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813-780-002 City of Zephyrhills Permit Application Fax-83-780-0021 � <br /> Building Department <br /> Phone Contact <br /> Date Received ON for Permitting <br /> M' a-07-T-T-T-T-F <br /> Ownees Name Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS [S33H LOT# <br /> Ll <br /> SUBDIVISION p/uRcEL/o# UU <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW comon x000\cr �--1 a|ow �--1 �--| DsMoU8* <br /> R INSTALL [_] REPAIR <br /> PROPOSED USE [--1 GFn [—_1 COMM F---1 oT*Em <br /> TYPE OF CONSTRUCTION F--1 BLOCK �—1 FRAME F--� STEEL F—1 <br /> BUILDING SIZE [_ —1 SQ FOOTAGE= HEIGHT <br /> �__]QU|LO|N� VALUATION OFTOTAL CONSTRUCTION <br /> =ELsoTRICAL AMP SERVICE F---1 pROoRES8smERGY [--� vva.E.c. <br /> )bPLUMBING <br /> F--|MsoHAN|CAL VALUATION oF MECHANICAL INSTALLATION <br /> F--|Gxe F--| nuuFNo [—_1 GpsoIAoY [---7 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [__]YEG NO <br /> ou|LosR uOkopAmY <br /> ' a|Gm/noRs nsG/orsneo [_Y/ N ] pssnunnsx L�L/� <br /> ' . <br /> Address uuenxm# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE nsm/orsneo Y!_N_] pssoonnsw L_y'!N_] <br /> Address umanno# <br /> PLUMBER OMPANY Oa+(,L <br /> SIGNATURE <br /> AddressLicense# L�b _r)qa'34 <br /> eEC*xmlCuL COMPANY <br /> SIGNATURE nsu/orsneo <br /> Address <br /> OTHER COMPANY <br /> a|Gm/noRE nEa/ursnso <br /> Address Licenaaw <br /> mmxxmxxxmoxmnnnmnxmmuxmnnumnnmnnomnxooxxmunmunxmxnuuunmxnmunnmnnomx <br /> RESIDENTIAL Attach pV Plot Plans;(4 sets d Building Plans;(1)set oy Energy Forms;R-O-WPermit for new construction, <br /> Minimum ten(10)working days after submittal date. Required nnoKo.Construction Plans,8tnnnwater Plans v/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsta/;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(1U)working days after submittal date. Required onouo.Construction Plans,Gmnnwmtor Plans w/Silt Fence installed <br /> Sanitary Facilities&1dumpmacSite m�� Pnnn|t for all new projects.All commercial n � <br /> requirements � �omum� oompxanm, ' <br /> SIGN PERMIT Attach(2)sets vf Engineered Plans. <br /> �~PROPERTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,nutahzod <br /> |r over$25o0,m Notice vf Commencement ism9ui*ed. (AIC upgrades over$7sO0) <br /> � Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofsifshingles Sewers Service Upgrades A/C Foncoa(PbVGumny/pomogo) <br /> Driveways-Not over Counter ifvn public modvayo'neeuoROW <br />