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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bullding Depactment . <br /> Dala.Received ( � �` � a�-j s Phone-Contact far PerntlttFn — <br /> Owner'�Name �r . Owner Phane Number —'�5��,�J"�� '� <br /> Owner's Address � a,s ( Owner Phone Number � � <br /> Fee Simple'Citleholder Name Owner Phane Number � � <br /> Fee Simple Titleholder Address <br /> r--- L� <br /> JOB ADDRESS LOT# <br /> SUBDiVIS10N ����',.;�.t.i)�� PARCEL ID# <br /> � (OBTAINBD FRdM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/AlT C� SIGiV� ['� [�] DEMOI.ISH <br /> INSTALL REPAIR <br /> PROPOSED�USE Q � SFR Q COMM � QTliER <br /> TYPE OF CONSTRUCTION [� BLOCK ' Q FRAME Q STEEL Q <br /> I ,j� <br /> DE3CRIPTIQN OF WORK --»4��.. �� l� � IQ i N���"� <br /> BU1LDtNG S12E �� �� SQ FOOTAGE HEIGHT C�.� <br /> OB���"����' L� � VALUATION OF TOTAL CONSTRUCTION <br /> ,�., , �1 <br /> QEl.ECTRICAI �� AMP SERVICE Q PROGREBS ENERGY Q W.R.E.C. <br /> P�UMBING $ c� �vt7 � � Crj� <br /> �_,—,,, �b <br /> QMECHANtGAI $ VA�t1ATIQN OF MECHANICAZ INSTALLATlOItt "[l <br /> QGAS Q RQOFlNG [� SPECIAI.TY C� QTHER <br /> FINISHED FLOOR ELEVATIONS �-� FL.00D ZONE AREA [�YES NO <br /> BUIl.DER —..�. ,,,.��y�-�� T COMPANY <br /> SIGNATURE �� �"���"r REGISTERED Y/ N EE CURRE� Y/ <br /> Address License# � � <br /> ELEGTRlCIAt�1 COMPANY <br /> SIGNATURE �' REC,,IS7ERED Y/ N FEE CURRE� Y/N <br /> Address L(cense# � � <br /> PLUMBER � � COMPAFIY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAI. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� �� <br /> OTFiER COtU�PANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N <br /> Addres� License# �— —� <br /> t2ESIDENTiAt. Attach{2}Plof Plans;(2}sets ofBuilding P1ans;(1}set af Energy�Farms;R-O�W Permit for�sew canstructian, <br /> Min(mum,ten.(-10),working'days after submittal date. Requlred onsite,Construction Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanifary FaclliUes:&1,dumpste�Site Work•Permit for subdivislansAarge'proJects <br /> COMMEF2CtA[. Attach{3}comptete sets o#Bulldirig Plans plus a�ife Safety Page;{1)set af Energy Forms.R-O-W Permit fc�r new constri�cNan. <br /> Minimum ten(10)working days afker submittal date. Required onsite,Gonstrucdan Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster.Site Work Psrrntt for all new proJects,All commerclal requfrements must meef compliance <br /> SIGN PERMIT AttacF�{2}sets of Engineered Plans.: �� <br /> "`""PROPERTY SURVEY requiPed for all NEW constructfan. <br /> Dlreetlans: � , <br /> Fill out app�icadon completely. ' , ,• <br /> Owner&Contractor stgn back of appl3caUon,notarized , .�.�� <br /> tf aver 32500,a Nottce of Commancement is reqnired. (AIG upgrades over 5758dj ' ` ��' �° � • �'' ' . <br /> " Agent(for the cantractor)or Power of'Attomey(for the owner)would be someone with notarized letter from owner authorizing same . -X <br /> aVER THE Ct.�UNTER PERMlTTING (Front of Applica�on Only) � . , _ - .;�"}:� � .' � <br /> Reroafs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Faotage) �� , ,� �'.;.,,r�-:;;._s =' � s <br /> � <br /> �. . ' ... ` , �:�'' "Y <br /> Driveways-Not over Counter if on pubiia roadways..needs ROW r '' ' ` `� � ' • �, ,. ` ., <br />