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- f ; <br /> s�saso-oo20 � City of Zephyrhills Permit Application Fax-$13-780-Od2i <br /> � Building Department <br /> � <br /> Date Received � Phone Contact for Permitting - <br /> Owner's Name w �Yc"�K �l �. Owner Phone Number �-�`�J�v""'��o�-�_ <br /> Owner's Address ��"{�c�.- ���.(� (1,� � l�Q` /�Q( `�� Ow'ner Phane Number <br /> � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �g�3�' �� /��� LOT# � <br /> su�o�vis�oN ��� � PARCEL ID# E� "�� �t - 6G !o— �� b0 .-C� c> <br /> (08TAINE4 PRQM PROPERTY TAX NOTICE) <br /> WQRK PROPQSEQ � NEW CONS7R 8 RDDIA�'F �� SIGN Q Q QEMQLISH <br /> INSTALL REPAIR <br /> PROP09ED USE Q SFF2 Q COMM � QTHER <br /> 7YPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 4.. �:..,�Y`(:� Q O(R� <br /> BUli.dING SIZE � � SQ FOOTAGE�� HEIGHT ��� <br /> QBUILDING � � VALUATION OF TOTAI.CONSTRUCTION <br /> QELECTRlCAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> �PLUMBING (�'> � <br /> L <br /> �[vIECHANICAL $����� VALUATION OF MECHANIGAL WSTALLA7lON '��(� <br /> �� <br /> QGAS Q ROOFING Q SPECIALN 0 OTHER t <br /> ��ti <br /> FINISHED FLOOR ELEVA'CIONS FLOOD ZONE ARFJ# DYES NO <br /> BUI�DER COMPlWY <br /> SIGNATURE REGISTERED Y/ N FEE GURREI� Y/N <br /> Address �� Licen&e# �^ � '� <br /> ELECTRICIAN �i� CUMPANY <br /> SIGNATURE REGISTERE4 Y/ N FEE CURRER Y/N <br /> Address License# �� � <br /> PLUMBER � � CC►MPANY <br /> 81GNATURE REGISTERED Y/ N FEE CURREP Y(N <br /> Address License# r ^� <br /> MEGHANICAL COMPANY 42 `�GC {� S�(Z�ICt� <br /> 51GNATURE ` REGISTERED Y/ N FEE CURREP Y/N <br /> Address P.0�C'X'iX � c.� 2E.PN`IK.1�tt,LS f� '-�35 �icense# �I-�C i g 1 St-(�'t � � <br /> OTHER „^ � � COMPANY <br /> SIGNATURE ___ REGISTEREb Y/ N FEE CURFtEA Y/N <br /> Address License# �` �� <br /> RESIDENTIAL Attach{2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fnrms;R-O-W"Pecmit far new construction, <br /> Minimum ten(1Q}working days after submitital date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilifies&1 dumpster;Si#e Wark Permit for subdivisionsltarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;{1}set of Energy Forms.R-O-W Permii for new construction. <br /> Minimum ten(10)working days'after submittal date. Required ansite,Construction Plans,Stormwater Plans w!Sllt Fence installed, <br /> Sanitary Facitities&1 dumpster.Site Work Permit for ali new projects.All commercia�requlrements must meet compliance <br /> SIGN PERMIT Aktach{2}sets af Engineered Pians, <br /> """'PROPERTY SURVEY required for all NEW construction. <br /> �trecttons; <br /> Fill out application complekely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over 52540,a Notice of Commenaement 1s requited. (AtG upgrades over S75d8} <br /> '" Agent(for the cor�trs�ctor}ar Power of Attomey(for the owner)wauld be someone witt�notarized tetter from owner authorizing same <br /> �VER TNE COUNTER PERMiTiiN� {Front of Applica6an Onty} <br /> �eroafs if shfngles Sewers Service llpgrades AfC Fences(PIoUSurvey�Faotage) <br /> Driveways-Not over Gounter if on pubtic roadways..needs ROW <br />