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813-78IM160 City of Zephyrhills Permit Application Fax 853-780 0625 <br /> ( + Building OePartmment rr Q r^� <br /> Date Received Phone Contact for Pernrtttirrg - itY <br /> �- <br /> Owner's Name owner Owner Phone Number <br /> Owner's Address owner Phone Number C <br /> Pee Simple Titleholder Name <br /> Fee Simple Tittehotdir Address <br /> r LOT$ <br /> JOB ADDRESS ;+ 1 <br /> SUBDIVISION t 1��C'-,C� PARC£LtD# <br /> tOaTAM90 FROM PROPERTY TAX NOTICE# <br /> WORK PROPOSED j ❑ NEW CONSTR 8 AMALT SIGN 0 ❑ DEMOLISH <br /> + �( INSTALL REPAIR <br /> PROPOSED USE ❑ SFR �I r-j. ❑ O?` <br /> TYPE OF CONSTRUCTION ❑ BLOCK ❑ FRAME [�� STEEL ❑ <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 7 SQ FOOTAGE HEIGHT <br /> ❑6UILDING i, � VALUATION OF TOTAL CONSTRUCTION <br /> ❑ELECTRICAL �3( AMP SERVICE C] PROGRESSENERGY ❑ W.R.E.C. <br /> r <br /> G2!pLUM81NG ; S <br /> ❑MECHANICAL s VALUATION OF MECHANICAL INSTALLATION r <br /> ❑GAS ❑ ROOFING ❑ SPECIALTY r---J OTi-kER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ❑YES NO <br /> BUILDER t' COMPANY ( I <br /> SIGNATURE ( # REGISTERED I Y/N FEECURREN I YIN <br /> Address ' License# <br /> ELECTRICIAN i COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address _ { License til <br /> PLUMBER / —� COMPANY <br /> SIGNATURE ` i(ct3SIEREB ! '<J Pf "' FEECURREx-"� <br /> Address �. , License, <br /> MECHANICAL COMPANY <br /> SIGNATURE I YIN FEECURREN I Y/N <br /> Address License# <br /> OTHER COMPANY I� <br /> SIGNATURE r� REGISTERED I Y/ N FEE CURREN Y t N <br /> Address ( License# L <br /> KES)DENTIAL Attach,(1)Frot Plans,t'L)Sam or outicing Plans;(t)set or energy Forms;H+V-Vv Permit For new construction, <br /> Minimum ten(10)working days attar submittal date. Required onsite,Construction Plans,Stormwater Plans vd Sitt Fence installed, <br /> Sanitary Facilities&I durripstor,,Site Work Permit for subdivisiensilarge,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(10)vaarking days after submittal date. Required onsite,Construction Plans,Stormxater Plans wt$fft Fence installed, <br /> Sanaaiy Facilities&i dumpstet Site Work Permit for all new projects.All commercial requirements most meet compliance <br /> SIGN PERMIT Attach�(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dimctions: - <br /> . rill out poica!kI.czm;getatr. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> •• Agent(for,the contractor)or Power or Attorney(for the owner)",cold be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Retools if shingles Sewers . Service Upgrades A/C Fences(PIOUSurveylFootage) <br /> Driveways-Not over Counter If on public roadways.,needs ROW <br />