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a��-�ea-oo2o City of Zephyrhills Permit Application Fax 813-780-0021 <br /> k �.� Building Department <br /> Date Rece{vsd �'� '� Phone Cantact far Permitt�e – <br /> Owner'$Name � �C� Qwner Phone Number <br /> Owner`s Address Owner Phone Number �— � <br /> Fee Slmple Titleholder Name �� � Owner Phone Number � � <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS ����"7 l.rfi�- � � Ll L.OT# �___� <br /> $USDIViS10N �— � PARCEL tD# <br /> (dBTA1NED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED 1VEW COiVSTR , ADDtALT � SEGN' Q Q DEMOIISH <br /> e IN^�TALL 8 REPAIR <br /> PR4POSED US� Q � SFR Q COMM � C?THER <br /> TYPE 4F CONSTRUCTION Q BLOCK " Q FRAME Q STEEL Q <br /> DE3CRIpTION 4F WORK �� � ,�a� �, ��J • <br /> BtlILD1NG SIZE �— � SQ FOOTAGE[� HEIGHt C_..� <br /> I �B�«'���� I'" , � VALUATION OF TOTA�CONSTRUCT�ON <br /> L_ ,_...,.�J <br /> QE�ECTft1CAL �� AMP SERVICE Q PROGFtES5 ENERGY Q W.R.E.C. <br /> ���zUM�t�� $ ��.� � t 6 b� � <br /> QMECHANICAt. $ VALUATtQN OF MECHANIGAI.INSTAt.LAT10N <br /> � �'; <br /> QGAS Q ROOFfNC.� Q SPECIAI'{'Y � OTHER <br /> FINISHED FLpOR ELEVATIONS � � FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> ; SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> � Addresa Cicense# �� � <br /> ���cra�crar� co�w�a�r � <br /> SIGNA7URE ' REGIS'fERED Y/ N FEE CURRE� Y/N <br /> , Addres� License# �— ( <br /> PLUMBER � COMRAIrtY �� � �� 1 Ct7 lCF�'7 <br /> , SIGNATURE REGISTERED Y/ N FEE CU En Y/ <br /> , Address ��� � -�G)� � � License# �� /�3��� � <br /> , — <br /> MECHANlCA! Gt}MPANY <br /> '� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �w � <br /> � <br /> � OTHER COMPANY, <br /> ' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> —,,,,_„_„_„_,,, „_,,,,_ <br /> i Address License# � � <br /> F2ESIU�NTIAL Attach(2)Ptaf Plans;t2}seis of-BuElding'Plans;(1}se#af Energy Farms�R-O-W Permit for new construction, <br /> Minlmum.ten_(10)�warking days.aftec submittai date. Required ons(te,Construction Plans,Stortnwater Plans w/811t Fence installed, <br /> Sanitary FaciliUes&�1 dumpster,Site Work�F!ermit for sutidiVisionsflarge,proJects <br /> CBMMERCIAL At#ach(3}camplete sets'of Building Plans ptus a 1Jfe Safe#y Page;{4)set at Enetgy Forms.R-O-W Pemtit for naw construction _ <br /> Minfmum ten(10)worktng days after submfktal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/8ilt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Pertnit far all neinrprojects.All commercial requlraments must meet compltance <br /> � SIGN PERM17 Attach{2)sefs of Eagineered Plans. . ; <br /> �, ••'"PROPERTY SURVEY required for all NEW construcUon. . <br /> �� _ ; . <br /> ' DIr6CtlOflB: , ` <br /> � Fill aut apqlicatlon completely. <br /> Owner 8�Contractor sign back of applicadnn,noRarized • ' ..,�;••: � <br /> � 1f over S2S00,a Notice of CommencemenE ts required. (NC upgrades over$T504) �- `-- �- ti �• <br /> � '* A ent for the contractor or Power of Attome for the owner wauld be someone with notarized letter from owrrer autho�izin same�- �� � � �� <br /> I 9 ( ) Y( ) . 9::.. , _ . , '. . • <br /> { OVER TNE COUNTER.PERMITf1NG (Front of App8ca6on Only) A � ' � � � • � , • ', <br /> ', Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) � � ` �"� _ � _ � <br /> Driveways-tVot aver Counter if on pubtic roadways..needs RdW " � `9� �"� ~ � � f���-f ' ��f �T. � <br />