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813-�eaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> `� . ��� '� Building depattment <br /> Date Received f phone-Cantsct.for Pefrt�3tttn •._ � - <br /> r. <br /> � 1 <br /> �i„JOwner's Name � t � i t � Owner Phone Number <br /> t � �J��JC�� �`� � <br /> l�rner's Address Owner Phone Number <br /> � <br /> Fee Slmple Tltleholder Name Owner Phone Number � <br /> '��d �_ <br /> Fee Simple Titleholder Address °" <br /> 3 365�' �" �.e � � Q <br /> JOB ADDRE3S .� S' ��-- LOT# <br /> SUBDIVISION �` � n PARCEL ID# <br /> (OBTAINED FROM'PROPERTY TAX NOTlCE) ' <br /> WflRK PROPt}SED �i�EW CONSTR ADDJAtT �,] StGN� Q Q DEMOI.ISH <br /> INSTALL .� REPAIR - ' <br /> PROPOSED-USE 8FR �; CQMM� � t?THEF2 , <br /> TYPE OF CONSTRUCTION `. � BI,OCK ~ Q FRAME � STEEI. Q' <br /> DESCRIPTION"OF WORK N - e � �� <br /> BUILDING SIZE �� � .SQ FOOTpGE��. HEIGHT C,,,_„ <br /> QBUI�DiNG � v VALUATION C1F 10TAL COIVSTRUCTION <br /> , .-���� <br /> QE�.�CTRICAI. � � AMP SERViCE "Q PROGRESS ENERGY Q W.R.E.C. <br /> QPl:UMBtNG � 11 � ' ��.�� � <br /> �. .- � <br /> QMECHAiVlCAL $ VAi.UATtON OF NIEGHANtCRE.IP#8TALlATtUtU <br /> Oc�s o �a��E�� ..o SPECIAl.TY [� - OTHER. <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO <br /> Bt31�DER �Q,,,�.�Q„�,r ,� ' COMPANY , 'G����� <br /> SIGNATUR� REGISTERED Y/ N FEE CURRE� - Y/N <br /> Address License# <br /> ELECTRiCiAN COMFA�tY � - � <br /> SIGNATURE �» REGISTERED Y/ N FEE CUFiRE� Y/N ' <br /> Addres� - License#.:� � � <br /> „ „ „..�. „ <br /> PLUMBER , GOMPANIf = <br /> SIGNATURE � � .REGI$TERED _ Y I N F,EE.CURRE� Y/N � <br /> Address Ucense#�� � � <br /> MEGHAi�iICAL' � �, , ; COMPAt�tY .. <br /> SIGNATURE; ' REGI3TERED ; ,, YJ.,.N FEBCURREt� .,Y/N ,. <br /> Address� � } � ' Ucense# ( � <br /> O'iHER COMPANY . . <br /> SIGNATURE��� ` � � � ` `REGISTERED � � Y/ N'... FEE.CURRE� Y/N , <br /> Add�e8s '�� ' . ` , LiC011Se# � � <br /> RESlDENT'IAI:', .. �Attac�{2}:FIot,Plans;.{2}sets�ofsButlding"Plans;'.(1)'set of Energyt�=Forriis;R=0-W Peiiril!for new coostiuo$on, <br /> Minlmum;ten-(1�,0);workfng;;days;aRer submlttal:date:�Requlred.onslte;�ConsUucd'an-Plans;Stormwater Plans w/Silt Fence installed, <br /> ..Sanitary Fa�l1�es�&�.1�,�dumpster_Site,Work;Permit�foi suddivisionsllarge_projects �. , :` ' ' � - - � <br /> COMMERCIJU. Attach{3)complete sets`of'Biiltiling�Plans plus a�ife�8afety�Page;{1�)set af Energy Fatms.R-O W Permitior new canstsuctlon. <br /> Minimum ten(10)working days'after submittal date. Required onsite,Constructlon Plans,Stormwater Pians w/Silt Fence instelled, <br /> Sanitary Pacllttles&1 dumpster.Stte Work Permft for aU new;projeats:•All commerciat requfrements must meet compliance <br /> SIGN PERMtT Attacfi{2}`sets of`�nglneered:Fla�is•z,_,r:�:��r;�`°� , -� „ � " <br /> •`"'pROPERTY SURVEY reguired for all NEW_constructian. � <br /> Directtans: , , . . . _ . <br /> FIII out appUcatlon completely. <br /> t?wner&GontracMr sign back of application,natariz�! <br /> i#over�500,a Notice of Commencennent is required. (A!C upgrades over 57500) . <br /> '• qgent(for ttie conf'racto'r'�'or Power'bf Attoriiep`(fiSr ttie ownerj would be someone with notarized letter from owner authorizing same � �� <br /> DVER THE C4UNTER PERMt'TTiNG•� �- -�(Front of�Apptication•Onty)°� <br /> Reroahs if shingles Sewers Service Upgrades AIC Fences(PlodSurvey/Footage) <br /> ' Driveways-Not over Counter if an pub0a roadways..need's ROiN � <br />