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m F1„�780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 j <br /> � Building Departrnent � <br /> Date Recelved , �� l l� phone.Coetact for PsrmlttM <br /> Owner's Name C7t„�t.(i�- � C Owner Phcne Number ��`- [t t'—(�� <br /> Owner's Address - d(. �l � + Owner Phone Number �'�. � <br /> Fee 5lmple Titleholder Name Owner Phone Number �— —� <br /> Fee 8lmple 1'Itleholder Address <br /> JOB ADDRESS L�U ��' �sv O ,�f�-! � 3� LOY# C�� <br /> SUBDtViStON ���' ���' P/1RCEL 1D# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WQRK PROPOSED NEw COiVSTR ADDIAI.T � SIGN C] Q DEMOLISH <br /> INSTAL� 8 REPAIR <br /> PROPQSED•tJSE Q SFR Q [� OTHER - <br /> TYPE OF CONSTRUCTION Q BLOCK (� FRAME � STEEI, Q - <br /> DESCRIPTION OF WORK �NS'�'4�\ t�71'�`Qd F'G'�,�11C£, <br /> BUILDING SIZE �� � SQ FOOTAGE Z�r HEIGHT C � f � <br /> QBU1l.DING. � ,/f��� VALUATiON OF T07AL CONSTRUCTION <br /> U4J� <br /> QE��CTRICAl. � � AMP SERVICE Q PROGRESS ENEFtGY [� W.t2.E.C. <br /> QPL.UNiBING L_. � �` <br /> `�� <br /> QMECHANICAL $ VALUATtON OF MECHANICAC INS'TALLATtOhI .�C � <br /> J�► <br /> QGAB [� i400FING � s�eciatrr [� aT��R <br /> FIfVISHED FLOOR ELEVATIQNS r�� FLOOD ZONE AREA QYES NO <br /> L <br /> su��o�� d�,�l� COMPANY �l� � e <br /> SIGNATIiRE REGI3TERED Y/ N FEE CURRE� Y/ <br /> Address License# � � <br /> E�ECTRICIAld - CQMPANY <br /> SIGNATURB REGISTEREp Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PCUMBER � COMPANY <br /> SIGNATURE REGISTEREp Y/ N FEE CURRE� Y/N <br /> Address License# � �� <br /> MEGHANICAL CGIMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> OTliER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address - License# � � <br /> RESIDENTIAi. Attach(2)Plot Pla�s;(2}sets af Building`Plans;(4}set of Energy Fa�rns;R-O-W Perinit far new construction, . <br /> Minimum.ten(.10)worlcing,days after submittal date. Required ansite,Construcbon Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaclliUes 81;dumpster,Site Worlc:Permit fo�subdivisionSAarge projects � <br /> C4MME32CtAl. Attach{3)complete sets of 8u11c11ng Plans plus a L1fe Safety Page;{1)set af Enecgy Fotms.R-O-W Permit for new construc�an. <br /> Minimum ten(1Q)worlcing days after submittal date. Required onsite,Gonstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.&ite Work Perm(t tor all new proJects.All commercia!requtrements must meet compUance <br /> SIGN PERMFT Attacti{2)sets of Engineered Ptans.; . <br /> """PROPERTY SURVEY required for all NEW construction. <br /> Dlrec�tlans: ' i = <br /> Ffli out applicaUan completely. ', � <br /> Owner&Contrackor sign back of appllcaUon,notarized . _ , -_ . , ` -s ' <br /> _ ��� %�:_;�w- <br /> tf ovar$2508,a Notice af Commencernarrt is required. (A/C upgrades over S7s00) ' ` , , ��; ; <br /> '• Agent(for ttie c:ontractor)or Power of Attomey(for the owner)would be someane with nota�ized letter from_ownerauUiorizing same . � y ' '� <br /> DVER THE COUNTER PERMiTTING (Front of Applicatlon Oniy} ` f� � �- " !. a, �{� '�. ', <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) ; ` .. _ .-« ri - • h ` r`' '� <br /> Driveways-Not over Counter if on publia roadways..needs ROW <br />