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813-780-0020, City of Zephyrhills Permit Application rax-o"is-iov-uvc t <br /> Building Department <br /> Date Received / - ;Phone Contactfcr Permitting E, <br /> Owner's Name <br /> J7/,,� ner Phone Number , / <br /> Owner's Address10 Ol Owner Phone Number <br /> Fee Simple1itleholder Name /( l 1 J` 1 Owner'Phone Number- <br /> Fee Simple Itleholder Addresses <br /> JOB ADDRESS -3 v "/(/ 7, LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR' ADD/ALT 0 SIGN = = DEMOLISH <br /> B INSTALL 8. •REPAIR <br /> PROPOSED.*USE _ ' SFR 0 COMM = OTHER <br /> TYPE.OF CONSTRUCTION CK S LRAME 0 STEEL Q <br /> DESCRIPTIbWOF WO <br /> BUILDING SIZE HEIGHT <br /> =6'UILDING VALUATION'OF TOTAL CONSTRUCTION ? , <br /> / <br /> =,ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 3�0� <br /> ROOFING 0. SPECIALTY,Q OTHERi i <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES .NO %( <br /> .BUILDER COMPANY <br /> SIGNATURE REGISTERED Y-/ N. FEE CURREN Y/N. • . <br /> i <br /> Address o�:��/� /7`(�6 License.# <br /> :ELECTRI,CIAN COMPANY . <br /> .,-.-SIGNATURE <br /> .SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address License# <br /> PLUMBER.` COMPANY <br /> SIGNATURE REGISTERED, Y/ N. : .FEE CURREN LILN. <br /> Address License#, : <br /> ;;:.MECHANICAL COM P. <br /> `'``'SIGNATURE''' " "REGISTERED Y/ N FEE CURREN Y -N ' <br /> Added4s, license.#. <br /> '.OTHER.:. :,.t COMPANY <br /> REGISTERED Y IN FEE-CURREN Y I'N <br /> sir�i�i: 't?". • _ .. - - .. ' <br /> • <br /> Address License# <br /> 5' <br /> r�RESIDENTIAL� P,, .Attach,2c P16(Pla6 ildl`ri Flans; (1)set of•Ener 'Forms R O Permit r nedir,construction <br /> (;10,)viworking;.daysaafter sutiriiittal:`date:>Required onsite Construction Plans,`Storm ivater'Plans w/Silt Fence installed, <br /> 3anitaryFacilities;&l:ndumpster;`Sifer.WorkRermit:forsutidivilions/lcar tt. <br /> COMMERCIAL Attach"(2)complete s'ets'of.Building 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 Permit f&all--new:projects:All commercial requirements must meet compliance <br /> :"'$IGN P�RlV11T Attach=(7Tsets:ofEnginee red;Oians::?.- <br /> ****PROPERTY SURVEY required for,.alI,NEW construction:' <br /> Fti= <br /> Dlrecilons: w . . <br /> �*ill'out,application completely. <br /> 'Owner,B Contractor-sign-back of application,notarized <br /> If.over:$2500;.a Notice,.of'Commencement is required. (A/C upgrades over$7500) <br /> " Agent_(for�thezconttactor)=or-Power:of'Aftomey(for'the owner)would tie"someone with notarized letter from owner authorizing same <br /> � VERCONTER�PETNG ;.(co _ofxont r act:required)-`O th y <br /> r erviceUpgrades:A/C Fences(P` <br /> lot/Survey/Footage)R ahnles Sewers <br /> Driveways-Not over Counter if on public roadwaysi needs R'OW <br />