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813-�ao-oo2a City af Zephyrhills Permit Applica#ion Fax 813-780-0021 <br /> Buitding Department <br /> �, -- <br /> Date�tecetved phone Cantact for Perntlttin <br /> Owner's Mame � � Qwner Phons Nurnber i <br /> Owner's Address Oweer Phone Number � � <br /> Fee 5lmple Titleholder Name � Owner Phone Number � � <br /> � <br /> Fee Simple Tltleholder Address <br /> ' ��J08ADDRE$3 � W� V� S "'C.V' � LOT# <br /> , <br /> SUBDIVIS{8N �� � PARCEL 1D# d �^ •�.� !' �. '7 !V <br /> I (OBTAINED FROM PROPERTY TA)C NOTICE) <br /> WORK PROPOSED " NEW CONS�R ADDIAIT � SIGN Q [� DEMOL,iSH <br /> INSTALL REPAIR I <br /> P#tOPOSED-USE Q SFR � CON1M �� OTHER <br /> TYPE OF CONSTRUCYION • Q BLOCK � [� FRAME [� STEEL Q <br /> DESCRIPTION OF WORK �.>C� /�M .( � f��1!� � QV <br /> BUtIDING SFZE � � SQ FOOTAGE� HEIGHT <br /> r��� <br /> �g���d���' � � VALUATION OF TOTAL CONSTRUCTION <br /> ��� <br /> ELECTRICAI. $ L AMP SERVICE ��'p Q RROGRESS ENERGY Q W.R.E.C. <br /> � <br /> QPLUMBtNG � � <br /> �]MECH,4NICAL $ �� VALUATION OF MECNANICAL INBTAllAT10N <br /> � ��� �z�-� <br /> OGAS Q ROQFiiVG Q BPECIR�.TY � OTHER � <br /> FINISHED FLOOR ELEVATIQNS �—� FLOOD ZQN6 AREA QYES NO <br /> BUILDER COMPAt�Y <br /> SIGNATURE REGI37ERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> ElEC7RICIAN ��f� COMPAt+�Y G7�-- <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrs�s License# ���/Z rp� i <br /> PLUMBER � COMPANY <br /> SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAL COMP�WY <br /> SIGNATURE REGIS7ER D Y/ N FEE CURRE� Y/N . <br /> Address License# � � <br /> OTH�R COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrass �_ „—,._„—_ , license# � � <br /> RESiDENT1AL A#tach(2}Ptbt Pians;{2}sets of Bullding'Plans;{1 j seEaf Eee�9y�Fa�ns;R=0-W Permlt tar new constructian, <br /> Minlmum:ten(10}.wrorking days after,submittal date.-Requlre�onsite,Construcdon Plans;3tormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpste_r,Site Work Permit for suhdiVisionsAarge proJects <br /> C4MMERCIIU. Attach{3}complete sets of Bultcling Pia»s piias a l.ife Safe#y Page;{1}se#of Energy Forms.R-O W Pem�tlt for new const�sctian. <br /> - - Minimum ten(10)working days after submlttal dake. Require�onsi4e,ConsUucUon Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FaciliHes&1 dumpste�.�Site Work Permit for all new roJects.All commercial requlrements must meet'complianca <br /> SIGM PERMIT Atiad�{2)sets of Engineered Plans._ � <br /> "`*PROPERIY SURVEY required for all NEW canstruction. <br /> Dlrectlons: <br /> FIII out applicaUon completely. <br /> Owner&Cantraatar sign back of appficatton,notarfzed <br /> if over§2540,a NoEtce of Cammencernent is required. {AtC upgrad�s ol er 57500) <br /> " Agent(for the contractor)or Power of Attomey(ftar the owner)would be somgone with notarized letter from owner autho�izing same <br /> DVER'i'HE COUNTER PEftMtTTlHG {Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> .priveways-Nat over Caunter tf on pubtia roadways..needs ROW � <br />