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i <br /> 813-�ao-oo2a City af Zephyrhills Permit Application Fax 813-780-0021 <br /> �U��t�ItSt,��8�1t'�i't18lit <br /> � w • <br /> Qate Rece[ved Phane�Contact for Permittin � 7�-7 f — �� <br /> I_ r r,� c►� <br /> Owner's Name /'" ' � �� QIV�'� Ow»er Phone Number � �tr?�/ �� <br /> Owner's Address �.�—y � �� ���I .Z Owner Phone Number �� 7� �..Z��� <br /> Fee 3lmple Titleholder.Name � � Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � Z.(' ►��t �,,,� �7 Z LOT# I� �'I�- <br /> SUBDiViS10N � . � PARCEL ID# � �-- 2. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � e NEW CoN5TR 8 ADQ/AlT � SIGN Q Q DEMO�tSH <br /> INSTALI. REPAIR <br /> PROP05ED USE � SFR Q GOMM � OTHEi2 <br /> TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME �� STEEI. Q <br /> DESCRIPTION OF WORK � j � (,� �� '� �► <br /> BUILDING St2E �- � SQ FOOTAGE �� HEIGHT �_� <br /> �����j��' � ,� �� VALUATION OF TOTAL CONSTRUCTION <br /> QE�ECTRiCAt � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBiNG (�y� � j �,v� <br /> L �� Q <br /> �]MECHANlCA! $ VAf.UAT10N OF MECHANICAt IF�STA�CATION <br /> QGAS Q F20QFIiVG � SPECIAI.'fY C� QTHER � ���� <br /> FINISHED FLOOR ELEVATIQNS ��� FLOOD ZONE AREA [�YES NO <br /> BUILpER COMPANY (/' ld �"(9� � „/� <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> Address -f �- -'"� License# � 1�j„�.9 7„��� <br /> 33 7� <br /> EIEGTRICIAN COMPANY <br /> SIGNATURE � REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# �� �� <br /> PLUMBER COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> MECMANICAt. GOMPANY <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> UTNER COMPANY <br /> StGNATURE REGIS'TERED Y/ N FEE CURRE� Y/N <br /> Addres� License# �� —� <br /> EtES1DENTiAL. �Attach{2}Pict P,lans;(2}sets af Builtlirtg'Pians;(1}set of Energy�Forms;R-O-V1t Pennit for new construct�an, <br /> Minimum ken(10)worki�g days aftec.submittal date. Requlred onsite,Constructian Plans;Stormwater Plans wl Sflt Fence installed, <br /> SaNtary Facilides&7 dumpster,Site Work Permit for subdivislonsAarge projects <br /> - COA+ItYlERCIAi. Atfach{3}camplete sets af Saildiri,g Plans plus a Ufe Safety Page;{1}set af Energy Fflrms.R U-W Permit for new cons�vc�an. <br /> Minimum ten(10)working days'afke�subml�Pdake. Required onsite,ConstrucUan Plans,Stortnwater Plans w/Spt Fence installed, <br /> Sanitary FaoiliUes&1 dumpster:$ite VVork Pemiit for all new proJects.All commercial rec}uirements must meet corripliance <br /> StGN PERMIT Attacti{2)sets af Englnee`r,ed Plans. i, ' <br /> •••`PROPERTY SURVEY required�,for aII;NEW�construcUon. <br /> Dlrectlons: <br /> � Ftll out applicatlon completely. <br /> Owner 8�Contractor sign back of applicadan,nota�ized <br /> '� tf over S25d0,a Nottce of Commancement is.required..-,jAtC ypgr8des over 57500) <br /> ' '" Agent(for the contractor)or Power of Attomey(for the awnerj would be someone with natarized letter from owner authorizing same <br /> OVER THE CQUN'fER PERMITFiNG ';(Front af A�spllc�tipn On{y}; :. , � <br /> Reroofs if shingles Sewers Service Upgrades A/C, Fences(Piot/Survey/Footage) <br /> Drtveways-Not over Counter tf on public roadways..naeds ROW <br /> � <br /> � <br />