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. i <br /> a�s-.�eo-oo2o City af Zephyrhills Permit Application FaX a�saso-oo2� <br /> ' y 8uilding Department <br /> Date Recsived Phone-Contact for Pe�Itttn - <br /> Owner'$Name � �.. „s Ownet Phone Number <br /> Owner's Address ..7 � �" Owner Phane Number C� � <br /> Fee Simple Tltleholder.Nam � � Owner Phane Number � � <br /> I <br /> Fee Slmpte Titleholder Address <br /> JOB ADDRESS LOT# �__� <br /> SUBDIVISION PARCEL ID# - <br /> � <br /> I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPC>SED NEW CONSTR ADD/A�T Q SIGN Q Q DEMOLISH <br /> e INSTALL REPAIR� � <br /> PROPOSED USE Q SFR Q CON1M � OTHER <br /> TYPE OF CONSTRUCTION CJ BLOCK � [] FRAME [� STEEL Q <br /> i �. <br /> DESCRIPTION OF WORK �F r+V <br /> BUILDING StZE SQ FOOTAGE[�� H GHT �� <br /> � <br /> �B�«���fi" $ � � VALUATION OF TOTAC CONSTRUGTiON <br /> QE�ECTRIC $, AMP SE42VICE Q PRQGRESS ENEF2GY [� W.R.E.C. <br /> OPLUMB114G ` �_� � `� ��r�{ <br /> J <br /> QMEGNANiCAl r$ VALUATION OF MECHANICA�.INSTALLATION <br /> L�y��' , <br /> C]GA3 Q FtQO�ING [�} SPECiA1.TY [� OTHER <br /> FINISHED FLCaOR ELEVATIQNS �_—__-� FLOOD ZQNE AREA QYES NO <br /> BUt�DER COMAANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address Llcense# � � <br /> E�ECTRtC1AN COMPIWY <br /> SIGNATURE �' REGISTERED Y/ N FEE CUI2RE� Y/N <br /> I <br /> Address license# �� � <br /> — � <br /> PLtlMBER � CdMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/IV <br /> I <br /> Address LiceriSA# � �� <br /> MECHA�ttICAG. COMPANY <br /> SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N <br /> Address nse# <br /> OTHER COMPANY <br /> SIGNATURE REGI3TERED / FEE CURRE� '•Y/N. <br /> Address � Cicense# � ,� <br /> RESIDENTIAL Attach(2}Ptat Plans;.{2}sets-af Buitding`Plans;{1}set df Energy�Forms;R-O-W Peisnli for new constructian, - <br /> Minimum ten_(10)-working days afker.submittal date. Required onsite,Construcbbn Plans;Stormwater Plans w/Silt Fence installed, <br /> � Sanitary Facilides 8�1 dumpster,Site Work�Rermit for subdivision§Aarge projects <br /> _ �:COMNiERC1At. Attach{3}cflmplete sets af Buliciirig Plans plus a 1.[fe Safety Page;(1}set of Energy Forms.R-O-W Petmit#or new constructlon. ` <br /> Minimum ten(10)woricing days after.submittal date. Required onsite,Construction Plans,Stormwater Plans w/�Silt Fence inslalled, <br /> Sanitary FaciliUes&1 dumpster.Sita VVork Permit for all new projects.All commerciai requirements must meet compliance ° <br /> SIGN PERMIi' Attach{2}sets of Eriglneered Rlans. � � ' � <br /> .«.«PROPERTY SURVEY required forall�NEW constructfan. - � �� <br /> � <br /> Dlrec#lans: - , , � <br /> Ffll out applica8on compl�tely. � . <br /> Owner&Contrackor slgn back of applfcaUon,natarized _ <br /> tf over�2500,a Natice of Camrnencement is t�equired. {A►lC upgrades over�790d) �. <br /> r i <br /> " Agent(for the contractor)ar Povuer of Attomey(far the awner)would be someone with notarized letter from owner authorizing same I <br /> 4VER TtiE COUNTER PERM1TTfFtG (FroM of Applica6on Only) <br /> Reroafs if shingles Sewers Service Upgrades A/C Fences(PIoU lunrey/Footage) <br /> pNveways-Nat over Counter if on pubifc roaciways..needs RdW � <br />