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_ :;��-�aaoo2o City of Zephyrhills Permit Application Fax 813-7so-oo2� <br /> ��� ` Buitding department . <br /> Date Received Phane Contact for PermlttEn — <br /> Owner'�Name y� �Q Owner Phone Numbar ���"� G.�" <br /> Owner's Address Owner Phone Number � � <br /> Fee Simple TlNeholder Name �� � Owner Phane Number �— � ' <br /> Fee Slmple Titleholder Address <br /> JOB AbDRESB co ' �i� �� r�/7 i �t 3 3 5'y;z �oT# �� <br /> SUBDIVISION �� � PARCEL ID# <br /> , (OBTAINBD FROM PROPERTY TAX NdTICE) � <br /> WORK PROPOSED NEW CON5TR ADDIAIT' �" 51GN Q Q DEMOLlSH <br /> e INSTALL e REPAIR <br /> PROPOSED-USE Q 3FR � C4MM � � tf ! <br /> TYPE OF CONSTRUC710N Q BLOCK � Q FRAME � STEEL Q <br /> DESCRIPTION OF WbRK E �� ;+�»G� lr►cv y� � <br /> BU1lDING S12E � � SQ FOOTAGE�_� HEIGHT ��� <br /> �����"���� $ ��t ��� a"� VALUATION OF TOTAi�CONSTRUCTION <br /> QEIEC'TRiCAl. � �� AMP BERVICE Q PRQGRESS ENERGY Q W.R:E.C. <br /> OPLUMBING $ r,�j� <br /> ��,.._ � �l(�v� <br /> OMECHANlCAI. $ VALUATION OF MECNANICAG lNSTAI.IATIQN <br /> ' [�GAS Q ROOFING Q SPECIALTY C� (?THER; <br /> ' FINISHED FLOOR ELEVATIONS r FLOOD ZONE AREA [�YES NO <br /> 1.�� . <br /> BUI�DEF2 COMPANIP � <br /> 31GNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Addra�s License# �� � <br /> E�EC7RICIAN COMPANY <br /> SIGNATURE ' RE�iS'rEReo Y/ N FEE CURRE� Y/N <br /> I <br /> Address , License# �� � <br /> PLUMBER COMRANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �^ � <br /> MECH�lNICAL COMPANIt <br /> SIGNATURE REGISTERED Y,/ N FEE cu�tEn Y/N <br /> Address � License# �- � • <br /> OTHER COMPI�WY <br /> SIGNATURE Re��STERE� Y/ N , FEE CURRE� Y/N. <br /> j Addre�s License# �� � � <br /> RfSEDENTIAL Attach{2)Ptof Rlans;(2}seis�.of=Buitding'Plans;{1}se#af�Energy=�orm`s;R-O-W Pemiit for i�euy constrvetion, <br /> Minlmum�ten.(1.0)woricing?days after,subrtiittal date, Required onstte,Construction Plans;�Stortnwater Plans w/Silt Fenoe installed, <br /> Sanifary FaciliUes&.1„dumpster Site;Work Rermit forsubdidisionsAarge:proJects ' � <br /> CflMMERCIAl. Attach{3)comptete"sets af Bullding Plans plus a l.ife Safety Page;{1)set of Energy Fo�ns.R=Ct�W-Pemiit far�new canstruction. <br /> Minimum ten(10)woricing days after.su�mittal date. Required onsite,Canstructlon Plans,Stortnwater Plans w/SUt Fenc�ainstalled, <br /> , ��,.,,..,_ �-- <br /> � Sanitary Facilitles&1 d�mpster.:Site Work��'ermtt for.all new proje6ts..All cammercial requirements rriust ineefcompliance—% <br /> StGPI PERMIT At#ac�{2}sets of Engineered:Rla�s:, �. 4 __. <br /> ••"PROPERTY SURVEY requlred for all NEW constructlon. <br /> Dlrections: � <br /> Ffll aut application complekely. . � , <br /> :- -. <br /> Owner 8 Co�tractor sign back of appficatlan,notarized; '/ `• � r� �� � <br /> If aver S25Q0,a Nctice af Commencement�`i��equlreFl. �AtC upgrades over 57500} _ _ _ j�'" ' " s"�� ` • <br /> .. � ._; •.�' .� .. ?:l. - ;,;_-.. .°.. ,i�.�.°;y.�_, ,, ..�:�',�,:`;. �,;: <br /> Agent(for the contractor)or Power of Attomey(fo�tFie owner)iniould be someone with natarized letter from owner autho�izing same .. ' <br /> . .--� , `°...', i{ � '�'-rrF" t <br /> DYER THE GGIUNTER.PERMi1'TING -{Front:of-Appllcafibn Onlyr),'":`., : ` .�';, .� '', <br /> Reroofs if shingles Sewers ; Service�Upgrades�,NC� '>Fen;ce"s�(PIaUSurvey/Footage) � , , '�"°' � % <br /> Drlveways-Not aver Gaunter if on public madways::needs ROVit��� „.;. � M1. `- . , ; „ ,. .��'. <br />