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813-780-0020 � ///Fax-813-780-0021 <br /> 91 <br /> City of Zephyrhills Permit Application <br /> Building,Department , t <br /> Date Received01. <br /> Phone.Contact,for.Permitttng <br /> Owners,Naine:': Owner"P.,hone.Number, <br /> Owner's"Address ® 'JOwr�r�hone-Number.- ' <br /> Fee Simple,Titleholder Name Owner Phone:Numtieri <br /> Fee Simple.Titleholder Aiid�ess / <br /> JOB ADDRESS <br /> SUBDIVISION PARCEL.ID# <br /> (OBTAINED;FROM-PROPERTY:IT NOTICE),..„ <br /> INSTALL <br /> SIGN <br /> WORK�PROPOSED "NEW �;ADD/ALT. Q' 0= •°:..: . �Q• ' -DEMOLISH <br /> NSTALL'>;: REPAIR <br /> PROPOSEDMSE:, Q 'SFR"`:-` Q' COMM-.:, ,.. _;:.- ,`.OTHER: :: <br /> TYPE OF'CONSTRUCTION 0 `, B_LOCK, 0. FRAME'. - .0: "STEEL <br /> DES:CRIPTION,OF WORK C>` �O I�°?' imA <br /> BUILDING;SIZE. „SQ,FOO,TAOE HEIGHT.` vY� <br /> BUILDING <br /> 0 ... _ - - Mn <br /> VALUATION`OF`.T,OTAL'.CONSTRUCTION: <br /> '=EL'ECTRICAL $ AMRSERVIC& 0_-'r. -'PROORESS ENERGY- ;Q:. ,W:R.E:C::e " <br /> =POWNG $' <br /> MECHANICAL $; VALUATION'OF MECHANICALLL <br /> =GAS = ROOFING' Q °=:-SPECIALTY!'=. :,.OTHER'. <br /> FINISHED'FLOOR ELEVATIONS FLOOD`ZONE AREA =YES NO' <br /> BUILDER COMPANY'' ./ !x k(! <br /> SIGNATURE REGISTEREb% Y''/ FEE CURRE�G; :Y'/=N``'` •. �y//� <br /> i <br /> Address <br /> ® �!@ License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ''REGISTERED Y.'/.''N z'; ; ..`IF,EE'CURRE�_:;_ r' <br /> :Address License.itt <br /> PLUMBER COMPANY <br /> SIGNATURE 'REGISTERED' YJ/ N FEE:cuRREn.': L:cY'l,N:+'<<- <br /> Address:, License- <br /> MECHANICAL', <br /> r COMPANY- <br /> SIGNATURE; REGISTERED. Y:% N. FEEGURRE� Y/N, <br /> Address License.#r <br /> OTHER <br /> SIGNATURE `REGISTERED `,W `W _`FEE CURREh' Y'/ <br /> Address ` =License#_ <br /> ' •>': a, ..1 �, �,s..J'•:;•�;...,,.. .:",�:,::n;r,. <br /> RESIDENTIAL Attach'<2 'Plof Plans''2' sets JbI Buildin` 'Plans;r.i.sef df'`Ene' Forms;R=0-1N°P.ermitfor•rtew consfruc6on:°• <br /> Minimum.ten(10)working days after submittal:dete..Required orisite,.Construction Plans,Stormwater Plana`w/'Silt-Fence'installed; <br /> - Sanitary Fact hies&1 dumpster;Site Work Permit•for subdtvislonsAarge projects <br /> COMMERCIAL Attach:(2)complete sets;of.Buildirig!Plans plus°a.Life Safety�Page;(1)�set'of Energy Forms.,R=O-W-Permit-for,new. nstruction:" <br /> Minimum ten(10)"'working days:after submittal date Required onsite,Construction.Plans;'Stomiwater Flan's'w%'Silt Fence;:installed = ' <br /> Sanit;3ry;FaaiiiNes&,;1,,dumpster.;Site:Work Peri ii#.for all new-projects.All commercial_requirements_must meet-compliance: <br /> SIGN:PERMIT Attach:(2)sets,:of Engir eered Plans. . <br /> ****PROPERTY SURVEY'r6tl6Ired'for aif NEW construction. <br /> 'I)lrectlona: <br /> Fill Ouvapplication completely.. <br /> Owner&Contractor sign.back of application,notarized <br /> If over$250ka•Notice'of Commencement-is required.AA/C,upgrades over$7500) <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 contiact"required) •' .� . ' •. " <br /> Reroofs if shingles Sdwers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over.Counter if�or public:rgadways need`s ROW <br />