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a�saao•oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Departrnent . <br /> e <br /> Date Received;, .- .=.- ,��'�^_..� Y- ;..�.y� ---� Phone Contact for Permittfn ��""�'� <br /> ._ ��t :. , , � r � --�3��-�Z� <br /> O'wner's Fiame� � '.•t�V��'�" �I � ��`!� �--�� t-� Owner Phone Number � <br /> Owner,' .Address ��$0� ��'��' ��'x �I N(� '� (�. p,Nner Phone Number ��-�-�' � d���� <br /> � . ., _ . <br /> �,.�e�'+ � - � �r.� � � <br /> Fee Slmplo Tltleholdar IVame v`��~S ' ''' ��������'�' Owner Rhone Number �� <br /> � ;, r <br /> � - .1 � <br /> Fee Simple Titleholder Address ���'U� ����"" ��'�t�'��} �d�-� (�-��-��� �G'��"'��"��-- <br /> JOB ApDRESS '..3'��0~2 C� ra�r9�� �rl ' � i-F H 1 L� .S }'"t.. ✓9'3$Zf LqT# � <br /> SUBDIVISlON j t!�(C'� �,.-1��s �.b17 PARCEL ID# `2-- "'o�U `"' c��"'O 0 ca`�� - ClL}.`3�� -� bt$St� <br /> (OBTA4NED FR01N PROPEEiTY TAX NO7ICE} <br /> WQRK PROPQSEQ NEw coNSTe ADDJALT [� SIGN Q Q DEMO�ISN <br /> e ' INSTALL 8 REPHIR <br /> PROPOSED USE Q SFR Q COMM �' OTHER r'�= <br /> TYPE OF CONSTRUCTIQN. Q BLOCK [_] FRAME Q STEEL �J <br /> 4=�r.sGG -��-�-- l� l'�'�a�� {^ <br /> dESCR1P'i7dN OF WORK D C�-� �'e�--�- ��'� " <br /> BUILDlNG SlZE CY � SQ F04TAGE Z/�" �� HEtGHT C� ��� <br /> QBUILDING � �cL..� VAIUATiON OF TOTAL COt�lSTRUCTION <br /> 'tZJ <br /> QELECTRICAL ($ —� RMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �-- <br /> [�PWMBING �� �`t , <br /> ' 'l <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '� <br /> QGAS Q ROOFING [,� SPECIAI.TY Q OTHER <br /> FINISHED FLQOR ELEVATIONS FLOOD ZONE AREA QYEB NO <br /> � - <br /> BUILDER ;7 � ,j co�p,arnr �i�G/ 1���'����/ 1f��/�S' ^ <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y/N <br /> Address License# �� � <br /> ELECTRICIAN CONIpANY <br /> SIGNAT'URE REGISTERED Y/ N FE@ CURRE� Y/N <br /> Address Llcense# � � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address i.icense# �^ --� <br /> MECHANIGAL COMPANIf - <br /> SIGNATURE REGISTERED Y/ N �e�cuw�en Y/N <br /> Address� �.icanse# � � <br /> OTHER COMPANY <br /> StGNATURE REGISTEftED Y/ N . FEE CURREA Y/N <br /> Address (.lcense# � � <br /> RESiDENTIAL Attach(2)Plof Plans;(2}sets af Building Plans;(1)set of Energy�Forms;R-O-W Perinit for new construction, <br /> Minlmum•ten(1.0)working days after.submittai date. Required ansite,Gonstructian Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Factlities.&1.dumpste�Slte Worlc Rermit for subdivislonsJtarge projec#s <br /> CdMMERC1Al. Attach(3)complete sets"of Building Plans plus a Ufe Safety Page;{i)set of Energy Forrns.R-O-W Permit for new consUuction. <br /> Minimum#en{10)working days after submittal date. Required onsite,ConsVUCtlan Plans,Stormwater Plans w/S(It Fence installed, <br /> Sanitary Fac]tiUes&i dumpster.Site Work Permit far ail new pro)ects.All cammerciai requlrements must meat compl}ance <br /> SIGN PERMIT Attach"(2)sets of Eriginee�ed�P.lans. � . <br /> "'*PROPERTY SURVEY required for all NEW wnstrucdan. l <br /> Directlons: � <br /> Fitl out application completely. <br /> Owner 8 Contractor sign back af applicadon,notarized <br /> !f aver 52500,a Notice af Commencement is required. (AtC upgrades over#7500} <br /> i <br /> i " Agent(for the�contraator)or Power of Attomey(for the owner)would be someone wfth notarized letter from owner authadz�ng same <br /> DVER THE COUNTER PERMITTING {Front of App!lcatiaR Only) <br /> Reroofs ff shingles Sewerrs Service Upgrades A/G Fences(Piot/�urvey/Footage) <br /> Driveways-Not over Counter if on publfc roadways..needs ROW <br />