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813-780-0020 City af Zephyrhills Permit Application Fax 813-78Q-4Q21 <br /> -' ` ` '' Building Department <br /> Date Received Pha�e Contact far Parmlttfn <br /> Owner's Name y�'2- ►�I ��Za �7' Owner Phone Number �✓l J' �l ? �- 3�'U.� <br /> Owner's Address � 7 yt1 v-��� �! Owner•Phona Number ��� ~J ��",� �,�� � <br /> Fes Simple Tltleholder Name � � Owner Phone Nucn6er � <br /> � <br /> Fee Sirnple T{tReholder Address ' <br /> JOB ADDRESS ��'� Y�7 - b�h S�� L,OT# [� <br /> SUBDIVISiON � ��� PARCEL fD# <br /> (dBTAiNED FRQM PROPERTY 7AX NOTICE) <br /> WORK PROPOSED � NEW CONSTR RDDIALT C� S1GN� C� Q DEMOLiSH - <br /> e INS7ALL FtEPAIR <br /> PROPOSED USE � SFR C] COMM �� 07HER <br /> TYPE OF CONS'CRUCTION BLQGIC ' [� FRAME C� Sl'EEi. Q <br /> DE3CRIPTION OF WORK V� � � <br /> BUILDING SlZE SQ FOOTAGE�„� HEtGHT �_� <br /> QBUILQlNG ��__-� VALUAT�ON OF''1'O'TAL CONSI'RCJCTION <br /> QELEGTRICAL $ � �U� t �J� AMP SERVlCE � Q• PROGF2ESS ENEi2GY C] W.R.E.C. <br /> QPLUMBlNG (�� <br /> � �j �2v � <br /> QMECHANICA� $ VALUATION OF MEGHANICAL IIVSTRLIATlOi+l <br /> QGAS Q ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS �� � FLOQD 20NE AREA QYES. NO <br /> BUlLDER COMPANY <br /> SIGNATURE REGlS7ERED Y! N FEE GURttEt� Y t N� <br /> Add�ess License# �` ^ � <br /> ELECTRICIAN t a. COMPANY '����� <br /> SIGNATURE "' REGISTEREQ Y! N FEE CURRE{� Y/fV <br /> Addrsss �Ucense# � I <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt� Y/N <br /> Address License# �- ��� <br /> MECHANICAL � COMPANIf <br /> 51GNATURE REGISTERED Y./ N FEE CURR�� Y/N - <br /> Address License# � � <br /> dTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N - FEE CURRE� Y/N <br /> address License# � � <br /> � r <br /> RESIDENTIAL Attach(2):Ploti Plans;.(2)sets=of Bullding�Plens;(1)saf of Enenjy'Foirns,R-0=W Perin,lt for new..canstru�tion, <br /> Minimum,ten.;(30),working;days;after.'subinittad'date.. Required onstte,ConstrucHon Plans;�Stormwater�Plans w/Silk Fence installed, <br /> Sanitary Faciittles&;1,dumpste,r.,;5ite_WorkaPermit#ot su6divisEons�arge projects `'`` � <br /> COMMERCIAL Attach(3)'complete sets of Bulliitng Plans�plus a Ufe Safety Page;(1)set of Energy Farsns.R Q-W Pecmi!for naw canstruc8on. <br /> Minimum ten(10)woricing days after submlttal date. Requfred onsite,ConsUucUon Plans,Stormwater Plans w/Siit Fence Installed, <br /> Santtary Facllitles.�1 dumpster.Slte Work Permit for a!I new,pro)ects.Alt commerctal requlrements must meet comp8ancs <br /> ,SIGN PERMIT Attach"(2)"sets of Englneered;P,ians.... ;: • _ <br /> ,� '""PROPERTY SUR1/EY requlred for:all.NEW canstruction. ' -- <br /> r <br /> 4� Dlreations: <br /> FIII out appllcatlon cqmpletely. <br /> t3wner&Cantrac#or slgn back af application,notarized <br /> If over�2500,a Notice af Cammencement[a requfred. .(AtC aperades over�7500) ,,, ._ : <br /> " Agent(for the contraator)or`Pbwer af Attamey(4`ar the owner)yrrouid..be someone wrlth notarizeci letter from awner authorizing same�� - -" ;� - � <br /> ClVER THE COUNTER.P�RMITI7NG ; (Fmnt:of=APP1lcatidR Qnty). . � �! � . . , - - <br /> Reroofs ff shingles Sewers $ervice Upgrades•A!C Fences(Plot/SurveylFootage) ' ` ' -_ ; , <br /> Driveways-IUot over Counter iE on public roadways..needs ROW , •,,, -� <br />