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s�3aaa-oa2a City of Zephyrhills Permit Application Fax-813-784-0021 <br /> „ , „ Building Department <br /> bate Received �`' '' ,'� <br /> Phone Contaat for Permitting - <br /> Owner's Name �'� �8 � d �'12�ner Phone Number <br /> lawner's Address �0� 1' Owner Phone Number �^ � <br /> Fee Simple Titlehotder Name � � Owner Phone Number �- � <br /> Fee Simpte Titleholder Address <br /> JOS AdDi2ESS a� 1I ���� � t,OT# �� <br /> suBa�rr�s�o�v PARCEC tD# ' -�.� �� —�l�—ZDOdt?���� <br /> (OBTAINED FROM PROPERTY TAX N4TICE) <br /> WOR1C PRQPQSED e NEW CONSTR 8 AdDIAIT � S1GN Q Q DEM4LISH <br /> �NSTALL REPAIR <br /> PROPOSED USE Q SFR Q GOfutM 0 OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME � STEEL Q <br /> DESCRlPTfON OF WORK �� �U� 1�� LX �'rrc�Y" jPyUtG-�2 <br /> BUILDING SIZE �� � SQ FOOTAGE�� HE1GIiT ��T� <br /> QBUILDING �>� VA�UATlC7N flF TOTA�CONSTF2UCTtON <br /> ELECTRICA� $ AfV�R SERVICE � PROGi2ESS ENERGY W.R.E.C. <br /> � <br /> � <br /> QPLt1MBiNG �, —� <br /> QMECHANICAL � ��---�—� VALUATION OF MECHANICAI.fNSTA�iATlON <br /> QGAS [� ROOFlNG Q SPECtALTY � OTHER <br /> FINISHED FLOOF2 ELEVATIONS C�� FLOOD ZONE AREA QYES NO <br /> BUILDER C41VlPANY <br /> SIGNATURE ,,,„ FtEGisTEREO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> E�ECTRtCtAl�t � �� COMPAAlY �' 1� Ci 1�C ��� �' „� 1 `(' }Y'C�. �j C.� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 1l l-� � License# �.Y''� �'}�} �„2 jQ � � <br /> P�UMBER COR�tP�lNY <br /> 81GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> NIECHANIGAL COMPANY <br /> SIGNATURE REGISTERED Y/ N F86 CURRE� Y/N <br /> Address License# �- � <br /> Q7HER GOMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> , Acldress <br /> License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2}sets of Building Plans;{1)se#af Energy Forms;R-O-W Perml#for new canstruction, <br /> Minimum ten(10}working days aftet submittal date. Required onsite,Construction Pians,8tormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large proJects <br /> • CQMMEttC1AL AtEach{8}compiete sets af Bu3tding f'lans pius a Life Safety Page;(9)sefi of Energy Forms.-R-O-W Pennit for new cons#ruc#ion. <br /> Minimum ten{10)working days after submittal date. Requfred onsi#e,Construction Pians,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> St�N PERMIT AHach{2}sets of Engineered Pians. _ - <br /> ""PROPERTY SURVEY required for ail NEW construction. <br /> Directians: <br /> Fitt out apptication completely. <br /> Owner&Contractor sign back of application,notarized <br /> tf avsr�2540,a Notice af Gommencement Es r$quirad, {AtC upgrades over$T5d0} <br /> '" Agent(for the contractor)or Power af Attorrfey(fo�Uie'ow[ier)would 6e someone with nota�ized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTtI�lG {Frortt af Application On1}r}" � ". <br /> Reroofs if shingles Sewers Serv_ice Upgrades A/C'' Fenaes(PIotlSurvey/Footage) <br /> Driveways-Not aver Counter if on pubtic road+ua}rs..neec3s FtOV1t <br />