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813-780-0020 City af Zephyrhills Permit Applica#ion Fax-813-780-OQ21 <br /> Buliding Department - <br /> Date Recefved+ 3"2!l JCj Phone Contact for Psrmittln — <br /> awner'�Narne � �' C.- , '�� Owner Fhone Number <br /> Owner's Address J�J \ OwnerPhane Number �� � <br /> Fee Simple Tltleholder Name � � Owner Phone Number � � <br /> . �---- <br /> Fee Simple Tltleholder Address � �° <br /> JOBADDRESS �J�..� � � LOT# �_N� <br /> SUBDIVISIOiV � � PARCEL 1D# <br /> (OBTAINED FROM PROPERiY TAX NOTICE) <br /> WORfC PROPOSED ° NEw CONSTR ADQtA�T � StGN Q [� DEMC?LISH <br /> INSTALL � REPAIR <br /> PROPOSED-USE [� SFR Q COMNI [� QTNER <br /> TYPE OF CONSTRUCTION Q BLOCK " �] FRAME G� STEEL CJ <br /> DESCRIPTION OF WORK ���9� ` �Sl�\ � � ��QQ ' \ '�` <br /> BUIlDiNG SIZE �4�1�� ���� 8Q FOOTAGE C'� HEIGHT <br /> �����"d�N�' $ �� ("'��� � VALUATION`O�F TOTAL COIVSTRUC`f�ON -�} �� <br /> �J l <br />, QE4ECTRIGA� �� AMP SERVICE [� PRt)GRESS ENEFtGY Q W.R.E.C. <br /> [�PLUMSING � � . �� ������ <br /> � [�MECHRNlGAL $ VA�UAT[ON OF MECHANiGAL INSTAI_1AT10N <br /> �[��D�� <br /> � OGAS Q ROOFtiVG � SPECIALTY �� QTNER �./ <br /> FINISMED Fl.00R ELEVAT S ��✓��:� ,nr� <br /> IaN FLOOD ZONE AREA QYES. NO ,����U�"_p' <br /> �`� � �} <br /> �,�b <br /> � BUt�DER COMP�WY 3'� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/.N <br /> I Addrass License# � <br /> � <br /> I E�EGTRICIAN COMPANY <br /> SIGNATURE �' REGI$7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> � <br /> ' P�UMBER COMFANY <br /> �I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> j Address License# � � <br /> MECHANIGAI. GOMPANY - <br /> I SIGNATURE REGISTERED Y./ N FEE CURREA Y/N� <br /> iAddress __ W_.__---.--- ` licerise# � � _ <br /> COMPI�NY.. ��� C���4J�- �}t� <br /> ! OTHER i� fY A�.�` ��t��:l'` � ��-� � <br /> SIGNA7� �' �� REGISTERED Y/ N .. FEE CURRE� , Y•L N, . �N�� <br /> Address C�p�'t' �..� License# � � <br /> RESt0ENT1Al. Attach(2}Plot Plansl_{2}sets:of=Buliding''Pians,`{1)set af Energy�Fortsss;R-0=W Permif for new constructian, <br /> Minimum:ten:(10),wor{cing:days;after;subriilttal date. Requlred onsite,Construction-Plans;Stormwater'Plans w/S(It Fence installed, <br /> Sanitary Facilities&-�1,dumpster 5ite Work>Rertnit for'subdiyisionsAarge proJecis -: ` _ <br /> COMNIERClAi,. Attach{3}camplete sefs'of Bu3til3rig�Plans plus a Ufe Safet}r Page;{1}set af Energy Fonns.R-Q W Permif for new construction. <br /> Minimum ten(10)working days�after submlttal date. Requtred onsite,ConstrucUan Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster..Sfte Work Permlt for all riew proJects.All commereial requi�ements must meet eompitance <br /> BtGN PERMIT Attach"(2}sets of Engiiteered�Plans.� .�,. <br /> •`""PROPERTY SURVEY reguired for all NEW canstrucfJan. <br /> Dlrectlons: ' <br /> FIA out applicatlon completely. <br /> Qwner�Contractor sign back of applicaaon,notarized <br /> If over a2500,a Natice of Comnnencement is required, {AIC upgrades over S764d) , <br /> " Agent(for the contraotor)or Power of.At�qmey,(for the owner)_would.be someane with notarized letter from owner authorizing same <br /> DVER TFFE CbUfi1TER.PERM1'fTiNG {Front of ApplEca#tore;Oniy}'.,'� , �� <br /> Reroofs if shingles Sewers ; Ser`vice Upgrades A/C'` Fences.(PIIoUSurvey/Foatage) ^ <br /> D�iveways-Not over Caunter if an;publicvroadways;.needs:ROVt(,":.�,. ,.. <br />