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813-7$0-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , � <br /> Building Departrrtent *` <br /> Date Receivei! ` phone Cantact far Perm�tting – <br /> Owner's Name �/`�1 a�`� __��NiCR � }�!,{�+/� IIwngT�hone Number �� J � ` � � �` ���� <br /> Owner's Address 7 C.Y �� "' 3�j 3 �r o' � ��' Owner Phone Number � � <br /> Fee Simple Titleholder Name �� � Owner Phone Number � � <br /> . <br /> Fee Simple Titleholder Address <br /> ' JOB ACIDRESS �J����" �j �� �� l.OT# �� <br /> 1 <br /> j j SUBDIVISION ��. —� PARCEL ID# <br /> �� � (OBTAINED FROM PROPERTY TAX NOTlCE) <br /> �j WORK�PROPOSEd e NEW CONSTR e ADD/ALT � StGN Q Q DEMOUSH <br /> �`s INBTALL REPAIR <br /> j� PROPOSED tlSE Q SFF2 .. Q GOMM � UTHER <br /> h# TYPE OF CONSTRUCTION Q BLOCK Q FRAME � $TEEL � <br /> �� DESCRIPTION QF WORK � 1Q. `�'Q 2GG'� <br /> � ,, <br /> � BUtLDING SIZE SQ FOOTAGE HEIGHT <br /> �� QBU1LDtNG $ ��O � �j VALUATION OF TOTAL.CONSTRUCTION <br /> � f ��� <br /> � QELECTR(CAL �� AMP SERVtCE Q Pi20GF2ESS ENERGY Q W.R.E.G: <br /> � �PLUNIBtNG $ ��",,,� � y(j��j �� <br /> r • � ( V <br /> � ! <br /> ti <br /> i �MECHANICA�. �;6� VA�UATiON OF MECNANICA�lNSTA�LATION <br /> ; . L <br /> ` QGAS Q ROOFING Q SF'ECtALtY � OTNER <br /> ( <br /> � FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> i <br /> t <br /> t <br /> + , <br /> � � � �. Gt,Y1V1 ��. � <br /> � BUILDER COINPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> � Ad,'dress - License# <br /> � j <br /> .ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y(N <br /> Address License# r� � <br /> � } -� <br /> � PLUMBER � COMPANIf <br /> SIGNATURE REGlSTERED Y�/ N F��cuwz�r Yl�N <br /> � , <br /> '' ,Address - License# � �—� <br /> MECHANIGAL ._ COMPANY - <br /> SIGNATURE . RHGIS7ERED Y/ N - F�E cuRRE►+ Y/N •. <br /> ' Ad'dr'ess � l.icense# �� ^ � � <br /> , . . <br /> OTHER; COMPAMY <br /> � SIGNATURE REGISTEFtEQ Y/ N FEE CURRE� Y!N <br /> t <br /> �, Address <br /> �, License# r� � <br /> ��sJ RBSIDENTIAL• "Attach(2)Plot Plans;(2)sets af Building Plans;(1)set of Energy Eorms,:R-O-W:Permit fo�new construction, - <br /> s�... Minimum teri�.(1 Q.)`vuocicing days after sutimittal dafe. Required onsite;.ConstrucGon Plans,$tormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities.&1 dumpster,Site Work Permit far subdivisionsllarge projecfs <br /> i:' COMMERCIAL Attach(2)complete sets of Building Plans plus a.Life Safety.Page;(1)set of Energy Forms.R-O-W Permit for new.construction. <br /> Minimum ten(1Q1 working days after submitta!date. Required onsite,Cons2ruc6on.Plans,3torrr�water Plans w/$'slt Fence instatied, <br /> Sanitary Facilities&`I dumpsfer.Site Wark Permit for alt`new prajects.Atl cammerciat reguirements must meet comptiance <br /> SIGN PERMIT Attach(2).sets�of Englneered Plans. • <br /> "**PROPERTI!SURVEY requireci for aU NEW construetion. , <br /> Directions: <br /> Fiil out appiicat�on completely. <br /> Owner&�Contractor sign back af application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades aver$7800) <br /> *' Agen#(far the ca�trac#or}-ot Pow�r of Attomey�(for;the awner}would be someane with notarized letter from owner autharizing same <br /> `I.i-�: •.. <br /> O.VER THE COUNTER PERMITTING,!; ;-(copy of contra�ct,re.gulred) <br /> fteroofs if shingles Sewers , . -ServiceyUpgrades-�=A1C � Fences{PlotlSurveylFootage} <br /> , , w . . <br /> Driveways-Nat over Counter'if"on'putiliC•roadways.:needs�ROW <br />