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s�a-7eo-oo2o City of Zephyrhills Permit Application Fax 813asaoa2� <br /> •- � Buftdi�g Department <br /> _ � . <br /> Date Reaeived phone-Co»tact for Permlttin <br /> Owne�'s Name I Qwner Phone Numbar <br /> Owner's Address Owner Phone Number �-� � <br /> Fee Slmple Titleholder Name � � Owner Phane Number �4 � <br /> i <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# �� <br />% SUBDIVISION �� � PARCE�ID# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WdRfS PROPOSED NEW CONSTR ADD/ALT' � SIGN Q Q DEMOL15ii <br /> e INSTALL 8 REPAIR <br />' PROP03ED USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK ''1�L`>�t �-(_ t.�G� / �� � `� �SC�,7 �� C� <br /> BUILDING SIZE �_ � SQ FOOTAGE�. HEtGHT �–______� <br /> OB�j�'d��� �—� VALUATIOTV QF TOTAL CONSTRUGTION <br /> �J <br /> ��ECTftICAL $ f � ...,�- � AMP$ERVIGE ��� PROGRESS ENERGY Q W.R.E.C. <br /> ��� <br /> i QPLt1MBING � � ,��tt� <br /> � 'b <br /> QMECNANICAl. $ VALUATION OF MECHANICA�lNSTA�lAT10N <br /> OGAS Q RQOFING Q SPECIAL'FY [� t)THEf2 <br /> FINISHED FLOOR ELEVATIONS �_____..� , FI.00D ZONE AREA QYES NO <br /> � <br /> BUI�DER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/,N <br /> Address � L`icense# r � <br /> ELECTRICIAN C8NlPANY � �S '-' �l1 '-�l� <br /> SIGNATURE REGISTERED Y/ N PEE CURRE� Y/N <br /> i <br /> Addresa ( License# ��r �����G� <br /> PLliMBER C�MPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> I <br /> Address � License# � � <br /> � <br /> MECHANICAL COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y./N <br /> I <br /> Address I License# r� � <br /> � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. <br /> I <br /> Address � i:lcense# � � <br /> RESlDEN'FlAt: Attach{2)P!a#Plans;(2}se2s of_Building Plans;{1}se#of Energy Forr►�s;R-O-W Permit for new�nstructian, <br /> Minimum ten(10)working days,after.subttilttal date. R�equlred onsite,CanstrucHan Plans,Stortnwater plans w/Silt Fence installed, <br /> Saoitary FaGliUes&1.dumpster,Slte Wat1c Permit for subd[VisionMarge praJects <br /> COMMERCiAL. Attach{3)camptete sets 6f Buitding Plans plus a l.�fe Safety Page;{1}set af Energy Fonns,R-U-W Psrmit#or new cans#ruction. <br /> Minimum ten(10)woricing days afker submittal date. Required onsite,ConsUucklan Piane,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster.Site Work Parmit for al!new proJects.All commercial requtrements must meet compNance <br /> StGN PERMIT Attacti{2)sets of Ei�glneered Pians., <br /> ""'PROPERTY SURVEY required for all NEW constructlon. <br /> �jt9Ct�0�18: i [� __ _, � 1 'F;'"'_-. <br /> Fill out applicaUon completely. ; , ` ' � �, ? <br /> C)wrner&Cantraetor slgn back of appiicatlan,natarized'.'. ` '•:� � '`,,;{ ' <br /> If aver�x540,a Nottcs of Cammencement is.requirad. _{AIC upgiades over b7500) '�' ��``, � - ,����. _� � <br /> " Agent(for the cantractor)or Power of Attomey,(far the,owner)would tie.someone with notarized letter fmm owner authorizing same ', , <br /> dVER THE COUNTER ASRMiTTfNG (Front of•Appltaation�Only}`;" �. . �., � �-.� �=;:�! -� <br /> Reroafs if shingles SeW81Xi ServiCe'Upg��CI6S,rA/G'"_ Eenrres;,(PIoUSurvey/Footage) " � • �r�; �•- . . .,, ' i <br /> �. .,. � ... .: c �i;, ' , ' - �. r..,. F'' _ ' <br /> -�i; . t,.y 4 .. <br /> drivewaya-Not over Counter if on pubiic roadways„needs�ROW:;��`�;��., , . . ,, , , _ - � � - � <br />