all new projects.All commercial requirements must meet compliance <br /> -;SIGN PERMI�T iqttacfi�(2)sets of;Engineergd P.lans:'= -, � <br /> "'""PROPERTY SUR�/EY_required for_aII.NEW construction. <br /> ''�birections:. i� , -�:s:sz- , . <br /> Fill'out application completely. <br /> Ovirner&GonVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> ��.: : ,._�,�,.t: _ <br /> " Agent(fo�the�cbnt�actoc)orPower�of Attomey(for tfie owner)would be someone with notarized letter from owner authorizing same <br /> �OVER THE:COUNTER;PERMIT'fING.� (copy..of-contract-required) ' " <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> ' —_ ..._ <br />