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813-?80-0020 City af Zephyrhills Permit Application Fax 813-780-ou2� <br /> . . Building Department <br /> Qats Received •- (��.-�� � -__._.�..�.....�.,..�... ,, - , <br /> Phone Con for Fe�rtrtttin'�".,� <br /> Owrier's Name f�V�4is-� �— Owner Phone Number= � <br /> ; ,. ,_. _;� • .v;• `�....� � <br /> 3' <br /> Owner's Address : "� Owner Phane Number <br /> Fee Simple Tltleholder,Name "+: Owner Phone Number �— � <br />! <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS ' LOT# C� <br /> SUBDIViSION �— � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PRflPt3SEU NEW CONSTR A[3DJALT � ` SiGN Q C] ' DEMOI.ISti <br /> e INSTALI. 8 REPAIR' <br /> PROPOSED USE Q $FR � GOMM � QTHER <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME � ST I. Q <br /> DESCRIPTION OF WORK -�-^�— <br /> BUILpING S1ZE � ` SQ FO AGE�y� HEIGHT � � <br /> OBU��'d��'�'' ���--�fi/ALUATION OF TOTAI CONSTRUCTiON <br /> QE�ECi'RICA �� AMP SERVICE Q. PROGREBS ENERGY Q W.R.E.C. <br /> QPItlMBING $ ��..�_ ,���p�s� c <br /> ! .�� � �'Z� <br /> QMECHANICAL $ VA�UATtON OF MECHAt�ItCA�INSTR�lAT10N � ����� <br /> , �-(�'l~� <br /> OGAS [� ftOQF1t+IG Q SPECIALTY �� OTFiER J� � �-��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YES NO� _ , o' <br /> C.r1/ <br /> BU!l.DER COMPANY <br /> SIGNATURE REGI57ERED Y/ IV FEE CURRE� Y/N <br /> Address License# �— �� <br /> � <br /> E�ECTRICIAN COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> � Addres� �License# � � <br /> PLUMBER COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# � � <br /> MECHANICAI. CdMPAt+iY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt� Y/N <br /> Address nse# <br /> OTFiEEt � �� � COMPAt�1Y <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address �— License# � � <br /> REStDENTFAL A#tach{2}Rlo#�Plans;{2)sets of�Bultding'Plans;{1)set of Energy,Forms;R-0-W Permit for new canstruction, <br /> Minimum.ten.(1.0)working days-after..submittal date. Requlred anslte,Canstructian Plans;Stomnwater Plans w/Sflt Fence installed, <br /> Sanitary FaciliUes.&1:dumpster,Site Work•Rermit for subdivislonsllarge prnJects <br /> COMIVIERCIAL Attach{3}comPtete sets of Bullditig Plans plas a C.ife Safety Page;(1}se#of Energy Forms.R C?-W Permi##or new construcHon, <br /> Minimum ten(10)working days after submittal date. Required onsite,CanstrucUon Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Fac!liUss 81 dumpstar.Site Work Pertnit for all new proJeots.All c:omrttercial rec}uirements must mee!compUance <br /> SIGN PERMIT Attach(2)"sets of Englneered Pians. . <br /> •`""PROPERTY SURVEY required for all NEW constructlan. ' <br /> Dlrectlons: <br /> Fill out applicaUon completely. <br /> pwnar&Contractor sign back of applicatfon,nptarized <br /> tit o��r�xsoo,a Notice af Commencemerit is requlred. (AIC upgrades over ST50Q) - <br /> " Agent(for ttie contractor)or Power of Attomey(far the awner)would be someone with notarized letter from awner authorizing same <br /> DVER THE Ct3UN7ER PERMITTING (Front of Applica�en Onty} <br /> Reroafs if shingies Sewers Service Upgrades AJC Fences(PIoNSurvey/Footage) <br /> i <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />