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< <br /> s��-�eo-ao2o City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Buitding depatiment <br /> Date t�ecelved Phons-Contact for Fermlttin �l �� — ��1 <br /> i7�wnsr's Mame ����. Owner Phone Number 1���� � <br /> Owner's Address /� Owner Phone Number � � <br /> Fee 3lmple Titleholder Name � � Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADORESS � �(1' / J� �}/� °(.� LOT# �� <br /> SUBDIViSION ���)� f����(�� PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK FROPOSED N£W CONSTR ADDlAIT � SIGiV' Q [� DEMOt»ISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q � SFR � COMM �] OTHER <br /> TYPE OF CONSTRUC'1'ION Q BLOCK " Q FRAME [� STEEL Q <br /> DE3CRIPTION OF WORK � C ��/�/1„I (° G( � �d"Y�7 �/II�NTS � T-/7�L , <br /> BtIlLDING SIZE SQ FOOTAGE MEIGHT C�� <br /> �g�«'���� L'� VALUA710N OF TOTAI.CONBTRUCTION <br /> QELECTRtCAi. � AMP SERVlCE Q PRC}GRES5 EhlERGY Q W.R.E.C. <br /> OPLtlMBI(VG ($— � <br /> ( �� Y� <br /> QMECNANtGA� $�//��p �� VALUATIQN OF MEGHANtGA�IN8TAl1.ATtQN ,�/ <br /> .�,�� . <br /> Q�s Q RQQFIiHG Q SPECIAI.TY � qTHER <br /> FINISHED FLQOR ELEVATIONS �`� F1.00D ZONE AREA QYES NO <br /> BUI�DER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address ticense# r � <br /> ELECi'RICIAN COMPAFiY <br /> SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r� �—� <br /> PLUlIRBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � ' � <br /> MECHANtCAl. � COMPANY /�} �S � �I�i�Bt/G� `���, <br /> SIGNATURE �''�7't-P G���-.'1'�/�� REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address � �� a ��j/tL,� License# ��j'��j'!`�j�!' �-}�� <br /> O'TiiER COMPANY - <br /> SIGNATURE REGI$TBRED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> RESIDENTIAL Attach{2)Plot Rlans;{2)sets�of Buitding Plans;{1}set of Energy�Forms;R-O-W Permlt far new constructian, <br /> Minlmum.ten(1.0),working`days,after.subrinittal date. Required onsite,Construc�an-Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanita'ry Facilitles&.1.dumpster,Stte Work�Fermit fur subdivislons/large proJects <br /> CONIf111ERC1,4t. Attach(3)complete sets of Building Plan`s plus a l..tfe Safety Page;(1)set of Energy Forms.R-0 W Penntt far new canstruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitery Faailitles&1 dumpster,Site Work Permit for all new proJects.All commercia!requlrements must meet compllance <br /> SiGN P�RMlT Attach{2)ssts af Eciglneered Plans.. . <br /> ""PROPERI'1'SURVEY required for all NEW construcUon. <br /> Dlreations: <br /> FIII out appltcadon completely. <br /> Owner&Contractor stgn back of applfcaUon,notarized <br /> tf over S25d4,a Natice af Commencement ts reguired. (AtC upgrades over;�T500) <br /> '" Agent(for the contractor)or Power of Attomey(far the owner)would be someone with notarized letter from owner autho�izing same <br /> OVER THE COUN3ER PERMiTfiNG (Front of Appllca�on Oniy} <br /> Reroofs if shingles Sewers 5ervice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivsways-Not over Counter tf on public roadways..needs ROW <br />