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}-_�.11 *U . <br /> Z <br /> aisaao-oozo City of Zephyrhills ermit Application Fax-813-780-0021 j <br /> Building D partmeni ! <br /> � <br /> i <br /> Date Reoeived � � <br /> �_�r_r�T Phone Contactfor Pe ittinq� — <br /> Owner's Name � '' Owner Phone Number <br /> 0 t,, <br /> Owner'§Address ic Owner Phone Number <br /> Fee Simpla Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ' <br /> JOB ADDRESS � � LOT i/ � <br /> SUBDIVISION PARCELIDi1 Y° �� '' r a <br /> .(OBTAINED FROM PRdPERTY TAX NDT�CE) <br /> WORK PROPOSED e NEW CONSTR B ADDIALT SIGN � � DEMOLISH <br /> INSTALL REPAIR' <br /> PROPOSED USE Q SFR Q COMtvt OTHER <br /> IYPE OFCONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> (�p.,,JE�SqC�RIyP'7�dN OF WORK 1 YYLY� � � <br /> BUILOING 51ZE /� SQ FOOTAGE� HEIGHT � <br /> �B�-_ ILDI� �� VALUAT�ON OF T TAL CONSTRUCTION ; <br /> �� <br /> QELECTRICAL $ AMPSERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> QPlUM81NG $ ���� <br /> QMECHANICAL � VALUATION OF M CHANICAL INSTALLATION � <br /> �� � <br /> QGAS �` ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEYATIONS FLOOD 20NE REA QYES NO <br /> � <br /> BWLDER ! MPAN � +t� j <br /> SIGNATURE I FiEGISTE Y N fEECURREI. ! <br /> Address � License# � 0 i <br /> ELECTRIClAN COMPAN �— � � <br /> SIGNATURE REGISTERE Y/ N FEE CURRE� Y 1 N <br /> i <br /> Address License� <br /> PLUMBER � R OMPE � Y f N FEE CURRE� Y 7 N � , <br /> SIGNATURE <br /> Address License q `� <br /> MECHANICAL COMPAN ; <br /> SIGNATURE REGISiERE Y/ N FEE CURREA Y!N � <br /> Address Litense H ' <br /> OTHER � COMPAN <br /> SIGNATURE � REG�STERE Y I N FEE CURREt� Y J iJ <br /> Address license t1 <br /> Ilillllill�lllllllltllllllllllllllllllllllllllll ( IIIIIIIIIII.IIIII111 <br /> RESIpENTIAL Altach(2)Plot Plens;(2)sets of 8uilding Plans;(1)set of Ener y Fortns:R-O•W Permit/or new construction. <br /> Minimum ten{10)warking days'after submiflal date. Required nsite,ConsWction Plans,Stortnwater Plans wt Siit Fence installed, <br /> Sanitary FaciGlies 8 1 dumpster,Slte Work Permit for subdivisi nslfarge projeds <br /> COMMERCtAL Atfech(3)complete sets of Building Plans plus a Life Safety Pa e:(1)set of Ener9y Forms.R-O-W Permit for new construction. <br /> Minimum[en(10}working'days after subm(tlal date. Requlred nsite,ConsWCtiomPlaos,.5tortnvrater Pians wl Silt Fence installed, <br /> Sanitary Faci�ities 8 1 dumpster.Site Work Permil For all new p jects.All coinmercial requiremerits must meet comptiance <br /> SIGN PERMIT At1acH(2)sefs of Engineered Plans. ' '' <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out:applica8on campletely. <br /> Owner 8 Confraclor sign back ot application,notarized <br /> Ii over$25D0,a Notice of Commencement is required. (AIC upgrades ov c$7500) <br /> " Agent(for the contractor�or Power of Attomey(for the.owner}would be some ne with nalarized ietter trom owner authorizing same <br /> OVER THE COUNTER PERMITTIkG (front of Application Only) <br /> Reroofs if.shingles Sewe�s Service Upgrades AIC Fences�(PIodS eylFootage) _ , , _, „ , ._, <br /> Oriveways-NOt over Counter H on public rondways.:needs ROW ' <br /> � ' � .. . . ' . ., , ., <br /> , . , � , <br />