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,- <br /> i <br /> t <br /> e�saso-oo2o City of Zephyrhills Permit Application ----_., Fax-813-780-0021 <br /> Bullding Department <br /> ; ;� . - � , <br /> Date Recelved Pbone Contact far Permttttn - J �' <br /> Owne�'s tdame ,.�6 C� � �1 ` Gwner Phane Number <br /> Owner's Address Ipwner Phone Number � - � <br /> Fee Slmple Tltlehalder.Name � � Owner Rhone Number � � <br /> I <br /> Fee Simple Titleholder Address <br /> E <br /> JOB ADDRESS � O � S�� ,�(JG� ` �! �� LOT# �,� <br /> SUBDIVISION �— � PARCEL ID# <br /> (OB7AINED FROM PR4PERTY TAX NOTICE) � <br /> WORK RROPOSED- NEW CONSTR ADD/AI.T � S1GN' Q Q DEMOLISH <br /> e INSTALL REPAI � <br /> PRt}POSED,USE Q SFR, [� COMM [� OTHEF2 <br /> TYPE OF GONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �, � � � /.�� Q r <br /> BUILDING SI2E � � SQ FOOTAGE � HEIGHT C� � <br /> i�Q��G $� ° �/ p� / � VAI.UATIQN OF TdTAL CONSTRUCTION j f r��-� <br /> �—� � ��� ,A�.� - <br /> EIECTRiCAI $ AMP SERt/ICE Q PRO RESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� <br /> U.. �_ <br /> QMEGHANIGAk. $ VA�UATltl OF MECHANICAI IPISTALt.AT10N � F <br /> p` �� 1 . <br /> � ��� <br /> �GAS Q ROOFING Q SPEGIA�'fY � QTHER ! <br /> �. - �� <br /> FINISHED FLOOR ELEVATIONS ° FLOOD ZONE AREA �YES NO � <br /> . � � p <br /> SUILDER C4MPANY ����L..f� <br /> SICaNATURE �- REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address � L:icense# �— �� <br /> E�ECTRICIAN Ct�MPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � •I.icense# � � <br /> I <br /> PI.i1MSER , COMPANY <br /> 31GNATURE ,R�GISTERED Y/ N FEE CURREA Y/N <br /> Address � . License# � � <br /> � I <br /> MECHANICAL COMP/WY <br /> SIGNATURE REGISTERED Y! N F��cuw��n Y/N <br /> I <br /> Address � l.icense# � I <br /> � � <br /> O'fHER COMPANY <br /> SIGNATURE ' RE�isreREO Y/ N , Fe�CuRr�n Y/N <br /> i <br /> Addreas � 4icense# � � <br /> � <br /> RESIQEN'iIAL' Attaah{2}Ptot Rlarts;(2}sets-of Buil'ding Ptans;{1}set af Errergy�Farms;R O-W Permlt far new canstruction, . <br /> � Mlnimum,ten(.1.0)working"days aftec submittal date. Required onslte,Construction Plans;Stortnwater Plans w!Slit Fence instailed, <br /> � Sanitrary FaclltUes_&�1 dumpster,Site°Work�Permit forjsubdiVislonspatge projects ' <br /> GOMMERCIAL Attach(3}�comptete set`s af Buildirig"P4ans ptus a Ltfe Safety Page;(1)set of Energy Forms.R-U W Pertnit for new cansfnsctian, <br /> , Minimum ten(10)working days after submittal date. Required onsike,Construcdon Plans,Stormwater Plans.w!Silt Fence installed, <br /> Sanitaty Facltitles&�1 dumpster.Site V1(ork Pertnit far�afl new proJects.All cammerctal requiremeMs must meet compUance <br /> SIGN PERMIT Attach'(2}sets ofEiigineered Plans:,,,° � <br /> '•••PROPEFtTY BURVEY required for all NEW constructlon. <br /> Dlrectlons: � � <br /> FIII out application completely. <br /> Owner&Contractor slgn back of appitca�on,notadzed <br /> If,over S250q,a Nottce of Commencement is required. (A/C upgrades over a7500) <br /> '" Agent{for Hte contracto�)'or Power of Attorney{for khe owner)would be sameone with notarized letter from owner authorizing same <br /> aVER THE COUNTER PERMITIING (Fron#of Applica8an Only) <br /> Reroofs if shingles Sewers Service,Upgrades:A/C "'`���Fences{FIoUSurvey/Footage) <br /> ..:,-;, . , ;;,:;�:: , ��, ,- � <br /> - �r:..�-;.�. <br /> Driveways-Not over Counter if on pubiic raadways;.needs'ROW �� - <br /> ,^., ` ..� . .._.,.: �-�' ' � , <br /> } -_� r. - - <br /> I <br />