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� 813 780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> - Building Department - <br /> Date Recerv d ~ , � Phone Contact for Permitting - — • <br /> Owner's Na 8 DI/ies /.�C�ro��/� QlC� T Owner Phone Number . <br /> Owner's.Ad ress �/ �J'"�� /.�/d Owner Phone Number <br /> Fee Simple itleholder Name Owner Phone Number <br /> Fee Simple itleholder Address <br /> �. . <br />� JOB ADDRESS LOT# � <br /> i <br /> SUBDIVISIO PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> , B INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE'OF C NSTRUCTION Q BLOCK - Q FRAME 0 S,TEEL Q <br />, � . <br /> DESCRIPTI N"OF WORK ` `IN�S79-Ll.��J(r SECL�/CIT S S7�Y1/l . 1 }�1 I r�I�. , <br /> BUILDING'S ZE ` SQ FOOTAGE� HEIGHT <br /> � OB ILDIIVG $ VALUATION=OF"TOTAL CONS7'RUCTION <br /> QE CTRICAL , $ AMP SERVICE 'Q PROGRESS ENERGY Q W.R.E.C. <br />� QP UMBING $ '� ��� <br /> QM CHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ` � � <br /> �r��� <br /> QG S Q ROOFING Q SPECIALTY 0 OTHER �jC�/ <br /> FINISHED.F OOR ELEVATIONS FLOOD ZONE AREA QYES NO 'y�3 ?j � /� <br /> '�� l <br /> •BUILDER COMPANY <br /> SIGNATUR REGISTERED Y/`N FEE CURRE� Y/N <br /> Addres License#' <br /> ECECTRICI COMPANY ' ��E C�u-+ S,r'��-rhS <br /> SIGIdATUR � ` REGISTERED Y/ N FEE CURRE� Y/N <br /> Aad�es p� ///d i�t N CI'�-�' �/� ft��� �r Cicense# CFD00 I>�Zp <br /> PCUMBER;, COMPANY <br /> I SIGNATUR , REGISTERED Y-/ N FEE CURRE� Y/N <br /> Addres License# <br /> . , ,+. . <br /> ",,MECHANIC i COMPANY <br /> SIGNATUR REGISTERED Y/.N FEE CURRE� Y/N <br /> ,, .... �. ' . .- <br /> Address� License# <br /> �.�'s4>�.: . , <br /> -_O.TFIER'µ ��rl ' � COMPANY <br /> �� 'SIGNA'T,UR :-.- � REGISTERED Y/.N. Fee Cuw�� Y/N <br /> Ad'ar��s• 5. - � • � - - � � License# <br /> =��RESIDENTI ?•;.: AttagFi;(2)�Plot��P_lans;-:(2):sets:ofBuilding�Plans;(1 f set of�Energy For'ms;R-O-W Pemiit,for new.construction, <br /> , _. . ;;.-�,� -;Minimum;tenT,(:10)workingGdaysafter.su6iriittal.ilate. Required onsite�`Construction Plans,Stormwater Plans wl�Silt Fence installed, <br /> M��� 'Sanita.ry.,Facilities:8�>1;:,dumpster;Site:Work Permit for"subdivlsions/large':projects ' - � <br /> ,.,COiVIMERCI AttacFi"(2)comple'#e'sets'ofBuilding-Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> � Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence:installed, <br /> � Sanitary Facilities&1 dumpster,Site�Work Permitfo��all new projects.Ali commercial requirements must meet.compliance <br /> ��•.SIGN�PERM T AttacFi(2)sets of;Engineer�d Rlans:'�� , <br /> ; "•"'PRORERTY SURVEY required for aII.NEW construction. _ _ <br /> '>Di�eCtions• . _ � -,t� � _; <br /> Fill'out pplication completely. <br /> Ovimer Contractor sign back of application,notarized <br /> If over 2500;a Notice of Commencement i�required. (AIC upgrades over$7500) <br /> .. �•:�., �..•��::-;-. <br /> Agent(or the cont�actor.)�orPower�of Attomey(for�tFie owner)would be someone with notarized letter from owner authorizing same <br /> �.'OVER.7'HE �OUNTER:PERf�AIT'[IPIG .(copy-of•contraet,required) ' - <br /> •Reioofs if sh ngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivew ys-Not over Counter if on public roaduvays..needs ROW <br />