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813-780-0020 City of Zephyrhills Permit Applicatian Fax 813-780-Op21 <br /> • 8u(lding Department <br /> Date Recelved'� ���"�'i� ` ;' ` ' Phone-Contact for Permtttin .: .� °� '" ' � — <br /> � �,,� !� y v G <br /> �?wner's Name. �� � ,e�/ � ' . 'Ouvrier,P,hone Numtier � ',,3 t� a"�/ <br /> �.. ' � i'_ w ., ��.,,__.° ;� <br /> ��' Cr�,� ° � , ._ ` . <br /> �pwner's Address .� �- / I ,Owner•Phone'Number <br /> ` !- M <br /> Fee Simple Titleholder Name ' Owner Phone Number <br /> � <br /> Fee Simple Tltleholder Address <br /> OB ALIDRESS ,.� ,�`�s� C� ' I,OT# C� <br /> � , � <br /> SUBDIVISION PARCEL iD# , <br /> ' (OBTAINED FROM PROPERTY TAX NdTICE) <br /> WORK PROPOSED NEW CONSTR ADDIAtT � $EGN � Q DEMOLISN <br /> INBTALL 8 REPAIR <br /> PROPOSED US� SPE2 Q GOMM � C?TNER <br /> TYPE dF CONSTRUC710N BLOCK � FRAME �� STEEL Q - <br /> DE3CRIPTION OF WQRK � ✓ L.,.- .�� D � <br /> BUIIDlNG SIZE � �� ��SQ�F�GE�_�I HEIGHT � t � <br /> � <br /> i °�BU{�DING $ , /_ � ti/ALltA710N OF TOTA�CONSTRUCTiON C.�s� ' <br /> l� ° <br /> � <br /> ; <br /> QEIECTRICAI. AMP SERVICE ; � PROGRESS ENER Y [� W.R.E.C. <br /> PLUM8ING � �1p�,� <br /> � $ �( � <br /> ! j �OC:.. ��, <br /> QMECNANtCAt. $ VAtiUATlON OF MECHANtCAl.INSTAl.I.ATfON ���,,.�� <br /> QGAS Q ROOFINC, Q SPECtALT'Y � OTHER , . <br /> � FINISH�D FLOOR ELEVATIONS �..� FLOOD ZONE�AREA QYES NO <br /> � � ������ � ��n� <br /> B��CDER t COMPEWY <br /> S NATURH REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address License# �� � <br /> i <br /> ��ECi'RtCEAN COMPJ41+tY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt� Y/N <br /> Acldress � License# � � <br /> Pl.UMBER COMP� <br /> SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address i License# � <br /> MECHANICAI. COMPANY <br /> $IGNATIIRE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Acldress License# �` � <br /> _ , <br /> OTHER COMPANY <br /> SIGNATURE . REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address License# � � <br /> RESiDENT1AL Attact�{2)Flot Pians;(2}sets.of=Build�ng Plans;{1}set of Energy Farms;R-O-W Permit for new construc�an, <br /> Minimum ten(10)working days after submlttal date. Required onsite,ConsUucHon Plans,Stortnwater Plans w!Silt Fence installed, <br /> ' Sanitary FactliUes&1.,dumpster,Site Work Rertnit far subdivisionsAarge projects <br /> COMMERCI�U. Attach{3)complete sets af Suiliiirig Plans plus a�Ife Safety Page;(1}set of Energy Famts.R-O W Permit for nsw consUvc�on. � <br /> Minimum ten(10}waricing days after submittal date. Required onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster.Site Work Pertnit far all new�projects.All commercial requlrements must meet campliance <br /> SlGN PERMET Attac�{2)sets af Engineeced Ptans.. , <br /> """PROPERTY SURVEY required for all NEW construction. <br /> DlractRans: <br /> Fill out applicadon completely. <br /> Owner 8 Contractor sign back of applfcatlon,notarized <br /> if over�2500,a Notlae cf Commencement is required. {AlC upgrades over ST500} <br /> '" Agent(for the contractor)or Power of Attomey(far the owner)wauid be sameone with notarized letter from owner authorizing same <br /> t}VER THE COUNTEFZ PERMITl1NG {Froat of Appltcation Only} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drlveways•Nat aver Counter if an publlc roadways..needs ROW <br />