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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> , Bu3fding Department <br /> . . <br />�� Date Received phone Contact for Perm�tking - <br /> Owner's Name �VJ l 1""2 �-C��` � ��Y'�'j C2�-�._ Owner Phone Number -J :}- � <br /> Owner`s Address �ue�on�umber �����)�� �� 1�� <br /> �}� <br /> Fee Simple TiNeholder Name (���. Owner Phone Number � � <br /> I <br /> Fee Simple Titleholder Address � <br /> JOB ACIDRESS 39 ��t 3 �G�QD WGO� �-00 p LOT# �� <br /> 3 .- Z - - _a <br /> SUSiIVISIiN ��K��aCI�C:�.,���X..�..� �ARCEL ID� l � ` f �r�� � 7�i <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSEd e NEW COiVSTR 8 ADD/ALT � $tGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED llSE Q SFR Q Ct?MM � QTHEft <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DE3CRIPTION OF WORK � W O b V <br /> BUILdING SIZE �� � t� � SQ FOOTAGE[_�_� HEIGHT ��_� <br /> QBUII.DING ��] VALUATIdN OF TOTAL CONSTRUCTION <br /> � � <br /> QELECTRICAI� � � AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C. <br />, OPLUMBING �6� �'1"' <br /> QMEGHANtCAI. $ VALUATION OF MECHANICAL INSTALI_,4TlON L����� �� <br /> ' � <br /> I OGAS Q ROQFING Q Sp�C1ALTY �] OTHER ����� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YE � <br /> [�] S NO <br /> BUI�DER rj^� �(� COMpANY t�'l � <br /> SIGNATURE �' I ' lJfJ� REGISTERED Y/ N FEE+ RRE� Y/N <br /> Address License# r� � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> P�UMBER COMPItl�1Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> � Address License# � � <br /> j MECHAt�lICAC COMPANY <br /> 31GNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# � -� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> RESfDENT1Al. Attach(2)Ptat Ptans;{2)sets of Building Plans;{1}se#of Energy Forms;F2-O-W Perlrilt for new construct3on, <br /> Minimum ten(10}working days after submittal date. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed, <br /> __ _ Sanfta�Facitities_&1_dum ster•S�ke_1�CoCk:P__etmitJ�c&ubdivisions/large praJects� __ - _. _ . _ - <br /> G�Q14IiM�RC1At,. Attach{3}complete sets of 8u8ding Plans plus a I.ife Safety Page;(1}set af Energy Fatms.R-4-W Permf#far new consUu�tlon. <br /> Minlmum ten(10)warking days after subm(ttal date. Requfred onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit far all new projects.All commercial requirements must meet compfiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""*PROPERTY SURVEY required for all NEW construction. <br /> Dkections: - . . <br /> , ,, <br /> Flll out applica8on completely. , <br /> Owner 8 Co�tractor sign back of appitcakion,nota�ized ; , , + � <br /> If over�2500,a Natic�of Cammencement is required. {AtC upgrades over$754d) --- " ' <br /> '" Agent(for the contractor)ar Power of Attomey(for the owrner)would be sorrieone with natarized letter from owner authorizing same , <br /> �VER THE COUNTER PERMl1TING ' {FFont of App11oa6�sri Onty)"" . ': . . °, _ <br /> Reroofs if shingles Sewers ServicerUpgrades A/C ''Fences(FIoNSurvey/Footage) , � � � , <br /> Drivaways-Not aver Counter if on,pubtic roadways..needs ROW ' ' ' <br />