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' <br /> City of Zephyrhills Permit Application Fox-813-760-0021 <br /> building Department <br /> Date Received Phone Contact for Pe <br /> rmitting <br /> �wmor�N�ma �wnorPhnnnNumbar <br /> Owner's Address 7--Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> SimpleFee Titleholder Address <br /> SUBDIVISION <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRF7 ADD/ALT SIGN DEMOLISH <br /> Ef INSTALL REPAIR <br /> PROPOSED USE ' [--� aFR �—1 COMM [---| OTHER <br /> TYPE OFCONSTRUCTION [--3— BLOCK �—1 FRAME F--� STEEL <br /> DESCRIPTION OF WORK. <br /> BUILDING SIZE F SQFOOTAGE?��, HEIGHT. <br /> ' <br /> [__]BUILDING =000 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTR]CAL AMP SERVICE �--1 PROGRESGENERGf �--� YY.R-E.C. <br /> [---lpLUM8|NG <br /> = VALUATION OF MECHANICAL INSTALLATION <br /> . �_�� . <br /> �--|co�� L��\ ROOFING SPECIALTY 8PEoIALTYF---1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> ' �--�YES NO <br /> �� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED ` FEE ouRmENn� ���-------- <br /> Address License# <br /> HLECr0CIAN COMPANY <br /> SIGNATURE --G/msmso FEE CURREN <br /> Address <br /> "LUMBER COMPANY - <br /> 3|GNATURE <br /> uu4nas License# <br /> mECHAN|cAL COMPANY <br /> qGN/TURE F REGISTERED <br /> Address <br /> zmER COMPANY <br /> yG043uRE REGISTERED <br /> � FEE CURREIN L_LL��' <br /> Address Uoonao# <br /> AESiDENTiAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> ' wwnimu�hmUO)vo�\ days after submittal date. m. Requdnno� Con <br /> struction <br /> Sanihan/Facilities&1dumpater;Site Work Permit for subdivisions/large projects ) <br /> 'D&v/NEkCu\L Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set ofEnergy- _ <br /> Fnh�a.F-6� 'Permit for new Construction. <br /> Minimum ten(10)working days after submittal date. Required onuito.Construction Plans,Stormwater Plans yl Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requlrements must meet compliance' <br /> UGNPER0Dr Attach(2)sets of Engineered Plans. <br /> °°^°PROPERTY SURVEY required for all NEW construction. ' <br /> "^=ct'w/x*: <br /> Fill out application completely. <br /> Owner&Contractor sign back nfeppUcatinn.notarized <br /> n over*2soo a Notice c*Commencement iorequired. (AC upgrades over*7500) <br /> ` Agant(fbrUhonontredor)nrPoverofAUome�(fhrthoowner)wmu|dbosomaonemdthnntahzed|etterhomuwnnr authorizing omna <br /> /VERTHE COUNTER PERMITTING (copy of contract required) <br /> ,emofs if shingles 8ewom Service Upgrades A/C Fonceo(PbhtSumsw/Footago) <br /> DrIvwwuys'Nut over Counter ifon public madvmys..neednROW <br /> ' <br /> ' <br />