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s�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buflding Department <br /> I <br /> . ` ' i <br /> pate Roceivec! � ��-- . — �of� <br /> Ahane-Contact for Permi#Ein <br /> Owner's Name C�.�O Ur- �I Owner Phane Number t7f ' • ��� <br /> Owner's Address ��p � i�(.Q.0 Ownar Phone Number � ',��a f'�' `l�t��� � <br /> Fee Simple Tltleholder Name � � Owner Phone Number � <br /> Fee Simple Titleholder Address I�', <br /> JOB�idDRESS t�tn,P..- LOT# C__� <br /> SIiBDIVISiON ��--�t! f91o1`r2a�n.A PARCEL ID# �,� �,��a�,� 1 C.�o �� d �C3 O['�O ' (,.�/�� <br /> , (08TAINED FROM PROPERTY TAX NOTICE) <br /> WBRK Pi20POSED NEw CONSTR ADD1AlT Q SIGN Q [� DEMOI.tSH <br /> e INSTALL 8 REPAIR <br /> PROP08ED USE Q SFR Q COMM � OTHER ' t " � <br /> TYPE OF CONSTRUCTION Q BI.00K " Q FFZ4ME [� STEEL CJ � �� <br /> DESCRIPTIOPI OF WORK i � ` � -� 9�,�, ,Q <br /> BUIlDING SIZE SQ FOOTAGE HEIGHT ��� <br />� QBUI�DING � � VALUATIOiV QF TOTAL CONSTRUCTION <br /> QE�ECTRiCAE. $�'� � AMP SERVICE . Q PRQGRESS ENERGY Q W.R.E.C. <br /> � <br /> �RLUMBIN{� ri� - <br /> L <br /> MECHANtCAL $ VAIUATlON OF MECHANICAC INS7ALlAT10N <br /> � ��'�� <br /> QGAS Q RQOFING. Q SPECIRI.TY C� OTIiER <br /> FINISHED FLOOR ELEVATIONS ��_� F1.00D ZONE AREA [�YE5 NO <br /> BUI�DEI2 --- - COMPANY_.__ -- - - -- ' --, <br /> µSIGNATURE REGISTERED Y/ N PEE CURRE� Y/N <br /> Address License# � � <br /> EIECTRICIA4J COMPA�FlY <br /> SIGNATURE � REGIBTERED Y/ N FEE CURRE� Y/N <br /> Addrsss License# �— � <br /> PLUMBEFt COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � ` � <br /> MECHAl+IIC,4E. ` . � GONIPANY � <br /> SiGNATURE REGISTERED / N FEE CURRE� N <br /> Address license# � <br /> OTHER COMPAFIY <br /> � SIGNATURE REGISTERED Y/ N - FEE CURRE� Y/N <br /> Address license# �� � <br /> 4 RESlDENT4Al. Attach{2)Plat Plans,.{2)sefs af�Building'Plans;{1}se#of Energy Forms;Ft-0-W Perinit for new canstructiori, <br /> � Minimum.ten(1.0)working"days after submittal date. Requ�red onsite,Construction Plans;Stortnwater Plans w/Silt Fence installed, <br /> I Sanitary FaciliUes&1 dumpster,S(te Work:Pertnit for subdivisions/large projects . - <br /> � GOMMERGIAi. A##ach{3)cor►iplete sets of Buliiling Plans plus a'�Ife Safe#y Page;{1}set of Energy Fonns.R O-W Penn9t fof new canstnsction. <br /> Minimum ten(10)woric(ng days afker submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.$ite Work Permlt for all new proJects.All commercial requirements must meet compliance <br /> SIGN PE02MIT A##acFi{2}sets af Englneered Plans. ' ' <br /> ""PROPERTY SURVEY required for all NEW canstructian. - - <br /> Directians: <br /> Fill out applicaHon completely. <br /> Owner S Contractor sign back of applicatlon,notarized <br /> ; tt over 52500,a Notice of Comnnencement ts t�equired, (AlC upgrades over�7500} <br /> � " Agent(for the contractor)or Power of Attomey.�(fqr thenow�er)wauld be someone with notarized letter from owner authorizing same <br /> OYER THE CCiUNTER.PERMiTCING y{Front of Appl�catiorti'Only)' ;'<''�..;=r ._�. � ` <br /> Reroofs If shingles Sewers Seniice Upg`raides:�NG"=:�"�'Fences�(P,IoUSurvey/Faotage) <br /> � � .. , �.- � :.... , <br /> Driveways-Not over Counter if on putilic roadwa�s..needs'ROW _, , �x 4�f� <br /> - �.. ,.r�.., ,.�.,-._... . :.,a <br />