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o��-r�U-�,ut� City of Zephyrhills Pecmit Application FaX-a�s-�ao-ao2� <br /> Building Department <br /> Date Recelved Phone Contaat for Permittin � � "l o�- <br /> Owner's Name G�� Owner Phone Number CJ�' '�r.�""Y"�� <br /> Owner's Address �� Owner Phone Number �)�� /�� �1�� <br /> Fee Stmple Titlehofder Name �T � Owner Phone Number �— � <br /> Fee Sfmple Titleholder Address <br /> JOB ADDRESS � /7�`�' L.OT# C___� <br /> BUBDIVISION �� � PARCEL ID# <br /> (OHTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN C] Q DEMOUSH <br /> e INSTA�L 8 i2EPAtR <br /> PROPOSEd USE Q SFR [� COMM � OTHER <br /> TYPE OF GONSTRt1Ci10N Q BIOGK Q FRAME � STEE� C] <br /> DESCRIPTION OF WORK DQ � <br /> BUiLD�NG 51ZE � � S@i�'�'�t�y °� F��1�'�="'�'� <br /> ,` <br /> 8���"�`��' $ �°�J�G�� I VALUATION OF T07AL CONSTRUCTIQN <br /> _.J <br /> QEI.ECTRICAl. � � AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. <br /> fl� <br /> QPI.UMBING $ ��, �� , <br /> ��� <br /> QMECHANIGAI. $ VAlUAT10N OF MECNAiUfCAl.lNSTA�CAi'tON <br /> QGAS Q ROQFING Q SPECIALTY � OTHER <br /> °iNiSHED FLOQR ELEVATIONS ��� FLOOD ZONE AF2EA QYES NO <br /> ..._ .,__.._. ._ <br /> 3UILDER COMPANY ,f�d'" � <br /> 3lGNATURE ,,. REGtSTERED Y/ N FEE GURRE Y J N <br /> Add e s License# �� �� <br /> �����,�02..- .- <br /> eL�6L�AN COMPANY L.d W['. 'S <br /> >IGNATURE `' REGISTERED Y J N FEE CURREt� Y/N <br /> Add�ess License# � � <br /> �LUMBER COIMPANY <br /> iIGNATURE � REGlSTERED Y/ N FEE GURRER Y J N <br /> Address License# �—` ` � <br /> 4ECHANlCAL COMPANY <br /> iIGNATURE . R�Gis7�tteD Y 1 N FEE GURRER Y/(d <br /> Addrass License# �— � <br /> >'�FlER COMPANY <br /> �IGNATURE 42EG1STERED Y/ N FEE GURREE Y i N <br /> Address Lfcense# �— ^ � <br /> :ESIDEMTIAL Attach{2}Plot Plans;(2)sets of Building Pians;(1)set of Energy Farms;R-O-W Permit for new constructian, <br /> Minimum ten(10)workfng days after submttfal date. Required onsite,Construction Plans,Stormwater Plans w/SNt Fence fnstatled, <br /> Sanitery Faaitities&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> QMMERCIAL Attach{3)complete sets of BoifdEng P1ans ptus a llfe Safery Page;(t}set of Energy Farms.R-O-W Permit for new construc8on. <br /> Minimum ten{1 Q)working days after submittal date. Requlred onsRe.ConsUuction Plans,Stormwater P1ans wt Sifi Fence ins#alfed, <br /> Sanitary Facillties 8 1 dumpster.Site Work Permit fcar all new proJects.All commercial requlrements must meet compliance <br /> I�N PERMIT Attach(2)sets af Engineered Plans. <br /> '""PROPERTY SURVEY requ[red for al!NEW construetRon. <br /> Iractlans: <br /> Fill ouk applicaHon completely. <br /> Owner&Contractor sign back of application,notarized <br /> If cvsr 52500,a NatEce of Commsncement is required. (A/C upgrades ovar y750Q) <br /> Agent(for the contractor}or Power af Attomey(for the owner}would be someone with notanzed letter from owner authorizing same ' ' �, ,"''"�, <br /> VER THE COUNTER PERMITTING .,. (Erant of Application Only}: , � " "=_ti <br /> eroofs if shingles Sewers Service Upgrades AtC" Fences(PloUSurveytFootage} � � - •, = ; <br /> .. ... �;,� , . _ . <br /> Driveways-Not over Caunter if on public roadways..needs�ROW - - -- - - � °' '`` " <br />