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r <br /> 813-76A-0D20 City of Zephyrhills Permit Application Fax-813-78UO21 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> owner's Name Owner Phone Number r <br /> O%vnees Address Owner Phone Number l <br /> Fee Simple Titleholder Name Owner Phono Number <br /> Poo Simple Titleholder Address <br /> JOB ADDRESS LOT <br /> SUBDIVISION PARCEL iw, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEwCONSTR ADDIALT = SIGN = = DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q .BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING IS VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING s <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREI• I Y/N <br /> Address License" <br /> ELECTRICIAN <br /> COMPANY <br /> REGISTERED I Y/N FEE CURREI, Y I N <br /> Address 1 License: L <br /> PLUMBER COMPANY <br /> SIGNATURE r e �11c"g�` I(1�n9l J -tlJi CF� <br /> c ` REGISTERED Y/N FEE CURREI Y/N ---� <br /> Address So��S p!- >��! 1p�� ia Licensor ICq-L'd�3 � 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE cuRRFs I YIN I <br /> `1 <br /> Address License k I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED ( Y/N FEE CURREN I_ YIN <br /> Address Urerrse# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for now construction, <br /> Minimum ten(10)wodring days after submittal date. Required onsile,Construction Plans,Stormwaler Piansw/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster;Slto Work Permit for cubdivlslonsllaige projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for now construction. <br /> h1161mum1en(10)weWng days after submittal dale. Required ensite,Construction Plans,Stomnvater Plans w/Slit Fence Installed, <br /> Sanitary Facilities 81 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •'•*PROPERTY SURVEY required for all NEW construction. <br /> Dimationsl <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500.a Notice of Commencement is required. (A/C upgrades over S750D) <br /> •• Agent(for the contractor)or Power of Attorney(for the owner)would be someone%-dth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> ReroDfS ifs r6igles Scivers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> I <br /> ' 1 <br />