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i <br /> 813-780-0020 City af Zephyrhills Permit Application Fax-813-�so-ooa� <br /> Buitding Depaetment <br /> ^ ry' i <br /> Date Roceived ' Phone ntact for Permltting — <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phona Numbar � u � <br /> Fee Simple Tltleholder Name * Owner Phone Numb'er � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRES� D �Gl�"r �iJ't � I LOT# �� <br /> SUBDiVISION � � PARCEL.ID# <br /> (OBTAINED FROM PROPERTY TAX NQTICE) <br /> WORK PROFOSED NEW CONSTR ADDIALT 0 SIGN Q Q DEMOLISH <br />• INSTALL 8 R6PAIR <br /> PROPQSEd U3E Q SFR Q Ct3MM � OTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q RAME C� STEEL Q <br /> DESCRIPTION OF W4RK <br /> BUILDiNG SIZE SQ FOO E� HEIGHT ��� <br /> ��������� VALUATION OF TOTAL CONSTRUCTION <br /> QE�ECTRICAl. �� AMP SEFiViCE Q PROGRESS ENERGY [� W.R.E.C. <br /> �PttlMBING �$> � <br /> L <br /> QMECHANiGA�. �$;� VALUATtUN OF MECHANICAt.tNSTA[.IATIC}N <br /> L <br /> [�GAS Q ROOFING Sf'ECIALTY �� OTHER <br /> FINISWED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUILQER COMPAHY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �i � <br /> EIECi'RICIAN � COMPANY <br /> � SIGNATURE RE�is7�Reo Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> P�UMBER � COMPANY <br /> SIGNATURE � REGI$TERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICA[. � COMPAPtY <br /> ', S1GNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address icense# <br /> � t}TMEFt CO�UIPANY <br /> ' S�GNATURE REGISTERED Y/ FEE CURRE� Y/ <br /> � Address -�"� License# � <br /> REStDENTiAL Attach{2}plat Plans;(2}sets of Building Ptans;(1}set of Energy Forms;R-4-W Permlt far new constructian, <br /> Minimum ten(10)woricing days after submittai date. Required onslte,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects , , ' � <br /> COMMERC1Ak. Attach(3}comptete sets of 8u3tding Plans plus a t�ife Safety Page;(1)se#of Energy Forms.R{?-W Pertnif for new construction. <br /> Minimum ten(10)working days'.after submittal date. Required onsite,Constructfan Plans,Stortnwater Plans w/Silt Fence Installed,�, <br /> Sanitary Facilities&1 dumpster.Site Work Permlt for aU new proJeets.All commercial requirements must meetcampliance <br /> $IGN PERlYIIT Attach{2}sets of Eiiglneered Plans.. <br /> •`•"PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fill out applicadon completely. � <br /> Owner&Contractor sign back of application,notarized <br /> tf over�2500,a Nottce of Commencement is required.;.:{A!C>upgrades over�7500) <br /> �� " -� ' ., <br /> Agent(for the cont�actor)or Power of Attomey_(for the owner)would.be sa'meone with natarized letter from owner autharizing same <br /> OVER'TNE COtJNTER PERM{TTIFiG - {Fronf oE Apptication Onty} ==' <br /> Reroofs if shingles Sewers ;Senrice Upgrades A/C � Fences.(Plof/Survey/Footage) <br /> Drivsways-Not over Counter if on public roadways..needs ROW <br />