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813-780-0020 City of Zephyrhills Permit,application Fax-818-780-0021 <br /> Building Department <br /> Date Received Phone Cbntact`for Permltting — <br /> Owner's Name 17 f/ Owner Phone Number , <br /> Owner's Address m 67 J Owner Phone Number ' <br /> Fee Simples Titleholder Name' Owner•Phone Number �— <br /> Fee Simple;Tltlsholder Address <br /> JOB ADDRESS �i' <br /> LOT# <br /> SUBDIVIS16N PARCEL•ID# <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW e CONSTR . ADDIALT C� SIGN [� DEMOLISH INSTALL 8 `REPAIR <br /> PROPOSED.USE- Q SFR Q COMM OTHER <br /> TYPE W CONSTRUCTION �LOCK/ 0 'F ME. STEEL Q. <br /> DESCRIPTIONOF WORK G ! <br /> BUILpIitIG;SIZE SQ F00' TAGS : HEIGHT <br /> r <br /> QB.UILDING. �' VALUATION-OF TOTAL CONSTRUCTI <br /> ELECTRICAL $ AMP SERVICE PRO' RE W.R.E.C. <br /> • L <br /> PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =.,GAS 0 ROOFING Q SPECIALTY. OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> :BUILDER COMP AN v <br /> SIGNATURE REGISTERED Y-/ N. FEE CURREN <br /> Address Licens . <br /> :`.ELECTRIPAN, r COMPANY• <br /> SIGNATURE REGISTERED / N FEE`CURREN Y/N- <br /> Address' License:# F <br /> k <br /> PLUMBEit.x. ? COMPANY> .` <br /> SIGNATURE ' REGISTERED L Y.-/ N: J.. :FEE CURREN <br /> Address License#,r � <br /> MEC'ANIGAL"" COMPANY <br /> REGISTERED Y/ N . FEE cURREI` •' Y/N <br /> Address:,:..;, L'icense.# �_. <br /> :OTHEW;,',::_a;:. :.;. CBMFANY <br /> GNATURE:- >< REGISTERED Y/.N FEE CURREK Y/N <br /> Address. ���,,;. _�::�:r:.<..;:- - Licari§e'# ; <br /> 1 <br /> `'RESIDEAi F1Ak;: Attach:,{2};Plat t?ians, 2,1 eWd'i',Buiidlri ;Plans; 1 set of'Ener'` FdmiS*R=O-iN:Pditlt for new,consi eflon <br /> { ) 9 t ) 9Y ,, <br /> ,. : >Minimum.tens,(,1.0).VyoikingrdaySafter sufiiiiittal.ilate:4Re wired onsita'Ciinstriiction'Plans;:Stoma`waterPlans w/Silt Fence installed <br /> " Sartita ,=Facilities,;&+1 tium stor,:Site:Work,Permit:for.,,subdivtstonsllar <br /> C.t>NiMERGiAL Attach t2)compiete'Sets of`BiiildingPlanspius a'Cife"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 /> 1:: .. Sanitary Facilities&1 dumps#er.Site VUotk Permit.foF ail-new•projects,All commercial requirements.must meet.compiiance <br /> N!:PERMIT -Attach"(2)"sets of.;i ngineered <br /> ****PROPERTY SURVEY Nqulred for,.aII,NEW,constructicn- .Flll;:out;application completely, <br /> ip.merB-.Contractor sign.back.of application,notarized <br /> if•over'$2500;afttice:of:Commoncement is required. (A/C upgrades over$7500) <br /> Agent(for'thie':coritractoi:},or Power'of"Attomey(for`the oWher)would tie Someone with notarized letter from owner-authorizing same <br /> AVER 1 HE COUNTER?I?ERNITTINQ (copy,"of:contract.required) ` <br /> Reioofs„if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways::needs ROW <br />