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813-�ao-oo2o City of Zephyrhills Permit Applica#ion Fax 813-780-0021 <br /> Buiiding Depattment <br /> DaQe Recsived �� �2,rj ,2.•(� � � phone-Contact for Permittin — <br /> Owner's Name �SL.►V � � � Owner Phone Number ��� • 7�� + � � (D <br /> Owner's Address Q �h �� (� Owner Phone Number � � <br /> Fee Simple Titleholder Name ��/� � Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB AbDRESS (,1 D � �, Q � �S ``"�..6�`(� LOT# �_�� <br /> suso�vis�or� � � � P�,iac��i� ��"'Z�a"2� —C�t.11 C� — t�3�{tx3—oa 1 O <br /> (OBTAINHO FROM PROPERTY TAX NOTICE) <br /> WORiC PROPOSED NEW CONSTR ADDJALT � SlGi+} Q Q DEMOi.tSH <br /> e INSTALL 8 REPAIR <br /> PR4PQSED USE Q � SFR Q CG?MM [� pTHEFt <br /> TYPE OF CONSTRUC710N Q BLOCK ° Q FRAME � STEEL Q <br /> � <br /> pESC121PTiON OF WORK � � <br /> BUI�DING S17.E �� � SQ FOOTAGE� HEiGHT {�� <br /> QBUI�DING $ � M��`p <br /> � VALUATtOiV OF TOT'A�CONSTRUCTION <br /> [�ELEGTRICAI. $ � � AMP SERVICE Q PROGRESS EPIERGY Q W.R.E.C. <br /> QPLUMBlNG C _. � � ( r p �0(�� <br /> 1 � <br /> QMECHANICAI $ VAl.UATtON OF MECHAf�lIGAC lfVSTALLATION <br /> � ��: <br /> QGAS � ROOFlNG Q SPECIRL'i'Y C� OTHER <br /> FINISHED FLOpR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUt�D�R Q�' ^ COMPANY I �l�25�l1�i ��,1'�t"U t�1t3h1 �,p� G�c,rS <br /> SIGNATURE �'�"����='�yin/r"'y • . � REGISTERED Y/ N FEE CURRE� <br /> Y!N <br /> Address t .�}.�wc 3 ta�yb Y�/i • �, • �j?J�CS$ License# C C.�,, l 3�.Q '�.,,a' '�.�� <br /> ElECtl2lCIAtQ COMPANY <br /> SiGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> PLtlMBER COMPAI�iY <br /> S�GNATURE REGIS7ERED Y/ N FEE CURREA Y/N <br /> Address License# � � <br /> MEGHANtCAL COMPANY <br /> &iGNATURE REGISTERED Y/ N FEE CURRE� Y/IV' <br /> Address License# �� �� <br /> pTHEE2 COMPIWY <br /> SIGNA7URE REGISTERED Y/ N- FEE CURRE� Y/N � <br /> Address Llcense# �� � <br /> RESiDENTiAi: Attach(2)Plot"Plans;{2)sets af.BulldJng'Plans;{1)sef of Energy�Forms;R-O-W Permlt far aew canstructlon, <br /> Minimum,ten(10},working;days;after submittal date, Required onsite,Construc6on Plans;�Stormwater Plans w/Silt Fence installed, <br /> Sanitary FacilfUes&:1-dumpster,Slte Work�Rermit far subdivisfons/large projects <br /> COMMERCIAL Attach(3}camplete sets of Buitding P1aos plus a Ufe Safeiy Page;{1)set af Enetgy Fotms.R-O-W Femt3t far new canstruction. <br /> Minimum ten(10)working days'after submittal dake. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permik fur all new'proJeots.All commercial requlremenks must meet compliance <br /> S16N PERMIT Attach(2}sets af Erigineered Plans. - <br /> ""PROPER7Y SURVEY required for all NEW consWctian. <br /> Dlrectfans: <br /> Fill out applfcaUon completely. <br /> Owner 8 Contractor sign back of applicattan,notarized <br /> If over�!500,a Natice cf Commencement Is requlced. {A!C upgrades over$7500) <br /> `* Agent(for the contractor)or Power of Attamey(for the owner)wauld be someone with notarized letter from owner authorizing same <br /> i OVER THE COtiNTER.PERMITfiNG (Front of Applicatian On{Y) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fenaes(PIoUSurvey/Foo#age) <br /> Qrlveways-!Vo#uver Counter if on public roadways..needs ROW <br />