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813-780-0020 <br /> City of Zephyrhills Permit Application <br /> Building pepanment Fax-813-780.0p2� <br /> Da4e Received ' <br /> r��7��_�TI- PhoneContactforPertniUin �/N �7 <br /> Owner's Name ' /,/}, / - � - v <br /> l�l <br /> Z D� � Owner Phone Num�r ��.��/��� <br /> Owners qddress ��� <br /> �� �/ Owner Phone Number <br /> Fee Simple TiUeholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Atltlress <br /> JOB ADDRESS <br /> SUBDIVISION /� <br /> LOT# � <br /> PARCEL ID# II-�/ �- Q� <br /> WORK PROPOSED (OB7AINED FROM PROPERTY TA)(NOTICE) �� <br /> e NEWCONSTRe REPAIRT � SIGN � <br /> PROPOSED USE �NSTALL Q DEMOLISH <br /> NPE OF CONSTRUCTION � SFR � COMM <br /> Q BLOCK � FRqME � OTHER <br /> DESCRIPTION OF WORK � STEEL O <br /> p � deu,�. w►t� e���-c.. ��t rtx�f� <br /> BUILDING SIZE OK` <br /> SQ FOpTAGE� <br /> � HEIGH7 � <br /> �'F�UILDING $ <br /> � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ <br /> AMP SERVICE � PROGRESS ENERGY <br /> QPLUMBING $ � �.R.E.C. <br /> QMECHANICAL $ �� A <br /> VALUATION OF MECHANICAL INSTALLqTION �'/ <br /> �GAS � ROOFING � � � y� <br /> FINISHED FLOOR ELE 0 SPECIALTY � OTHER � �� <br /> IONS <br /> FLOOD ZONE AREq <br /> QYES NO <br /> BUILD <br /> SIGNATURE /� <br /> ��, OMPANY � <br /> REGISTERED � Q �� <br /> Address �STQ T l�� -.L.1lJ� <br /> Y� N FEE CURR Y/N <br /> Zr lll u� <br /> ELECTRICIAN �r, License# 5 1 Z <br /> SIGNATURE � <br /> COMPANY <br /> REGISTERED Y/ N <br /> AdtlfBS3 FEE CURREA Y/N <br /> PLUMBER License# <br /> SIGNATURE <br /> COMPANY <br /> REGISTERED Y/ N <br /> Adtl�BgS FEE CURREA Y/N <br /> MECHANICAL License# <br /> SIGNATURE <br /> COMPANY <br /> REGISTERED Y/ N <br /> Atltl1@55 FEE CURREA Y/N <br /> OTHER License# <br /> SIGNATURE <br /> COMPANY <br /> REGISTERED Y/ N <br /> AddfEgg FEE CURRE� Y/N <br /> 111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Atlach(2)plot plans;(z)sets of Building Plans;(7�set of Ener Fe License# <br /> Mirnmum ten(10)worki�8 days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Wo�k pe�mit for subdivisions/larne,oaW Pe�1t for new construction, � � � � <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safet Pa e� <br /> Minimum ten 1p 9 p ��S <br /> ( )�+�orking days after submittal date. Requi ed nsite)�o��ti teon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 7 dumpster Site Work permit for all new prqects.All commercial requirements must meet compliance <br /> 9Y Forrns.R-O-W Permit for new constnrction. <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NE W construction. <br /> Directions; <br /> Fill out application completely <br /> �Nmer 8 ConVactor sign back of application,notarized <br /> �f°�e�52500,a Notice of Commencement is required. (q/C upgratles over 57500) <br /> ` A9ent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letler from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of App���tion Only) <br /> Reroofs if shingles Sewers Service�pgrades A/� Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />