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eta-leg cola City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department, <br /> Date Received ti a-Ph...C--Wy t for Permitfing [,.JS� <br /> Owner's Name owner Phone Number <br /> Ownees Address a Owner Phone Number F <br /> Pee Simple Titlehold;r Name On"er Phone <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION �'Ij if e-Ce— <br /> PARCELIWrre I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED i R NEW comTRE] ADDIALT SIGN r7 M DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE M SFR fT1 ry.whs <br /> TYPE OF CONSTRUCTION 71 BLOCK = FRAME STEEL <br /> I <br /> DZSGRIP I ION OF VWQrM hJ <br /> BUILDING SIZE SQ FOOTA6=E HEIGHT <br /> UILDINIG S <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTF11CAt 15 AMP SERVICE PROGRESS ENERGY WR.E,C. <br /> sy <br /> GZPO'LUMBING Igq <br /> =MECRANICAl.iL S VALUATION OF MECHANICAL iNSTALLATION <br /> 1 <br /> =GAS r7 ROOFING Q SPECIALTY r----1 OTHER <br /> FINISHED FLOOR ELEVATION$ FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address License# <br /> ELECTRICIAN <br /> COMPANY <br /> SIGNATURE r f REGISTERED I YIN FEE CURREN <br /> Address License ft <br /> PLUMBER COMPANY 16 <br /> SIGN ATURE hiulblERED (if v rf,4, FEE cuRRFN <br /> Address License 9 <br /> --I ( 16A <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I YiN ECURREN <br /> Address License# <br /> COMPANY <br /> OTHER SIGN REGISTESIGNATUREY1 N FEE CURREN Y 77 <br /> mat Tess I I License# <br /> KIISiDENTIAL AROC4(2)mot mans;(2)sets or building Hiarts;(1)set of t:nergly Forms;H.U.vv I-ermit for new consoucao,' <br /> miniminm ten(10)working days after Submittal date. Required onsite.Construction Plans,Stormwater Plans Yd Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Ana*(2)complete sets of Building Plans plus a Lfe Safety Page;(1)set of Energy Forms,R-O-W Permit for now construction, <br /> Minimum ten(10)working days after submittal date. Required onsite.Construcron Plans,Storrhyater plans wf Silt Fence installed, <br /> Sanftafy Facilities&I dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attachi(2)sets of Engineered Mans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Pil!out applicaft'l corpletali. <br /> Owner&ContractorEign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AfC upgrades over S7600) <br /> Agent(for the contractor)or Pevver or AUoMey(for the owner)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs.If shingles Sewers . Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> IV <br /> Driveways-Not over Counter don public roadways.,needs ROW <br />