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813-780-0020 City af Zephyrhills Permit Application Fax 813-780.0p21 <br /> Building Department - <br />� ' <br /> E Date Et'aceived � �� � S�- phone Contact far Permittta — <br />� <br /> Owner'a Name �� /� `-�'Owner Phone Namber <br /> Owner's Address Owner Phone Number �� � <br /> Fee Slmple Titleholder Name �� � Owner Phone Number � � <br /> Fee Simple Tftleholder Addre�s � b� ��--. <br /> JOB AbDRESS G�� 1 �m��� L.OT# �� <br />' suea�visioN Y'i1L1"�S�S��0 a}�� pARCEL 1D# <br /> , (OBTAINED FROM PROPER'I'1"TAX NQ710E) <br /> WORK PRdPOSED NEW CoNSTR ADD/AlT Q SfGN Q Q DEMOLtSH <br /> � INSTALL 8 REPAIR <br /> PROPO5ED USE SFR Q COMM �] CJTHER <br /> TYPE 4F CONSTRUCTION Q BLOCK " Q FRAME � STEEL Q - <br />� ,. <br /> DESCRIPTION OF WdRK �N�� � ��-�Wl t�"'�V� � �=�7 CL�M-~ � s • � <br /> BUILDING S1ZE ���'���a� SQ F08TAGE� HEIGHT C�� <br /> �8UlLDING �C�1� VALl1ATION OF TOTAt�CONSTRUCTION <br /> ----- <br /> QELECTRtCAI. � � AMP SEFtVtCE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBtNG $ ��J�L yQ t �4�5���� <br /> QMECHANICAt. $ VA�UATION OF MECHANICA[.lNSTAI,tAT10N f .��Z��� <br /> ., � � <br /> OGAS Q ROOFING � SP�CIALTY � OTHE� ��J�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZC1NE AREA YES NO v <br /> BUl�DER �OM�PAt�tY '�J13.`� � � E„ {,_�-�t�`�'�.t...�l�> <br /> SIGNA REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Addre�� Ltcense# I � <br /> EIECTFi1C1AN COMPANY <br /> SIGNATURE " REGISTERED 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 /> MECHANICAl. COt1HPANY <br /> SIGNA7URE REGISTERED Y/ N ��e cu�ten Y/N � <br /> Address License# �� � <br /> t}TFlER COMPANY <br /> SIGNATURE REGISTERED Y/ N , FEE CURREA Y/N <br /> Address ' License# �� � <br /> #2ESIDENTIAL Attach{2}PIot.Plans;.{2}sets.af�Building:Plans;{1)sef of Erisrgy�Farms;Ft-{}-W Permlt for new construction, <br /> Minlmum,ten(1.0)warking days after,subrtiittal dake. Required onsfte,ConsUiic6on Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary Facili8es•&:1 dumpster,Site'Work,Rermitforsubdivisionsparge proJects <br /> COMMERCIAL Attach(3}corrtplete sefs af Bullding`Plaris plus a l.tfe Safety Page;(1}set af Energyt Fotms.R-Q-W Petml##or new cons6ruction. <br /> Mfnimum ten(10)warking days after submittal date. Required onsite,Constructlan Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Wor1c Permit for ail new proJects:All commercial requitements must meet compllance <br /> SIGN PERMIT Attach{2)sets of Engineered P.lans., : <br /> ••••PROPERTY SURVEY required for all NEW canstrucUan. � <br /> Direstions: <br /> Fill aut applicatlon completely. <br /> Owner&Contractor sign back of appifcatton,notatized . <br /> If aver 52500,a Natiae of Corremenaement Is raquired. (AtC upgrades over�7500) <br /> `" Agent(far the contractor)'or Power of Attamey(fo�the owner)would be someone with notarized letter from owner autho�izing same <br /> t3VER TNE COUN'fER PERMI'F'TING'- `"°(Front qf`Appl[cation Oniy}�. <br /> Reroofs ff shingles Sewers �,Service�Upgrades.A/C, � Fenoes(PIaUSurveylFookage) <br /> Driveways-Not over Counter if an pubiic roadways..needs.ROW } ,� <br />