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a�saso-oo2o City of Zephyrhills Permit�pplication Fax-813-780-0421 <br /> Buitding Department <br /> Date,,,Rea�ived ' Phone Contact for Permitting – <br /> �Owner's Name � /� �P one a ber �!��� ���� <br /> �Q Owner's Address �� t9'�3"l l � (/� �1Is Ouvner Phone Number � � <br /> 1"` ' <br /> Fee Siniple Titieholder Name Owner Phone Number �T <br /> Fee 5imple Titleholder Address <br /> ;:s JOB ADpRESS LOT# � <br /> e.. <br /> �r, i <br /> �i SUBDIVIStON �!^ � PRRCEL ID# <br /> � WBRK PROPOSED uEW CONSTR ADDIA�T � S'��NED FR�OM PROPERi'Y TO ncel DEMOLISH <br /> �j � e INSTALL 8 REPAIR <br /> ;� PROPQSEd USE Q SFF2 „ Q COMM � OTHER <br /> �� IYPE OF CON9TRUCTION [� BLdCK _ [� FRAME � STEEL, Q <br /> l� <br /> �; pESCRIPTION OF WORK '�� ��� � <br /> {I �� �� <br /> BUILDING SIZ� � � Sta FOOTA�E HEIGHT <br /> �� <br /> E; i BUIIDtNG � � VALUATiON OF TCiTA�CONSTRllCT'ION <br /> �; i <br /> � QE�EC7RICAL � �—�� AMP SERVtCE � PROGRESS ENERGY [� W.R.E.C: <br /> , <br /> � QP�UNiBING �� . <br /> C P ��,�. <br /> ? QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ����� <br /> � <br /> � F <br /> ° �GAS � RQOFING Q SPECIALTY �� QTHER <br /> 3 <br /> � FINISHED F�40R ELEVATI4NS ��--r� FLOQD ZONE AREA QYES NO <br /> ,. <br /> 4 <br /> € . <br /> " : • '�;._==.,�, <br /> � BUILDER ] � CONIPANY <br /> � SI�NATURE REG{STERED Y/ N FEE GURRE� Y/N <br /> � Address License# <br /> g , <br /> � � , <br /> � ELECTRICIAN COMPANY ` <br /> SiGNATURE R�GISTEREQ Y/ IV FEE CURREI� ' Y/N <br /> i � .. - <br /> � Address � Cicense# = <br /> � PLUMBER CC1NiPAt�lt _ <br /> f SIGNATUEtE REGfSTE42ED Y.'/`N FEE-CURREA Y=/�N' ,`� <br /> � a . . . � <br /> .Address - - License# � <br /> ' MEGHANICAL'_ = . COMi'ANY <br /> SIGNAT.URE REGSSTERED� Y./ I+l, ,,, �FEE GURREN - ;:Y�/N •�>, ' <br /> � . :: <br /> i , <br /> Address � . License,#,� � <br /> � UTHER , COMPANY <br /> � SIGNATURE REGISTEREd Y/ IV FEE CURRE� Y!N,. <br /> i <br /> �" Address License# � � <br /> �`.; ,...,#,...-.:<.,,y: . <br /> RESIDENTIAL' ` `�AttacFi',(2)'Pi6t Plans;`(2}sets of Buitding Plans;_(1}se#af Energy,�Fornis;`.R=a�Vtl,;Per`►nit'fo�new canshvction,. . <br /> ;:n. _ <br /> rk Niiriiii►um=feri�{:1:0};imorking days aftersu6miltai dafe.'Required aris9te;�Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Pacilities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> ., COMMERCIAI. Attach(2)completea sets of Building Ptans ptus a,Life Safety P...age;(1}set of Energy Forms.R-O-W Permif for new construc#ion. <br /> �Minimum ten,(14}-wor(cing.days after submittal date. Required onsite,Construction.Pians,Starmwater Plans w!Silt.Fence installed, <br /> �t� Sanatary facitities&�"1"ilumpster.Site Work Permit for aA new projects.AU commercial requirements must meet compliance ' + <br /> - 5lGN PERMIT Attach_(2),sets of Engineered Plans. � � <br /> � '**'PROPEi2'fY:SIiRVEY required for ali N�W construcf+on. <br /> Dliectians: <br /> Fill out appiication complefety. <br /> Owner..&.Contraetor sign back af appl3cation,natar�zed <br /> ff over�25Q0,a Notice of Commenaement is required. (A/C upgrades over$7500) <br /> ** AgenE{far the contractor),ar Pawer•of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> •OItER THE COtlNTER PSl2MITTING (copy af cantract required) <br /> Reraofs'if shingles Sewers Service Upgrades A/C- Fences(Piot/SurveylFootage} � . <br /> 'Driveways-IVot aver Gounter if on public roadways..needs ROW <br />