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� 813-�ao-ooao City of Zephyrhills Permit Application Fax 813-780-0021 <br /> :i Suildi�g Department <br /> • _ � . , <br /> Date Recefved phone Contact for Permtttin — <br /> Owner'a Name �'d��Cs � 't""fa �ti,� Owner Phone Number <br /> Owner's Addrass ��Q� �- �"�� �L �� I k Owner Phone Numqer �: � <br /> Fee Simple Titleholder Mame �� � � Owner Phane Number � � <br /> i <br /> Fee Stmple Titleholder Addresa <br /> h ��JOB ADDRE$S `r(�?�p � ��'C.�"�a !✓0 � LOT# <br /> SUBDIVISION �u � PARCE�ID# tJ"�—�(P` ��` d ti��' ' O�o O�7— 4�a�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPt33ED NEW CONSTR ADD/A [�� S1GN Q Q DEMOLISH <br /> e INSTALI. REPAI <br /> PROPOSED;USE Q SFR Q CQMM � QTFiER <br /> TYPE OF CONSTRUCTION Q BLOCK [[� FRAME 0 STEEI. �] <br /> t � <br /> DE3Cf21PTIdN OF WORK �I'?�U cK CQ,, � <br /> BUItDING SIZE �� � SQ FOOTAGE �-� }� HEIGHT �� <br /> � <br /> OBUI�DING � ���-� 'a� VALUATIO I OF TOTAL CONSTRUCTION <br /> EI.ECTRICAL $ AMP SERVlCE PROGF2ESS ENERGY W.R.E.C. <br /> 0 0 � <br /> QP�UMBIIVG � �] <br /> J <br /> OMECHANlCAL {$ � VA�UATIO OF MECHANICA�INSZALlATIt?N <br /> L <br /> QGAS Q ROOFING. Q SPECIII.TY C� OTHER <br /> FINISHED FLQOR ELEVATIONS FLOO�ZONE AREA QYES NO <br /> BUI�DER �_�� tt { ���� C MPANY `��� �.t�-�� �{'z C <br /> SIGNATURE Lkwl `� RE I$TERED Y/ N FEE CURR � Y/N <br /> Add►es$ I ucense# �� —� <br /> E�ECTRICFAN C�MPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ( License# � � <br /> PLU[�ftBER C IMpAl�11Y <br /> Y <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address � License# C� � <br /> MECMANICAt, COLM� PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> � <br /> OTHEl2 CONIFANY. <br /> SIGNATURE ' ReG�STertE� Y/ N FEE CURRE� Y/N <br /> Addre�s I License# � �� <br /> RESlDEN31Al. Attach{2}Flot Plans,(2}sets of 8uilding'Ptans:{1)se of Energy�Farms;F2-O W Permit Eor new�nstructian, <br /> Minimum ten.(1.0)woricing'days.after subr►iittal date. Requlred onslte,Construc8on Plans,Stormwater Plans w/Sflt Fence installed, <br /> � Sanitary Faciiides&1.dumpster S(ta�Work•P.ermit for subd(vislons/large projects <br /> COMMERCIAL Attach{3}complete sets of Buitciing'Plans plus a Ufe Safety Page;{i}set o#Energy Fotms.R-0 W Permit far new construct3on. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Constructian Plans,Stormwater Plans w/Sllt Fence installed, - <br /> SaNtary Facilitles&1 dumpster.Site War1c Permit for all new proJects.All commercial.requlrements must meet compilance <br /> SIGN PERMIT Attach{2j sets of Ersglneered Rlans.: < -- <br /> '"""PROPERTY SURVEY requtred for all'NEW constn'cUon. <br /> Dlrectlons: ' <br /> FIII out application completely. <br /> Owner&ConRractor sign back of applfcaUon,notarized <br /> If ovar�2500,a Notice of Cammencement i�requlred. {NC upg�ades over 57540) <br /> �1� 4aM•tc.. I.�...u. . <br /> Agent(far the contractor)or Power of�Attomey(for3ttie"ownerj`wciultl'be,sbmeone with notarized letter from owner autho�izing same <br /> dVER THE COUN'i'ER PERMi'iTFNG ,; (Front�of f►pplicat�on Only) :. � <br /> Reroofs if shingles Sewers Ser'vice�Upgrades�A/C'�' "Fence� (RIoUSur,vey/Foatage) <br /> 4 <br /> Driveways-N�t over Caunter if an publlc roadwaiys.:needsRbW'"" '" �°-° <br />