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-– — :� <br /> 813-780-002p City af Zephyrhills Permit Applicatian Fax-813-�so-ooa� <br /> Building DeparEment <br /> Date £Celve`d r p� <br /> •a� ,�— "'� r7 Phone Contact for Perm�tting O l� ��° – 7`��� <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number C� � <br /> Fee Simple Titleholder Name �� � Owner Phone Number �� � <br /> Fee Simple Tttleholder Address <br /> JOB ADDRESS �� 1 .�� r�� �V v�°S}- �' ���� .�rOC�W�0✓�-�5 L.OT# C� <br /> SUBDiVIS10N �5�4�� �r�V�-� � PARCEL ID# <br /> (OBTAINED FROfN PROPERTY TAX NOTICE) , <br /> WORK PROPOSED e NEW CONSTR 8 ADDtALT 0 S1GN �J Q DEMOLISH <br /> INSTALL REPAIR <br /> Pt2QPOSED USE Q SFR Q COMM � OTNER <br /> TYPE OF CONSTRUCTION Q BLQCK Q FFtAME �� STEEL Q <br /> DESCRIPTION OF WORK �� ��'.... �'1�d�/`� � p� '�0.��f.�.,, ' <br /> BUILDlNG SfZE �� � SQ FOOTAGE��� HEIGHT ��� <br /> �B�i�'���� $ �VALUATION OF TOTA4 CONSTRUCTION <br /> �...,,� <br /> �EC'CF21CA� $ �? �p Q � ar��s��v�c� � PROGRESS EhtE12GY Q W.R.E.C. <br /> o�� <br /> QPtUMBING �, � - �,(�"'}� <br /> QMECHANtCA� $ VALUATtON OF MECHANICAL(NSTAL.l.AT10N <br /> f� ( � ,-I f <br /> QGAS Q ROOFt{dC Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �W� FLOOD ZdNE AREA QYES NO <br /> BUtLDER COMPAHY <br /> SIGNATURE _,, REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r— � <br /> ` -�. <br /> ��EC�trc�,a� �;���,s----� conn�a�nr �.��te�I.�1�-�� �C��o ��S�4� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �����c r y�9� �� <br /> PUlMBER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> �lIECHAN}CAL COIVIPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ticense# �' � <br /> OTHER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �" � <br /> RESIDENTIAt. Attaoh(2)Ptat Plans;(2)sets of Bailding Plans;{1)set of Energy Forms;fi-Q-W Perrnit for new construction, <br /> Minimum ten(10)woricing days after submittat date: Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facillties&1 dumpsker;Site Wark Permit for subdivisionsAarge proJects <br /> COMMERCIAI. Aitach{3)c�mplete sets af Bntld�ng Plans pius a Life Safe#y Page;{i}set of Energ}r FoRrts.R-tt-W Permlt far new canstn�ction. <br /> � _ Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Sita Work Permit far all new proJeots.All commerciaf requtrements must mest compltance " - <br /> StGN PERdld1T Attach{2)sets of Engineered Plans, <br /> '•""PROPERTY SURVEY required for all NEW constructian. <br /> O[ractions: <br /> Fill out applicaHon completely. <br /> 4wner&Contractor sign back of applfcatton,notarized <br /> If aver 5250D,a Not}ca af Cammencement is requfred. (A!C upgrades avar$7500) <br /> '" Agent(for the contractor)or Power of Atkomey(for.the owner).would be someone with notarized letter from owner autho�izing same <br /> wY{Si.Y�i++ ' <br /> OVER THE COUNTER PERMIfiTiFIG ��r(Ftonf of Appticatian Only) • �� � <br /> Reroofs ff shingles Sewers ' �Service',Upgrades.lA/C,,, � Fences(PlotiSurvey/Foo#age) <br /> Driveways-Not over Counter if on,public roadviray,s.,needs;ROW��='•�-�'���' <br /> � ,.,.�,., ._ .. <br />