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, 813aso-oozo City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Departrnent <br /> Date Received - Phane Contact�.for�Permlttln . <br /> � <br /> Owner's Name �� Owrner Phone Number .�� r%�� <br /> �.��1 � � �S � <br /> Owner's Addrass v 3�� , L, � Owner Phone Number <br /> Fee Slmple Titleholder Name � Owner Phone Number <br /> r . <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �' J � , i�L.� . � . �S LOT# � <br /> SUBDIVISION PARCEL ID# • <br /> (OBTAINED FROM PROPERTYTAX MOTICEI <br /> WORK PROPOSED NEW CONSTR � ADD/ALT Q SIGN' 'Q Q DEMOLISH <br /> �,B INSTALL /� REPAIR <br /> PROPOSED:USE � � SFR,. Q COMNi Q OTHER <br /> TYPE OF CONSTRUCTION Q� BLOCK " Q FRAME Q STEEL �Q <br /> DESCRIPTION OF WORK �. � C�Q�'� � <br /> BUILDING SIZE SQ FOOTAGE� , HEI,GHT <br /> �/BUILDING $ . VALUATION20F'TOTAL CONSTRUCTION <br /> ���Cj <br /> QEL'ECTRICAL $ - AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ' ' ����71 <br /> QMECHANICAL $ ' VALUATION OF MECHANICAL INSTALLATION. <br /> � v <br /> QGAS Q ROOFING Q SPECIALTY � OTHER " <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ,IVO <br /> BUILDEft � - � COMPANY�• ��. YY������1�/.�l—— - - - <br /> SIGNA►TURE REGISTERED � Y% N FEE CURRE� Y�]N <br /> Address � - -'s,.�,. �. � � L''Icense#" <br /> ELECTRICIAN; - -`COINPANY � ,� .-: " � <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� ' ' - =Y/-N <br /> Address � , . ' <br /> License#-, <br /> PLUMBER COPAPANY � .. ,�, .� - <br /> SIGNATURE ' � , REGI3TERED , Y/..N-� ,FEE CURRE� :. Y.°/N. ,� - <br /> Address �.;Ltcense.# .�. - - - - - <br /> MECHANICAL" COMPANY � <br /> SIGNATURE � REGISTERED Y,/,N ; FEE CURRE�- Y./N <br /> � ,. _ , <br /> Address'- - � � License#� � <br /> OTHER • - � ` °COMPANY � � <br /> SIGNATURE' =- `=`` ' ' � REGISTERED Y/.N _. �FEE CURRE� Y/N <br /> Address _ - - ' Lice'nse# ` <br /> RESIDENTIAL'_� :AttacFi"(2),FlotiPlaris;(2)'sets�.of Building�Flans;(1)sefof-EnergyForrns;�Ft=O=WPermlt for new conshucUon, <br /> -- _MinimumrtenR(10);working;days_after;submittafdafe..Raqui��onslfa;:Co�strucUon=Plans;Stormwate'_r'Flans;w/StltFence installed, _ <br /> Sanifary Facillties-&;1,dumpster,Site°Vllork:P..ermit,f.or subdivislonsAarge projects=_ � ' ` - _ <br /> COMINERCIAL Attach(3)�complete sets of Building Plans plus a Life Safety Page;(1)set of Energy FoRns.R-O-W Pertnit far new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUucUon Plans,Stortnwater Plans w/Silt Fence installed, <br /> San(tary FaciliUas 81 dumpster.Site Work Permit for all new projects.All commercial requlrements must mcet compllance <br /> SIGN PERMIT Attach'(2)sets of Engineered Plans.;, � ��� • ' - <br /> ""PROPERTY SURVEY reguired for all NEW constructlon.. „ , <br /> Directions: . , ' � � - <br /> Fill out appllcaUon completely. � <br /> Owner 8 Contractor sign back of applfcatlon,noNarized <br /> If over=2500,a Notice of Commencement is-�eyulred.. (A/C'upgrades over$7500) <br /> " Agent(for the contractor)or'Power ofAttorrmey�(fo�`tFi'e`owner)would.6e someone with notarized letter from owner authorizin�same <br /> DVER THE COUNTER PERMITTING- ��- :(Front of-Applicetion Only).,_"- � � " • � ; � , <br /> Reroofs if shingles Sewers Service Upgrades-A/C Fences(PIoUSurvey/Footage) , <br /> Driveways-Not over Counter if on publfc roaduvays..needs ROW � � <br /> �..�.:-� <br /> ,' <br />