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813-780-0020 City af Zephyrhills Permit Applicatian Fax 813-780-0021 <br /> Building Department . <br /> . <br /> Date Rsaelo�d Phane-Cantact far Permlttin — <br />� Owner's Name �t'/ �' Ownsr Phone Number <br /> —�-.. <br /> Owner's Address Owne�Phone Numbar ' <br /> Fee Slmple Titleholder Name � � Owner Phone Number �` � <br /> Fee Simple Titleholder Address <br /> JOB ADbRESS 77 �C.�� —' �r��D2 !�f-�� � �r LOT# C�_� <br /> SUBDIVISION � � PARCEL ID# �,�'� '�'� '������d r�j� <br /> (OBTAINED FROM PROPERTY TAX NQTICE) <br /> WBRK PROPOSED ivEW C4NSTR ADD/ALT � SIGN Q Q DEMOLiSN <br /> e INSTALL 8 REPAIR <br /> PRQPOSED USE Q � SFR � COMM Q OTHER <br /> TYPE 4F CONSTRUCTION Q BLOCK ° Q FRAME Q $TEEL Q <br />' DE3CRIPTION OF WORK �� f' J`� �'('i 7"LGx'✓�, <br /> I BUILDING S12B �` � SQ FOOTAGE HEIGHT C____�� <br /> �B�«���� �� VALUATION OF TOTAI.CONSTRUCTION <br /> �J <br /> E�ECTRICAI. $ � � AMP SERVICE ,.Zt�l� Q PFtOGRES5 ENERGY [� W.R.E.C. <br /> I �v��-�- <br /> �PZUMQtNG $ <br /> [�MECHANICAt. $ VALUATION OF MECHANICA�INSTALlAT101V {„��� <br /> �W <br /> � <br /> QGAS Q ROOFINCa Q SPECIALTY � OTHER (� <br /> , UI� <br /> FINISHED FLOQR ELEVATIONS FLOOD ZONE AREA QYES NO �� <br /> � <br /> BUILDEi2 COMPANY <br /> ' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> E�ECi'itIC1AN C�J��"� COMPANY Cv` j.��U`lt�' l/t� �t�i- d� <br /> SIGNATURE } REGISTERED Y/ N FEE CURRE� Y/ <br /> Address � CU ,2 � ��"��""�(/ License# �l�''�,Q�G� /�(p p � <br /> PCtlMBER --� GOMP.ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrass License# �` � <br /> � MECMAMtCA! COMPAidY <br /> I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Licensa# � � <br /> OTNER COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �T !� <br /> RESIDEN'i'IAl Attaoh{2)Plof Plans;{2}se#s of:Bullding Plans;{1)se#of Energy�Farms;R-O-W Permit far aew construc�an, <br /> Minimum ten(10),woricing days,after submittal date. Required onsite,Construction Plans;Stormwater Plans w/Silk Fence instailed, .� <br /> Sanitary FaciliUes&1..dumpster,Site WorlrRermit for subd(Visions/large proJects <br /> C4MMERC(Ai. Attach{3)complete sets of Bulldirig Plans plus a I.ife Safety Page;(1)set of Energ}r Forms.R-fl-W Permlt far new conshuction. <br /> Minfmum ten(10)working days after submittal date. Requtred onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes 8�1 dumpsier.Site Work Permit for aA neinr projects.All cammerciaf rec}uirements must meet compliance <br /> StGN PERMIT Attach{2}sets o#Engineered Plans. <br /> ""`PROPER'T'Y SURVEY requtred far all NEW construcUon. <br /> Dlrections: <br /> Ffll aut applicatlon completely. <br /> Owner 8 Contractor stgn back of applicatton,notadzed <br /> tf over�2508,a Nottce of Camrnencement is required. (AlC upgrades over 57500) <br /> "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with natarized letter from owner authorizing same <br /> QVER THE COtSNTER PERMITiiNG (Frant af Applica6on Oniy) <br /> Reroofs ff shingles Sewers Service Upgrades A/C Fenoes(PIaUSurvey/Footage) <br /> Drlvewaya-Not aver Counter if on pubiic roadways..needs ROW <br />