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s��-�ao-oozo City af Zephyrhills Permit Application FaX a�aaaaoa2� <br /> Buiiding Department <br /> +'r ,• • <br /> Date R�ceived plypne Cantact far Rermlttin ��~ ��1 - � � � <br /> Owner's Name �S`��- Owner Phone Number 7,�_�/ 1 ,�3� <br /> Owner's Address Owner Phone Number <br /> Fee Slmple Tltleholder Name � -� Owner Phone Nurober �- -� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��f Yl �"� �'1'"� �� �3 a LOT# C� <br /> SUBDIViS10N �` � PARCEL 1D# <br /> (OBTAINED FROM PROPERTY TAX NQTICE) <br /> WBRK PROPt3SED NEtN CONSfR ADD/AtT SiGN Q Q DEMOUSH <br /> INSTALL 8 REPAIR <br /> PROPOSED U5E � � SFR � COMM � OTHER <br /> TYPE OF CONSTRUGTION Q BLOCK ° Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK '� � G C� {,�{'C� ,� , $'J t � <br /> BUIlD11dG SIZE �! �� SQ FOOTAG£[� HEIGHT ��� <br /> �8����� � � � VALUATION'OF TOTA�CONSTRUCT�ON <br /> L�.� �J <br /> E�ECTRIGAt $ �O�-�£,� AMP SERt/ICE � PRC}GRESS ENEF2GY Q W.R.E.C. <br /> QPLt1MBING �� <br /> �6 � �' <br /> OMECNANtCAI $ VA[.UATION OF MECHRNICAt.lhlSTAL�ATIt�IV <br /> QGAS Q ROQFING Q SPEGIALTY �'] OTHER <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA [�YES NO <br /> BUtIDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA ,Y/N <br /> Address License# � � � <br /> EIEC'tRICFAF! �✓ "`��� COMPAt�lY �`J � ���.-f�,C � <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# �.�-�3c� �t 7 a � <br /> PCUMBER ..�� COMi?ANY <br /> 51GNATURE . REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �i �� <br /> MECHANICAL COMPEWY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> O'iHSR , COMPAMt <br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Licanse# � � <br /> RESfQENTIRL Attach{2)plot Plans;{2)sets af Building Plans;{1)set af EnergyFarms;R O-W Permlt for new canstruo�an, <br /> Minimum,ten_(10)working days after submittal date. Required onsite,Construction Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanita"ry Facilides&1.dumpste.r,Site Work=Rermit for su6dlvisions/large proJects <br /> CONIMERCtAL Attach{3)+camplete sets of Sultd�rig Plans pius a tife Safety Page;(1)se#of Energy Fortns.R-O-W Permit for new canstruc�on. �� <br /> Minimum ten(10)woridng days after submittal,dake. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflitles&1 dumpster.Site Work Permit far ail new proJects.All commercia!requlrements must meet comp!}ance <br /> SIGN P�RMIT Attach{2)sets af Eqgineered P1ans. . .. - , <br /> ""`PROPERTY SURVEY requireci for all NEW construcUon. <br /> D}rections: <br /> Ffll out applicatlon completely. <br /> Owner&Contractor sign back of appltcaNan,nota�ized <br /> tf aves�2500.a fitottce of Commencement is requtred. (A1C upgrades over 57500) <br /> `" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter fram owner authorizing same <br /> OVER'ftiE COUNTER.PERM!'FTFNG {Front of Rppticatlon Only} <br /> Reroofs if shingles Sewers 8ervice Upgrades A/C Fenaes(Plat/Survey/Fookage) <br /> Driveways•Not over Caunter if on pubiic roadways..needs ROW <br />