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� <br /> � <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-pp21 ; <br /> . gv��aing ospafinent r ,�.�X n.,._���....,� r , <br /> . 4 ;� _ . _,._�.« . . , � <br /> Qate Reaeived� ., = � , �� � , � + �'. � ; <br /> r K- .r; s i �_{�'� a Phone-Contact for Permlttin" ur;�r1��,,..!; ks'"�7��� - l <br /> Owner's,Name� \. ��-•`t �'` - ' �` :Ownef�Rfioite Number � ... <br /> `` :' <br /> Owner's Address '�,�S Z � r� �'` G�V` ',� "��+ �,� Owne�Rhone Number_ ��� `��Z`G'�-7(�� <br /> ;-•�� i , i � ` ' <br /> Fee Simple TitleFiolde�.Name� ' � Owner Pharie Number � <br /> � � � � <br /> 't . <br /> Fee Simple�Titloholder Address <br /> f , ��� <br /> JOB ADDRESS �7 S�-- `, } �/.�� �.,�r'' (� � , 3 SS�Z� LOT# <br /> � <br /> SUBDIVISION �— � PARCEL ID# t'�-�Z.�G� "'�,,( -C'�� '"C�aC:=;�`J `c"✓3 JCi <br /> I (OBTAIN@D FROM PROPERTY TAX NOTICEj <br /> WQRIC PROPOSED NEW CoNSTR ADQtAIT � SIGN [� Q DEMOLiSH <br /> INSTALL REPAIR I <br /> PROPOSED USE Q SFR Q COMM � OTHER - <br /> TYPE OF CONSTRUCTIOPI � 6LOCK , Q FRAME �] STEEL Q <br /> ��� <br /> pESCRIPTION OF WQRK � O � ' -.� �', � S _ � '� <br /> ...� t ... - s���.s <br /> Bti1LDING S12E ����r���� SQ FOOTAGE /�� HE{GHT ��J � <br /> O�U������ �� VALUATION OF TOTAI CONSTRUGTtON <br /> ..�J <br /> QE�ECTRICA� � � ANIP SERVICE Q PROGRESS EMERGY Q W.R.E.C. <br /> QPLUMBING "� <br /> �, � �,��o <br /> ,,,_—„ , ,,,....., � <br /> �'� QMECHANlGAL $ VAl.UATlQN OF MECHANICA�.INSTAI.lAT10N <br /> I <br /> OGAS '�"� ROOFING Q SPEGIA�TY � OTHER <br /> ( <br /> I, FINISHED FLOOR ELEVATIONS c/ FLOOD ZONE�AREA QYES NO <br /> I� BUI�DER „/ COMPANY � e'` � <br /> SIGNATURE REGISTERED N FeE URR Y/N <br /> Addreas ucense# «l 3"'�' /�„� ' <br /> ElEC7RtC1AN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � �� <br /> PCUMBER � 1 COMPANY <br /> $IGNATURE REGI9TERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> MECHANIGAL GOMP� <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/IV <br /> Address license# �� �� <br /> OTNER COMPIWY <br /> SIGNA7URE � REGISTERED Y/ N FEE CURRE� Y/N. <br /> Addres� � license# �i � <br /> RESIQENTlAt, Attach(2)Piot Pians;(2}sets of Bulldfng Plans;{1)set af Energy�Forms;R-O-W Permlt far new construation, <br /> Minimum•ten(10):working days.-after.submitta(da#e. Required onsite,Constructian Plans,Stormwater Plans w/Sllt Fenoe installed, <br /> Sanitary FaGliUes&1.dumpster,Site Work;Rertnft for subdivisionsAarge projects <br /> CQMMERCIAl. Attach{3}complete sets af Suildirig Plans pius a I.Ife Safety Page;(1)set of Energy Fotms.R fl-W Permit for naw canstruction. <br /> Minimum ten(10)working days after submlttal date. Required onsite,Canstrucdon Plans,Stormwater Plans w/Silt Fence installed, <br /> � Sanitary Faallitles&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet aomplianca <br /> SIGN PERMIT Attach{2}sets of Englne�red Plans. <br /> ""PROPERTY SURVEY required for all NEW consUuctian. <br /> Directfons: <br /> Fill out appUcaUon completely. <br /> � Owner 8 Contractar sign back of appl(catlon,nota�ized <br /> If over�250d,a Notice at Cammencemen#is required. {ArC upgrades over S750d} <br /> '" Agent(for the contractor)or Power of Atkomey(ftar the owner)would be someone with notarized letter from owner authar3zing same <br /> DVER THE COUNTER PERMITTiNG {Frant of Apptication Oniy) <br /> Reroofs If shingles Sewe►s Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Nat aver Gounter tf on pubiic roadways..needs ROW <br /> � <br />