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sis-7aaaozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received .. � �a,�I Phone Contact for Pertnittin ��„ I 1 / -�� <br /> Owne✓s Name � � Owner <br /> -rT't"fTTI"T <br />, � � (, Phone Number { r 3 3$2'��7 <br /> Owner's Address �O� ` c..i�� Owner Phone Number � � <br /> Fee Simple Titleholder Name �— � Owner Phone Num6er �� � <br /> Fee Simpla Titleholder Address <br /> J08 ApORESS I '^" �OT# �� <br /> SUBDlVlSION � � PARCEL ID# ~� �� "VV�(„Jr ( <br /> {08TAINED FROM PROPEKfYTAXNOTICE} <br /> WORK PROPOSED � NEW CoNSfK 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED t7SE Q SFR Q COC�iM � OTNER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTiON C!F WORK � 'C <br /> BUILDiNG 5lZE �` � SQ FQOTAGE HEtGHT � <br /> QBUILpING r;� VALUATION OF TOTAL GONSTRUCTION <br /> L <br /> QELECTRICAL rs � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> L <br /> �PLUMBlNC, �a� <br /> �MECMANICAL $ ���`� VALUATION QF MECNANlGAL tNSTALWTtON � ���� f <br /> OGAS 0 ROOFING Q SPECIALTY � OTHER � <br /> l � � � <br /> FISdI8HE4 FLOOR ELEVATIONS �� FL06D ZONE AREA QYES NO <br /> BUILpER � � COMPANY � <br /> SIGNA7URE r��IS7ertEO Y/ N FEE CUftRE� Y/N <br /> Address Cicense#� T� <br /> ELECT�tIC1AN COMPANY � <br /> SI�NA7URE �� � REGIS?ERE6 Y!N �eecuttixEt� Y1N <br /> Address License# �- y ! <br /> PLUMBER � � COMPANY �� � <br /> SI�iNATURE ��IS1�Reo Y/ N FEE CURftE� Y/N <br /> Address � License# �` � <br /> _. <br /> ... .::::. ...... . � <br /> MECHANIGAL COMPAFSY ��'S �'t' �� <br /> SIGNATURE �Gis�r�a Y i N �E cuw�en Y/N <br /> Address `X 3`L� License# ��,��C?����� <br /> OTHER � � COMPANY � <br /> SIGNATURE �cISTEREO Y/ N FEE CURHEt� Y/N <br /> Address License# �—� � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllll <br /> RESlDENTIAL Attach(2)Pfot Ptans;(2)sets af Buiidi�g Plans;(1j set ot Energy Forms;R-O-W Fermi#£or new construction, <br /> Minimum ten(1�}working days after submittat date. Required onsite,Construction Plans,Stormwater Plans w!Sift Fence installed, <br /> Sanitaty Facilities&1 dumpster,Site Work Permit for subdivisions/igrge projects <br /> COMMERCIAL Attach(3)complete sets of Building Ptans plus a Life Safety Page;{1)set ot Energy Forms.R-O-W Permit far new consVuction. <br /> Minimum ten(9Q)working days after su6mittal date. Required onsite,ConsWCtlon Ptans,Stormwater Plans wl Si!#Fence installed, <br /> Sanitary Faciiities 81 dumpster.Site Work Permit for afl new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets pf E�gineered Plans. � <br /> "'PROPERN SUftVEY required for al!NEW constrvcdon. . <br /> Directions:� <br /> Fill out application completely. <br /> {7wner 8 Contractor sign 6ack of application,nfliarized <br /> If over$2500,a NotEce of Commencement is required. (AIC upgrades over$7500} <br /> " Agent(for the contractar)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMlT73NG {Front of Application Qntyj <br /> Reraofs if shingles Sewers Service Upgrades A!C Fences(PIoVSurveylFootage) <br /> Driveways•Not over Caunter if on public roadways..needs RQW <br />