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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> : <br /> •�'�. 8uilding Dep��tment <br /> Date'�ec�ived -�.2,--�S Phane�Cantact for�Pe �ttU - <br /> Owner's Name T e � � Owner Phocte Number <br /> Owner'�Address p L� `�G(�(�� Owner Phona Number �— � <br /> Fee Simple Titleholder Name �� � Owner Phone Number ��3 �� �l '� �� <br /> i <br />� <br /> Fee Simple Titleholder Address <br /> ) � <br /> JOBADDRESS �� �h/IG� eC�L LOT# �� <br /> SUBDIV�SION � � PAFtCEL ID# <br /> (OBTAINED FROM PROPERTI'TAX NOTICE) <br /> WBRK PROFO$ED NEW tONSTR ADDIALT I SIGN Q Q DEMOLtSH <br /> e INSTALL 8 REPAIR �� <br /> PROPC}SED U8E Q SFE2 Q COMN1 � OTHER <br /> TYPE OF CONSTRUC7`ION Q BI.00K ° Q FRAME [�] STEEL Q <br /> � <br /> DESCRIPTION OF WQRK G.-� l�tc'✓1 ��� 2.,`���I � <br /> BUiLD1NiG StZE �� �� SQ FOOTAGE[_�� HEIGHT [�� <br /> QBUtI.DiNG �i � VALUATION OF T TAL.CONBTRUCTION <br /> QE�ECTRICA� r6 AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C. <br /> L <br /> QPLUMBING � � <br /> [�MECHANiCA� ��� � � . <br /> $ �2 � ���� VAIUATIQN 4F M�CHANIGAS.IF+ISTAt.IATICIN <br /> ���� <br /> QGAS Q R{7QFING Q SPECIAI.TY �� t7THEi2 <br /> FINISHED FLOOR ELEVATIONS r�� FLOOD ZON �AREA QYES NO <br /> L <br /> BUILDER COMP <br /> 51GNATURE REGISTER D Y/ N FEE CURREA Y/N <br /> Address License# � � <br /> EIECTRICIAN COMP� <br /> SIGNATURE �' REGISTER D Y/ N FEE CURREA Y/N <br /> Address License# <br /> P�UNfBER COMFAt+�Y <br /> SIGNATURE � REGISTER D Y/ N FEE CURRE� Y/N <br /> Address Licanse# � —1 <br /> „ . - — <br /> MECFtRNIGAL �„��'� COMP �1- j�pr� �' )L}��L'i � <br /> SIGNATURE ' ReG�S7Ett�o Y/ N FEE C RRE� Y/N <br /> .- J <br /> Address �� j� �hr�l,j �j,3,S License# � <br /> OTHEl2 COMP Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Licanse# r� � <br /> RESIDENTlAL• Attach(2)Plot Rlans;{2}sets of Buililing'F'1ans;{1}set of En�rgy��orms;R-O-W Perinit for new cans#ruction, <br /> Minimum ten(10)working days after.submittal date. Requiretl onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facil(Ues&1 dumpster Site Work�Pertnit for subdivisionsflarge projects <br /> C4MMERGIAI.. Attach{3}corimplete sets of Suilditig Plans ptus a�ife Safe#y Page;{1)set of Energy Famis.i�fl-W Pemtit for new canshuction. - - - <br /> Minimum ten(10)working days'after submittal dake. Requiretl onsite,CanstrucUan Plans,Stormwater Plans w/Sflt Fence installed, <br /> Santtary Facilides&1 dumpster.S(te Work Parmit far al!new proJeots.All commercial requlrements must meet campllance <br /> StGN P�RMIT Attaoh{2)sets af Engineered=Plans..� <br /> "`"PROPERTY SURVEY required for all NEW construction. <br /> Dlrectlons: <br /> Fill out applicadon completely. <br /> Owner&Contractor sfgn back of appifcation,notadzed <br /> tf over S250d,a Notice of Commencement i�required. (NC upgracies Qvar�7500j <br /> '" Agent(for the contractor)or Power of Attamey,(for the owner)wauld,be so�eane with notarized letter from owner authorizing same <br /> DVERTHE CC3UNTER PERMITIING �,(Frontof,Rpplicatiori Onty}�"`�"; ? <br /> Reroofs if shingles Sewera, ;; Service lJpgrades.A/C .Fences:.(Piat/ urvey/Footage) <br /> . „ , <br /> Driveways-Not over Counter if�an public•roadways.:needs.ROW.::,',.r.,..��• <br />