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81�3-780-0020 City of Zephyrhills Permit Application Fax813-780-Op21 <br /> » Buliding De ar#ment � <br /> �...y . <br />� Date Recetved Phone Ccntact far Pe tttin — <br />� <br /> I �2 �^ " <br /> Owner's Name �?.S� �!f l_:.-' �""'� ��� Qwner Phone Nurnber <br /> Qwner's Address � L( Z J '� V/`�' . Owner Phone Number � � <br /> Fee Simple TlNeholder Name �� �! Owner Phone Number �� � <br /> ( <br /> Fee Simple Titleholder Addres� <br /> JOB AC/DRESS 5� LOT# �� <br /> SUBD1VIStON � � PARCEL ID# �� �-� t`3� � 1 G'�O� Q p'"Z, <br /> l (QBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CoNSTR ADQtAIT � SIGN Q Q DEMQLiSH <br /> INSTALL REPAIR <br /> RROPOSED USE Q 3FR Q COMM �_•�O'THEF2 ' <br /> TYPE OF CONSTRUCTION Q BI.00K ° Q FRAME STEEL Q <br /> DESCRIPTION OF WORK R+� /�, �QR� 3 �� S/N • <br /> BUILDlNG S1ZE �� � SQ FOOTAGE HEiGHT [�_� <br /> �8���"�{�� I"" , � VALUATION OF TOTAL CONSTRUCTION <br /> I—,,, ,_,,, , .J <br /> QE�ECTRICA�. � � AN]P SERVICE Q PROGi2ESS ENERGY Q W.R.E.C. <br /> [�PLUMBtNG $ �.y�� o� <br /> Zf � <br /> QMECNANtGAI $ VAIUATIQN OF NI CHANICAI.IIVSTA�IATIC?N �'� � <br /> �GAS � ROQFI{VG Q SPEGIAl.TY C� OTHER ���J'o� � <br /> I '�.' <br /> FINISHED FLOOR ELEVATIONS F1.00D ZQNE AREA QYES NO <br /> SUI�DER COMPAt�Y <br /> SIGNATURE REGISTERED Y/ N FEE CURREt� Y/N <br /> Addres� License# r� � <br /> ElEC1'RlCIAN CflMP <br /> SIGNATURE " Re��s'rERff� Y/ N PEE CURRE� Y/N <br /> � <br /> Address License# � <br /> PIUMBER COMPAt�Y ���S .'��/�V 1�� j,l•a-LfQ r' G. ' <br /> 'SIGNATURE REGI3TERED Y/ N FEE CURREA Y/N <br /> I <br /> Address � License# G'FC ^0.,�7 Ll�i I <br /> MECHRNlCAE. COMIPAt�Y <br /> SIGNA7URE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> QT1�iER COMPAI�lt <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address license# �— � <br /> RESIDENTIAL Attach{2}Plo#P1ans;(2�sets of-Bti3ldEng Plans;{1)set of Ene y Forms;R-O-W Permlt for new construction, <br /> Minimum ten(10)working days aiter submittal date. Requir onsite,CanstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanftary Facili8es&1.dumpster,Site Work.Permit for subdivislonsAarge projects <br /> ' COMMERC4A1. Attach{3}complete sets o#8uitdiri�Plans plas a I.ife Safety P(age;(1}set of Enargy Forms.R O-W Fetmit for new canstructlon. <br /> � Minimum ten(10)working days after submittat dake.•Required onsite,ConstrucUan Plans,Stormwater P1ans w/Silt Fenae installed, <br /> Sanitary Faciiities&1 dumpster.Sfte Work Pertnit•for all�new roJects.All commeecial requirements must meet compliance <br /> SIGN PERMtT Attach(2)sets of Engineered Plans.. ' <br /> ••`"PROPERTY SURVEY required for all NEW constructian. <br /> DErectlons: <br /> Fiil out application completely. <br /> 4wner&Cuntractor sign back of applfcattloa,notarized <br /> If over S2S00,a Notice af Commencarnent is requirad. {AlC apgrades ver$T500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)wauld be som ne with notarized letter ftnm owner autharizing same <br /> OVER THE COtfNTER PERMI'T'17NG {Front of Applica�on Only} ( <br /> Reroofs if shingles Sewers 5ervice Upgrades A/C Fences(PIaUSurvey/Footage) <br /> Driveways-Nat aver Counter if on pubfia roadways..needs f20W <br />