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i <br /> s�s•�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Bultding Department <br /> ^ Date Received Phone Contact for Permittin c����T94 _1032 � <br /> ownets Name ZEPHYRHILLS FIRE DEPARTMEN� Owner Phone Number I <br /> ...... � <br /> Owners Address �8410 6'TH AVE.ZEPHYRHII.LS,F�. Owner Phone Number �� y� <br /> Fee Simple Titleholder Name � I � Owner Phone Number � �� <br /> I <br /> Fee Simple Titleholder Address I <br /> i <br /> JOB ADORESS 38414 6TH AVE.ZEPHYRHILLS,FL 33542 �ar# � j <br /> SU9DIVISION �� PA ICELlDN <br /> (087AIHED FR�M PROPERTY iAX NQTtCE) � <br /> WQRK PROPOSED e NEW CoNSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CQNSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTtON OF WORK REPLACE CONGRETE�+VALICWAY SOUTH STDE <br /> BUILDING SlZE � � SQ FOOTAGE I2QQ HEIGEi7 �� <br /> �BUILDING $ 3OOAU I VALUATIION OF TOTAL CONSTRUCTION <br /> _J <br /> QELECTRtCAI �� AMP SERV�CE � PROGRESS ENERGY Q W.R.E.C. <br /> QPl�UMSING �� <br /> QMECHANICAL �� VALUATIQN OF MEChIANICAL INSTALLATION <br /> ......_.._ <br /> OGAS Q ROOFING Q SPi CIALTY 0 OTHER <br /> FINISFiED F�OOR ELEVATIONS �� FL040 ZOt�tE AREA �YES NQ <br /> . I. <br /> BUILDER � � COMPANY PILLAR CONSTRUCTION GROUP � <br /> SIGNATURE ��,�..•..__ REGISTERED Y N FEE CURRE� Y/N <br /> ttddress 1312 BOWMAN ST,CLERMGNT,Fj�L 347I I ��cense# �GC152041$ � <br /> ELECTRICIAN C�M PANY � <br /> SIGMATURE � � aECisreReo Y t N FEe cuRREn Y 1 N <br /> Address I License# � � <br /> PLUMBER � � � COMPAHY � <br /> SIGNATURE � REqISTEREO Y/ N FEE CURRE� Y/N <br /> Address � ucense# � � <br /> MECHANICAL � � � COMPANY � <br /> SSGNATURE REGISTERED —�YI N FEECURREt� YIN <br /> Address I License# �— � <br /> OTHER � � � G4MPANY � y � <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �icense# � � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Huilding Plans;(1)set of Energy Fortns;R-O-W Permit for new co�struction, <br /> Minimum ten(10)working days after submiital da#e. Required onsite,Gonstruction Ptans,Stormvrater Plans wt Silt Fence instalted, <br /> Sanitary Faciiities 8 1 dumpster;Site Work Permi�for subdivisionsllarge projects <br /> C4MMERCIAL Attach(3)complete sets of Building Plans plus a Life 3afety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> MinSmum ten(10)working days after submittat date. Required onsite,Construction Plans,Stormwater Pians wi Siit Fence instaUed, <br /> Sanitary Facilities&1 dumpster Site Work Permi�for ail new proJecfs.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .i, . . , , , . . , . <br /> Diractions: <br /> Fill out appiication completely <br /> Owner&Contractor sign baok of application,nptarized <br /> if over S2500,a Notice af Gommencemen#is required. (AtC�upgrades over�754Q} <br /> " Agent(for the contracror)or Power of Attomey(for the owner)would be someone with notarized letter from owner authoriting same <br /> OVER THE COUNTER PERMITTING (Front of Application Onfy) <br /> Reroofs if shingies Sewers Service Upgrades A!C Fences(PloUSurveylFootage} <br /> i <br /> Driveways-Not over Counter If on public roadways..needs ROW <br /> � <br /> ' - — <br />