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, 813-780,'J020 City of Zephyrhills Permi#Applicatian Fax-813-780-0621 <br /> - euilding Department <br /> Date Recelved Phone Contact for Permitting t J n - U L � � <br /> Owner's Name �,`i Owner Phone Number � ,�-� � '��6 l <br /> Owner's Address q, �Owner Phone Number �— � <br /> Fee Simple Tttleholder Name �— � Owner Phone Number �— � <br />��, Fee Simple Titleholder Address <br />' JOS ADDRESS /1 GL LOT# C`� <br /> SUBBNISION � � PARCEL tD# � 3 �2�s - '2 � - �t8 C7 -Q i}�{}4-Ot}S �} <br /> (087AINED FROM PROPERTY TAX NOTICE) <br /> WORK PRORQSED . e NEW CONSTR� ADDIA�T � SIGN Q Q DEMOLtSH <br /> INSTALL REPAIR <br /> PRQPQSEQ USE SFR Q CONiNI � OTNER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br />' DESCRIP710N OF WORK ET � <br /> BUIi.D1NG SIZE �i � SQ FOOTAGE ����� HEIGHT ��� <br /> D����g»� $ �� VAI�UAT1CiN OF TC3TAL C�NSTRUCTIQN ��L���%� <br /> � <br /> Q�I.ECTRICAl. �� AMP SERVtCE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �F'LUMBING �� �-(„„ Q�(7�UCT COI�C <br /> �, �5-og , 3 (�2�.. <br /> QMECHANICAL �', � VA�UATtQN OF MECHANIGA�iNSTAl.LATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER - <br /> FINISHED FLOOR ELEVATIONB � � FLOOD ZONE AREA QYES NO <br /> BUI�DER � '�,� � COMPANY L��%�r�E�`L...- . <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> :Address (.icense# � � <br /> Et,ECTRIC1At�11 COMPANY <br /> SIGNATURE � REGI5TERED Y/ N FEE CURRE� 'Y/N <br /> Addr�ss -�i��_��—��� License# �� � <br /> P�UMBEl2 � COMPANY <br /> SIGNATURE REGISTERED � Y/ N FEE CURRE� Y/N <br /> .,,._„_„ <br /> Address License# C— � <br /> MECHANICA� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE�- Y/N <br /> Address i�icense# � �� <br /> 0'THER COMPANY <br /> 51GNATURE - a��isTERE� Y/ N FEE CURRE� Y/N <br /> Address License# �- � <br /> RESIDETdT1AL Attach(2}Plot Plans;(2j sets of Building Plans;(1}set of Energy Forms;R-O-W Petmit far new canstruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silk Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit far subdivisions/large proJects <br /> �OMNIERCIAL Attaoh(3}complete sets of Suitding Plans ptus a�ife Safety Page;{1)se#af Energy Forms.ft-O-W Pennit far new construction. <br /> Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit far al!new proJects.AI!commereial requlremenks must meet comptfance <br /> 5lGN FERMlT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> �Irectaans: <br /> Fill out application campletely. <br /> Owner&Contractor sigrt back af applicatfon,notarized <br /> � tf aver 5260d,a Notice of Commencement is required. (AlC upgrades over 5�504} .,,. -' ° ;"` �� �` <br /> ...._:.. ,_..,.�.�. ,. a� <br /> " Agent(for the contractor)ar Power.of;Attomey:(for:the:ovuner-)-wowld be someone with notarized letter from own�er authorizing;same .;� . � , � ��' ' <br /> .�:... � . i. - N <br /> �VElt THE CO!lNTER PERMiTTING {Fron#of Apptication+.;Onty}�_` '� '� °:'-� �- "' , `•:,�, - <br /> �eroofs if shinglss Sewers Service Upgrad'es"NC..;.� Fenaes,(PIoUSurvey/Footage) . +��-' � ° --° ' ' � � �" .. -�� <br /> . .,.. . . . . : ._, ._, .,, ......,t ...,.�..,>�_::�,•_.-.... ,.� <br /> �# _ . , <br /> Driveways-tUot aver Counter if bn:puhllaroadways.:needs,ROW�:<<=r-�.��.. <br />