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St3-780-0O20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bolding department. <br /> Date Received Phon e contact for /3Al—i <br /> I <br /> OwneYs Name` ! � ev.. Owner Ph-Number <br /> Owner's Address �/Q. . Owner Phone limber, <br /> Fee Siniele Tttlaleelder laarrie' - Omw Phone Namber, 1 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# ! <br /> SUBDrots ..� PARCEL,i i PS-.26-`2.A -44VO=02' <br /> ... ... (OHrANM FROM PROPERTY TAX NOTICE - .. <br /> WORK PROPOSED NEW CONSTlt ". ADD/ALT SIGN 0. r DEMOLtSH <br /> e" INSTALL. REPAIR . <br /> PROPOSED USE SFR Q COMM 0' OTHER <br /> TYPE OF CONSTRUCTION- BLOCK': FRAME,. STEEL Ir <br /> DEscRIPrtIOFYVDRK : G onleN 3 r f <br /> BUILDING SIZE .SQ FOOTAGE HEIGHT > I <br /> QBUILDItJG., S VALUATION OF TOTAL CONSTRUCTION <br /> AMP SERVICE Q PROGRESS ENERGY Q W.R. . . I <br /> ELECTRICAL EC <br /> -' S <br /> =PLUMBING $ R QJ <br /> I <br /> GAS VALUATION OF MECHANICAL INSTALLATION <br /> NAhIICAL $ LJj r1 . J, <br /> 0 ROOFING SPECIALTY OTHER•... t <br /> I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES^ NO <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED, YIN FEE cuRREr, Y/N <br /> -�Address - License•#� ! <br /> ELECTRIC}AN' COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE cuRREA L.XLN J <br /> l <br /> Address tjcerhse# I <br /> { <br /> PLUMBER <br /> SIGNATURE F7 cieoisT6zEo." Y/N - - <br /> . _ .. FEE CURREA Y/N <br /> Address License# <br /> MECHIi411CAt h��_ �I ` CO En MPANY 7 ��-971 <br /> �, <br /> SIGNATURE I InC �i(GtJ� RE61EA "'. Yd N•- FEECURREn I YIN <br /> Address rill '_ .h i fS:3 / :license#.��. 3�2r 8 <br /> OTHER COMPANY - <br /> SIGNATURE REGISTERED Y I N ]!FEE cURREn Y/N <br /> Addrhtss - License#(�--- <br /> I <br /> 1 fl l l 11.1'-fl I:1:1 11 111 I I I G,1 1'1^I 11.111 1 1.111 11,1.11 I-UI 11:•11 11,1 11,1 11 1.1 I A 11.I I l i <br /> RESIDENTIAL 'Attach(2)Plat Plans;;(2),sefs of&tiklghg Pians;(1}set Emetgy Forms;R O W Permit for new construCtica. <br /> Minimum ton(10)vkxWng days•after submittal date.`Required onsite,`Constructioii Plans;Stormv+aier Plans w/SIR Fence.insialled; <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdiviswnsifarge projects <br /> COMMERCIAL Attach(2)Complete sets of Building Plans,ptus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> tam WmIm ten(10)w+oimtg days attar subrniltal date..Required onsite.Conshustion Plans..Stomewater Plans w/Silt Fence instalw, - <br /> Sanitary Facilities&1 dumpstat'.Site.Work Permit for all now projaats.All commercial requirements must meet compliance <br /> SIGN PERMIT Attadi(2)sets of Eegineered=Plans. <br /> PROPERTY SURVEY-required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign.back of application,notarized. <br /> If over$2500,a Notice of Commeneetnent is required. (AIC upgrades over$7500) <br /> Agent(for the dorrtracta)or Power of Attomey(for the OWTW)would be someone with notarized tatter from owner auf wftng same <br /> OVER THE COUNTER PERMITTING (copy ofcontract required)- <br /> Reroofs if shingles Sewers SeMce Upomdes'A(C Fences(Picusurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />