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tl,�-�a�-v�;�U City of Zephyrhills Permit Application Fax-813-780-Od21 <br /> Bailding Department <br />� <br /> Date Reaetved f � Phone Contact for Permtl,tin ��� "t �� – "� ��� <br /> Owner's Name i� 1 { Qn{� �'Y vs�'� y.. Owner Phone Number �,,.� ° v � <br /> Owner's Address �� � 1. Owner Phone Number �— � <br /> Fee Slmple Tttteholdar Name �� Owner Phone Number �� � <br /> Fee Simp�e Tltleholder Address <br /> JOB ADDREBS 1 tJ tin m 1'��j Lt3T# �� <br /> StlBDlVISiON � � PARCEl.ID# <br /> (OB7AlNED FROM PROPERTY TAX NOTIGE) <br /> WORK PROPOSED e NEW GONSTR 8 AQD/ALT � SIGN Q C] DEMOLISH <br /> INS7ALL REPAIR <br /> PROPOSED USE Q SFR [� COMM [,� OTHEt2 <br /> TYPE OF CONSTRUCTIQN Q BLOCK Q FRAME � STEEL Q_ <br /> dESCRIPTiON OF WORK �0...0 �A,n ��`�'C-'"` <br /> BUILDING SIZE � � SQ FOOTAGE[�__W� HEIGNT C�.� <br /> QBUILDING �s6 � VALUATtON qF TOTAL CQNSTF2UC710f�t <br /> �. <br /> QELEC7RICAL ri � AMP SERVICE Q PROGRESS ENERGY CJ W.R.E.C. <br /> � L <br /> QPLUMBING (��� ��� � <br /> �---�—� � <br /> �fiAECHANICAL $ �� � � VALUATION OF MECHANICAL INSTALWTION � <br /> QGAS Q ROOFING Q SPECIA�TY � OTHER � � <br /> �� <br /> =1NISHED FLOOR ELEVATIONS �____� FI.00D ZONE AREA QYES NO <br /> t� <br /> 3UILDER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# �� �� <br /> ELECTRICIAN COMPANY <br /> iIGNATURE �^ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Cicense# � � � <br /> 'LUMBER � COMPANY <br /> i1GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres� License# �— �� <br /> � AECHANICAL �,�,� COMPANY <br /> �iGNATURE - �`�� REGI3TERED Y/ M FEE CURRE� Y/N <br /> Address license# � �� <br /> )THER COMPANY <br /> 31GNATI.IRE F2EGiSTEF2ED Y i N FEE CURRE� Y/N <br /> Address Llcense# �i`� �� <br /> ;ESIpENT1Al. Attach(2)Plot Ptans;(2}sets of Building Ptans;(1)set of Energy Forms;R-CI-W Permit for new construction, <br /> Minfmum ken(14}working days after submittal date. Required onsite,Constructian Plans,Stormwater Ptans w/Sllt Fence Instalted, <br /> Sanitary Facllttles&1 dumpster,Site Work Permit for subdivisionsAarge proJects <br /> OMMERCiAL Attach(3)compleke sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new constructfon. <br /> Min9mum ten(14}wotking days after sobmittal date. Required onsite,Canstruction Plans,Stortnwater Plans wJ Slit Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for aA new projects.A!!commerciat requinements must meet�mpE3ance <br /> tGN PERMtT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY�eqvired for aN NEW cons#ruction. _ - -- <br /> irecttons: <br /> , Ftlt out appiicafson completely. <br /> Gwner&Contractor sign baak of appl(cation,rsotarized <br /> if over y2500,a Notice af Commencement Is required. (A/C upgrades ovgr ST500) <br /> ', Agenf(for the contractor)or Power of Attomey(for the owner)would be someone with notarized Istter from owne�autltocizing same <br /> �� VER THE COUNTER PERMIT7ING (Front of Applica#ion�Only) ' <br /> �eraofs if shingies 8ewers Service Upgr'ades AIC.�' "Fences(PIoUSurvey/Footage) <br /> Driveways-Not aver Counter if on public roadways..�eeds ROW <br /> � � . -.. - � ° -- <br /> . .. <br />