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813-?80-0020 City of Zephyrhills Permit Application FaX-a�3-7aac�2� _ ' <br /> ' Building Department - ' - <br /> ' ' - - '- <br /> __ ,�,� - <br /> Date Received , 9 �j ��'�'i [`r __ j� � <br /> • Phone Contact for P�ermittin O <br /> Owner's Name ZaI�� d��- � !l ��l� � 8wner Phone Number <br /> Owner's Address ` Owner Phone Number ��� ' � � <br /> 'j Fee Slmple Tlkleholder Name � � Owner Phone Number �— � � <br /> � - . • <br /> I ` ' <br /> Fee Simple Tltieholder Address � <br /> �� - <br /> ' ��JOB ADDRESS � G�p /��,,�1'� • • . LOt# <br /> .-, <br /> SUBDIViS10N r—�—� PARCEI.ID# I•.5� -r��p -v�1-"��,/ tJ �—�t;}f,,�F�•-+G7 G {:3 ; <br /> (OBTAiNED FROM PROPER'fY TAX NOTIGE} � .. � <br /> WORK PR4Pt}SED r�Ew CoNS��[� ADD/ALT [,� SIGN � Q DEMO�ISN <br /> ¢' ' INSTAU. Q FtEPAIR - , <br /> PFtOPQSED USE SFR Q COMM �� OTHER ` ' ' <br /> TYPE OF CONS7RUCTIQN Q BLOGK Q FRAME � STEEL Q • <br /> e ,Q , ' <br /> DESCRIPTION OF WORK � t.��I/ �� / �� �j�� �/�� '.. �v"�,/1•�G-� <br /> .-r � <br /> BUILDING SiZE � � SQ FOOTAGE��,�',� fiElGiiT � <br /> QBUILDlNG $f-,-��� r� � VALl1ATiON OF TOTAI.CpNSTRUCTiOiV <br /> •��� ,�' � <br /> QELECTRlGA�. $ AMP SERVtCE Q Pf2QGRE8S ENERGY [� W.R.E.C. <br /> �.�..� <br /> QPLUMBIIVG �� ' ; , <br /> QM�CHANICAL $ VALUATION OF MECHANICAL INSTALLA710N �1 `� ` �� <br /> QGAS C] FtOOFING Q SPECIALTY � OTHER `]1�� <br /> FINlSNED Fl.�QR E�EVATIONS FLOOD ZC1�4E AR�A � QYES Np `t1 <br /> BClILDEit j , . - C�IMPAF9Y �! ���`O � /-.�i��*�e5 � t3 <br /> StGNATURf l���jl.��ti REG13TEREDn Y N FEE CURRE� Y� N - <br /> Address License.#. �� � � <br /> E�ECTRtC1AN COMPANY <br /> StGNATURE REGISTERED Y/ N FEE CURREA Y/IV • <br /> Address License# r � <br /> PLt7MBER COMPANY - <br /> SIGNATU#2E REGISTERED Y/ N �ee cuRr�n Y'/N <br /> Address License# �� � . <br /> NIECNANiCAL COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address ,� License# � � , <br /> 4THE4� Gt?MPANY ` <br /> SIGNATURE REGISTEREp Y/ N FEE CURRE�� � Y/N <br /> Address License# �—.� � <br /> RESIDBfUTiAL Attach{2)Plot Plans;(2}sets of Bullding Plans;(1)sek af Energy Forms;Ft-O-W Permit for new construction, , <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/5iR Fence instatled, <br /> ' Sanitary Facilities 8�1 dumpster,Site Worfc Rermit for subdivisions/iarge projects � - " <br /> CClMMERCIAL Attach{3}campiete sets of Buiiding Pians plus a Life Safety Pege;{1}set of Energy Farms.R-O-W Permat for new conshvction. <br /> Minimum ten{10)working days after submlttal date. Required onsite,Construction Plans,Starmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ail new projects.AI�commerciai requirements must meet compiiance ` <br /> SIGPI PERNf1T Attacfi(2)ssts af Engineered Plans. <br /> """"PROPERTY SURV�Y required for al!NEW construckion. . <br /> Direetions: <br /> FiiS out applicaBon compfetely. <br /> Owner&Contractor sign back af applicaGon,notarized <br /> If over�Z500,a Natice of Commencement is required. (A/C upgrades over:�7500} • <br /> "" Agent(for the contractor)or Power of Aftomey(for tha ownerj wauld be someone with natarized letter fram owner 8athorizing same <br /> OVER THE COUNTER PERIWIT'TING (Front of Appiication Onty} <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurveylFootagej <br /> � - <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />