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$��780�20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buiiding Department . <br /> Date Received ei / _� � —�O � � <br /> �� Phone CoMact for Permitting �7 �[� <br /> � � �e � � l C 6 1 Owner Pha�e Number —��—��_ <br /> Owner's Name —'� <br /> Owner's Address '.Z,�S� � g� rf' Owner Phone Number �� <br /> Fee Simpfe Titleholder Name Owner Phwfe Number �� <br /> Fee Simple 7�tleholder Address � <br /> JOB ADDRESS I V LOT# [� <br /> SUBDIVISIQN PARCEL ID# 3�"�7`�-� " G J ,7�y--(}G'QC1 <��d G' <br /> (OBTAINEp pROM PROPERTY TAX NOTICE) <br /> WORK PROPOSEO B NEw ConsrR e ApD/ALT Q SIGN Q Q DEMOLISH <br /> INSTAIL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER —� <br /> TYPE OF C�ISTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � M g� � q'�-i av, G� pw �/O I 1�� C�� <br /> BUILDtNG SIZE SQ FOOTAGE�� NEIGHT � /� <br /> QBUILD�NG $ VALUATION OF TOTAL CONSTRUCTION .'/ ��� <br /> QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. _ <br /> QPLUMBING $ <br /> QMECHANICAL $ VAIUATION OF MECHANICAL INSTALLATION �lZ�� � <br /> QGAS Q ROOFING � SPECIALTY � OTHER L�T W V�O C �I�� ` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> Licer�e# <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y 1 N FEE CURREn Y/N <br /> Address � <br /> License# <br /> PLUMBER COMPANY � <br /> SIGNATt1RE REGISTEREA Y! N FEE CURREP Y/N <br /> Address � <br /> License# <br /> MECHlWICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N F�cutt�n Y 1 N <br /> Address � <br /> License tk <br /> SI NATURE COMPANY ' CVS�l�i� Cq�J�l° Z L�`'���� <br /> � REGISTERED Y! N FEE CURREA Y/N � <br /> Address License# �� P CCri ��,�—� <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIf11J <br /> RESIDENTIAL Attach{2)Plot Plans;(2)sets of Buikling Plans;{1)set of Energy Fortns;R-O-W Pertnit fa nc�.v constniction, <br /> Minimum ten(10)Krorlcing days after sutxnittai date. Required ansite,Construction Pians,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL. Attach(3)complete sets of Building Plans plus a Life Safeiy Page,(1)set of Energy Fams.R-4W Permit for new construction. <br /> Minimum ten(10)waking days after submittal date. Required onsite,ConsUudiai Plans,Stortnvrater Plans wf SiR Fen��installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.,q��commercial requirements must meet compliance <br /> SIGN PERMfT Attach(2)sets of Ern�ineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fiil out application compietely. <br /> Owner&Corrtractor sign badc of application,notarized <br /> If over 52500,a Notice ot Commencemerrt is required. (AIC upgrades over E7500) <br /> " Agent(for the contractor)or power o{qgomey(for the owner)wouid be saneone v,�ith notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs i/shingles Sewers Service Upgrades A/C Fences{PbUSurveylFootage) <br /> Driveways-Not rner Counter if on public roadways..needs ROW <br />