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813-7$0-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buitding Department <br /> Date Recelved /�s-- ��� _ �} <br /> � l J Phons Con#act far Permitting !�� � ;� <br /> Owner`'s Name 4 � � ((ij Qwner Phone Numba� �� �C 7� ^ 1 g� <br /> Owner's Address � ` �-'� Owner Phone Nuri�ber � � <br /> Fee Simple Titleholder Name �— � , , � Owner Phone Number � � <br /> I� Fee Stmple Titleholder Addreas <br />� t �_� <br /> JOB ADbRES3 � � �r � � LOT# <br /> �UBDIVISION �� � PARCEL ID# �� <br /> . (pBTA1NEp FROM PROPERTY TAX NOTICE) <br /> WORK PROPC}SED e NEW CONSTR 8 ADDlAIT C� SIGN Q Q DEMOLIBH <br /> INSTALL REPAIR <br /> FROPQSED USE Q SFR Q GOMi1t1 � dTHER <br /> TYPE OF CONS?RUC1'ION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �� G�/S /!� <br /> BUILDIN�SIZE �^ � SQ POOTAGE�� HEIGHT C�� <br /> QBUII.D]NG �—� VALUATION OF 70TAL CONSTRUCTION <br /> QE�ECTRICAL $ �a �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING ��---l� )��� <br /> � <br /> OMECHANlCA� $ VA�UATIQN OF MECHANtCA�INSTA�LATlON <br /> QGAS � RC}OFINfia O SPECIAITY � OTHER <br /> FINISHED FLQOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO � <br /> 8t31LDER CONIRANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address - License# �— � <br /> EIECTRIC1Afi+1 COMPANY � j�`-� �_�p 1� � <br /> 81GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres� License# � y � <br /> P�UMBER � COMPANY <br /> SIGNATURE � REGI57ERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> MECHANICAl. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��i License# �— � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �^ —� <br /> RESlDENTfAt. Attach{2)Ptot Plans;(2)sets of Bu3tdang P1ans;{1}set of Energy Forms;R-O-W Permtt for new canstruction, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Wo�lc Permit for subdivisions/large proJects <br /> C4MMEE2CIAl. Attach{3}complete ssts af BuiEding Plans plus a I.ife Safety Page;(1)set of Enetgy Fonns.R-Q-W Perrnit far new constructian. <br /> Minimum ten(10)wo�lcfng days'after submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compl[ance <br /> - SlGfhi PERMfT Aftach:(2)sets af Er�glneered P(ans. " <br /> "'"PROPERTY SURVEY required for ail NEW construcUan. <br /> Dlrections: <br /> Fill out appUcation completely. <br /> Owner&Contractoe sign back of appllcatian,notarized <br /> If aver 52500,a Nottce of Cammenceme�t ts required. {A!C apgrades over�T500j <br /> `" Agent(for the conhactor)or Power of Attamey(for the owner)would be sameone with notarized letter from owner authorizing same <br /> OVER THE COUFITER PERMlTTING (Front of Applicati6ri Only} ;�'�` `4 <br /> Reroofs if shingles Sewers � Service,Upgrades''A/C'`�.: Fences;(PlodSurvey/Footage) <br /> �;. ;�, .,. ., „ � , <br /> driveways-Not over Counter if orr.Qubiia roadways;.needs.,ROW;.°;,:`_,.:.,,, <br />