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°���"'`''.$1.3=780-0020','`,`�„ .��� �''�' "w��` City ofi Zephyrhills Permit Application��'�' �_ ''t "�"� , , Fax 813-780-0021 <br /> ; , - r: _ ._�_. . � , :;i1 , f Bu3lding Dep�ar#ri�ettt,, a - � : '"" .' , .'` ." ;, <br /> �,�'f,�� ; d,., _ �!+'.,-.,._� ,i • ., .!u _ s i ! i'' , d�}.' _.-'iid',�,�, ,.�✓i . „_cirJ rr <br /> '.. ._i`'� I l ._���' .,, .. -' .l�I� ! j:.''.� r',. 't �4��f:-Rri_'"'.._�"� f � <br /> Date Rec�tved '`' � ` � � � J���+� ? one-Cantact for Perm[ttin , <br /> Owner's Name (�"ti../�. ��,d$ S 4w�er Phone Number --��_�' L� <br /> Owner's Address Clwrner Phone Number �- � <br /> Fee Simple Titleholder Name � Owner Rhone Number �� -� <br /> Fee Simple Titlehalder Address <br /> JOB ADDRESS �� LQT# ��� <br /> SUBDIVtSION �^ PARCEL ID# �J�'a2J`r p�r" <br /> (08TAINED FROM PRdPERTY TAX'NOTICE} <br /> WCtRK PROPOSED NEW CONSTR ADDJALT � SIGN [� Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHE�2 j <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME Q STEEL [� <br /> DESCRIPTION OF WORK -�- a t ' <br /> BUILDINGSIZE 1r�ZfX�['.;�� � SQFOOTAGE �02(� HEIGHT � � <br /> QBUI�DING $ �� VAL.UATION OF TQTAL CONSTRUCTION <br /> [�El.ECTRtCA�. �;� ANEP SERVtCE Q PROGRESS ENERGY Q W.R.E.C. <br /> QP�UMSING T$ � � �t� � <br /> �� � <br /> �,�� � �� � <br /> QMEGHANlGAZ $ VAE..UATION QF MECHANIGA�lNSTACLATI4N � ��� P� <br /> QGRS Q ROOFING Q SFECIALTY � OTiiER �� ����� <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NO <br /> BUIl.DER �;,.� GOMPANY C��i4 � V P <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � �-�����r� <br /> Addrass � ,� License# � <br /> EI.ECTRICIAN -�� � � - COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �Q�}.J�`' � b�i'i' i�v c_ � =��,tA • t(r Llcense# ��'�/�� <br /> P�UMBER COMPANY t��q i ,! � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ��-111'�c����Y�p/� � <br /> MECHANICA! GC}MPANIt <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �df�'$$ l.icense# � � <br /> OTHER �pMpp�r ' <br /> SIGNATURE , REGISTEREp Y/ N . FEE CURRE� Y/N <br /> Address Ucense# �� � <br /> RESIDENTIAL Attach{2}Plot Plans;.(2)sets-of,Bullding Plans;(1}set of Energy°Forms;R-O-W Permit for�ew construction, <br /> Minimum ten(10)�woricing days after.submittal date: Required onsite,Construcdon Plans,Starmwater Plans w/Slit Fence installed, � <br /> 5anitary Facll(Ues:B�1,dumpster�Slte Wark Rermit for subdivisionsAarge proJects � <br /> COMMERCIAI Attach{3}cosnplete sefs of Building Plaris plus a Life Safety Page;{1)set of Energy Fortns.R-fJ-W Permit for naw constructtan. <br /> Minimum ten(10)_working days after submittal date. Required onsite,ConstruoUon plans,Starmwater Plans wl Silt Fence InsUalled, <br /> Sanitary FaciliUes 81 dumpster.S(te Work Permit for all new projects.All commerc9a!requlrements must mee!campfiance <br /> SIGN PERMIT Attach(2)se#s of Erigineered Plans. . <br /> """PROPERTY SURVEY required for all NEW constn�cUon. <br /> dlreatlons: <br /> Fill out applicatlon completely. <br /> Uwner&Contractor sign back of applicatlon,notarized <br /> tf aver�2500,a Natice af Commencement ts required. {AlC upgrades over a7500} <br /> " Agent(for the contractor�or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> i <br /> DVER TtfE COUNTER PERMFTTiNG (Front af AppNcation Only} I <br /> Reraafs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Faotage) <br /> Driveways-Not over Caunter if on pubiic roadways..�eeds ROW <br />