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� =s�3aso-�o2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' � Building Department <br /> DaQe Received , , h n o t f'r Permittin �' – <br /> i P o e C ntac o g <br /> Owner's Na I e Owner Phon�Number . <br /> � �0.:�` <br /> Owner's:Ad�ress. U Owner Phone Number <br /> Fee Simple Titleholder Name . �0.'� Owrner Phone Mumber <br /> � � . <br /> Fee Simple�itleholder Address ` <br /> JOB�DRESS `f��2 ` v e C � Z�'�t15 t �3 S LOT# � <br /> I , . <br /> SUBDIVISION PARCEL ID# - <br /> • (OBTAIMED FROM PROPERTY TAX PIOTICE) , <br /> WOftK;PR0 i OSED _ NEW COWSTR ADD/AI.T � SIGN Q Q DEMOLISH <br /> , INSTALL REPAIR <br /> PROP.OSED�USE. Q SFR Q COMM � OTHER <br /> : TYPE:OF COMSTRUC'�ION Q BLOCK - Q FRAME 0 Sl'EEL Q <br /> DESCRIPTI�Pl'OF WORK �S�c ' 11 i Z Ir �''�l�� � �� e - <br /> �UILDING`S�ZE SQ FOOTAGE �1�,�� HEIGHT I ����� <br /> :� 1 , <br /> � QBUILDING $ 2 S G� VALUATION�OF TOTAL CONSTRUCTION <br /> EL�CTRICAL $ AMP SERVICE PROGRESS ENERGY 1N.R.E.C. <br /> 0 0 � <br /> QPLUMBING $ � <br /> � ' � I �� <br /> OMECHANICAL $ VALUATIOPV OF MECHANICAL IIVSTALLATION � ` <br /> QG�S Q ROOFING �SPECIALTY Q OTHER <br /> FINISHED.FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br />� � <br /> BUILDER � COiNPAPVY <br /> SIGPIATURE REGISTERED Y/`N FEE CURREn Y/N <br /> Address License# <br /> . , I <br />' ELECTRI,CIAIV COMPANY <br /> SIGPIATURE� �� REGISTERED Y/ N FEE CURREP Y/N. <br /> Aad�ess Cicense# <br /> - PtUV1�BER�:. COMPANY� • <br /> SIGNRiTURE ' :REGISTERED- `Y•/ N• FEE GURRE� Y/N <br /> I _ - <br /> Address License�#� <br /> ' . ;.,,- �� <br /> ' ,MECHANICAIL� � COMPAIdY <br /> ; SIGNATURE j '" REGIS7ER Y/ N F,EE CURRE� Y/N <br /> Adaress��� � ' - License# <br /> r..y�;:' l� <br /> -_ 7 �� `'�r,- . • COAflPA1dY ►– l I,�LL•ci_Z �S E <br /> _. O HER t .' n ''�1.5 /1C� <br /> , F-� S <br /> � `SIGNATURE% � REGISTERED Y/ N FEE CURRE� Y/.N � <br /> i <br /> �aa�es�.. � 30[S �J._:t�.� e�i n L.1J wE51e 5�3., License# CC� �32 `�7 f <br /> :++�-�+�+,!�� . <br /> .. .. .., _ . . . .,.;. . : <br /> ,.-� : . �.�... <br /> _ .RE$IDENTIA�L';; Attacfi�(2J;PIofiP.lans;�(2):sets of Building'Plans;'(1)`set ofEnergy,Forms;R-O-W P,ermit foc new.construction, , <br /> ,- �-:„r;;^:�.:-;`y�: .FMinimum,�tenF(10)w.o,r.kingsday,s afte�.sutimittal=date. 'Requir`ed'on"site;Construction Plans,Stormwater Pians w/Silt Fence installed, , <br /> Sanita.ry.Facilities,&;,1::�dumpster;Site;WockP.ermit'for:subdi'visions/large:projecfs<- � <br /> ,.*:COfNN1ERCl�. Attach�(2)'campletie''s`ets'of Building P7ans�plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit fornew constniction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt.Fence:,installed, <br /> - Sanitary Facilities 8 1 dumpster.Site Work Permit fo��all new pFojects.All commercial requirements must meet compliance _ <br /> t�SIGN�PERMI i Attacli�(2)sets of�;EngineerQd Rlans:°"� -� � <br /> "'*PROFERTY SURVEY_required for_aIL.NEW construction. <br /> '��DiceCtions: � .i-��r�-.>, ,. . � _ . _ .. <br /> Fill'out application completely. <br /> Ovirner&�Gontractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement i�required. (A!C upgrades over$7500) <br /> '" Agent(for'the�cont�actor)orPower of Attomey(for tfie`owmer)would be someone with notarized letter from owner authorizing same <br /> =�OVER`THE.COUNTER,PERMITTING_ - (copy-of-contract�required) ' - <br /> - Rer6ofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br /> � I <br /> — — � ---- -• - <br />