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, 81&780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 9uilding Departmern � � � _ / � /► <br /> (; � i <br /> Date Received Phone Confact for Permifb'n9 �� (Q — ✓� <br /> T7 - T T - n iZ � � - r <br /> Ownefs Name Owner Pl�one Number ' ' 7 0� � <br /> Owners Address 0. �� Owner Phone Number <br /> Fee Simple Tideholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> � LOT # �� <br /> SUBDMSION PARCEIIDII � � � <br /> (OBTAItED FROM PROPERTY TAX N0710E) <br /> WORK PROPOSED e NEW CONS7R e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> pROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTIONOFWORK I��n <br /> BUILDING SIZE SU FOOTAGE �077 � HEIGHT <br /> �BUILDING $ �JO� vVALUATION OF TO7AL CONSTRUCTION <br /> (/ <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � i,l 1 �" / � <br /> V� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� �/ �' <br /> �' � ✓ <br /> QGAS ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> a <br /> BUILDER � COMPANY <br /> SIGNATURE <br /> � REGISTERED Y/ N EE CURRE� Y! N <br /> Addresa License � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License N <br /> PLUMBER COMPANY <br /> SIGNANRE REGISTERED Y/ N t� ct�xen Y! N <br /> � License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License � �� <br /> OTHER C�P� <br /> SIGNATURE r�c�stEr�o Y/ N � cuw�n Y/ N <br /> � License # <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENIIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-4W Permit for new consuuction, <br /> Minimum ten (10) woAting days after submittal date. Required onsite, ConsWC[ion Plans, Stoimwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Bu�ding Plans plus a L'rfe Safety Page; (1) set of Energy Fortns. R-O-W Pertnit for new conslluction. <br /> Minimum ten (10) woilcing days after submittal date. Required onsite. Consttuction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster. Ske Work Permit for all new projects. All commeraal requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construd'wn. <br /> Directlons: <br /> Fill out appNcaGon canpletey <br /> Owner & Contrdctor sign badc M applicalion, rrofarized <br /> If over 52500, a Notice of Commencement is required. (NC upgradea over 57500) <br /> '" Agent (for the conMador) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatan Only) <br /> Reroofs if shingles Sewers Service Upgredes A/C Fences (PbtlSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />