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n,s-�au-uuzu Ciry of Zephyrhills Permit Appiication Fax-B13-7B0-00T7 <br /> Bullding Department <br /> Date Reeelved <br /> Phons CoMaet for p�rmlttl� <br /> Owner's Name Owrier Phona Number <br /> Owne►'s Addrcss Owner Phone Number <br /> Fee Simple Titlaholdar Nems � Owner Phone Numbe� <br /> Fee Simple Tkleholder Address <br /> JOB ADDRESS LOT! �� <br /> SUBDIVISION PARCEI IDA <br /> (OBTAINEp FpOM PROPERTY TAX NOTICE) <br /> MfORK PROPOSED B NEW CONSTR 8 ApD/ALT Q SIGN Q Q DEMOLISN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM [_] OTHER <br /> TMPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL O <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAOE�� MENiHT <br /> QBUILDING s <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING s <br /> QMECHANICAL s VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROpFING Q SPECIALTV � OTHER <br /> FINISHED FLOOR ELEVATIONS F�OpD 20NE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Addreas Ucense# <br /> ELECTRICIAN �COMPANY O�^ L� �� ���' � <br /> SIGNATURE EGISTERED Y/ N FEE CURREI. Y/N <br /> Addrcss License� _�_�j�(, /��` <br /> PLUMBER COMPANY <br /> SIGNATURE REOISrenEO Y/ N �E curtnen Y!N <br /> Address <br /> ucense# <br /> MIECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE WrtREn Y I N <br /> Addrc�s U�86# <br /> OTHER COMPANY � <br /> SIGMATURE reEC�s�aeo Y/ N F��treEn Y/N <br /> Addross � <br /> Ucense!1 <br /> RESIDENTIAI Attach(2)plot plans;(2)seta of Bullding Plans;(1)tet of Energy Forms;R-O-W Permit ta new construction, <br /> Mlnimum ten(10)wakirp days after aubmlttal date. Requlred onake,ConsWdion Plans,Stortnwater Plans w/Silt Fence instalied, <br /> Sanitary FadNtles 6 7 dumpater;Slte Wak Pertnit for subdiWSionsllarge proleets <br /> COMMERCIAL Atlach(3)compiete sels of Buildlrg Plans plua a Life Safery Page;(1)set ot Enetgy Forms.R-O-W Pertnit fa new construcflon. <br /> MiMmum ten(10)working days afler aubmiHal dafe. Requlred onsite,Conatructlon p�ans,Stormwate►Plans w/Sllt Fence installed, <br /> SanHary FadliNes 8 1 dumpster gite Wak perm�t for all new projecfs.A11 commerdal requirements must meet compliance <br /> SIGId PERMtT AHach(2)sets ot Erqineered Plans. <br /> ""PROPERTY SURVEY roqulrod for all NE W consWeflon. <br /> ---�r rrr�,.�� <br /> DlrocHons. <br /> Fitl out applicatbn completey <br /> Owner 3 Conhador sign back oi appNcation,rwterized <br /> H ovar f2500,a Notlee o/Comm�npmeM Is nquired. (AIC upgndes owr f7500) <br /> " Agent(for lhe contractor)or Power oi Altomey(for the owner)would be someone wilh notarized lefter irom owner autlwrizfng same <br /> OVER THE COUNTER PERMITTIN(i (Front of Applieatlon Only) <br /> Reroois il shingles Sewers Servlce Upprades A/C Fences(PbVSurvey/Footage) <br /> Drivevinys-Not over Counter ii on puWic roadways..needs ROW <br />