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813-�eo-ooza City of Zephyrhills Permit Application Fax-813-780-qp21 <br /> • Building Depatfinent _ <br /> � . `�__...-�---• <br /> Date Received _�Z�-' Phane Cantact for Permittin + <br /> �t' M /� / � " �Q <br /> Owner's Name �1 ���Ijl if � Owner Phane Ftumber t <br /> Owner's Address Owner Phone Number � <br /> Fee Slmple 7ltleholder Name � • � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �/`T✓ � � .L �'� . LOT# �� ��7�7� <br /> SUBDIVISION ���/�LTt� ARCEL ID# ��"���' ��`""`���f� �' Q�f�O� "��y� <br /> ������� <br /> qQBTAtNHD FROM PROPERTY TAX NOTtCE} <br /> WORK PROPOSED NEW CONS7R ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALI. 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTi-tER <br /> 7YPE OF CON9TRUC710N Q �BLOCK � Q FRAME STEEI. Q <br /> DE3GRIPTION OF WORK ��� ' `Z '� / �✓ ' <br /> BUILDIIVG SIZE � � SQ FOOTAGE C"'_�"':__J HEIGHT C�� <br /> QBUI[,dING � q� �� VALUATION OF TOTAI CONSTRUCTION _ <br /> QELECTRICAL � � AMP SERViCE Q PRQGRESS ENERGY Q W.R.E.C. <br /> QPI.UMBlNG � � ..�' j� �,,� <br /> OMECHANICAI. $ VALUATtON OF MECHANICAL INSTALIATION <br /> C�. ��'; <br /> OGAS Q ROOF1iYG Q SPECIA�`fY � OTHER <br /> �I <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA �YES NO <br /> G� ��p <br /> BUILDER �� �j /� t�COMPANY � <br /> SIGNA7URE _ "�/u�����✓�G�/�.'C/ REGIS7ERED Y/ N FEE CURRE� <br /> Y/N <br /> � Address � G � � F�� Cicense# � � <br /> EIECTRiC1AN /� _�, COMPANY <br /> 51GNATURE REGIS7ERED Y/ N FEE CURREP Y/N <br /> Address ''`` <br /> License# � � <br /> PLllMBER j I � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address �r License# � � I <br /> MECNANtCAt j 1 - COMPANY � <br /> SIGNATURE � REGI37ERED Y/ N FEE CURRE� Y/N <br /> Address `'j <br /> License# � <br /> OTHER j� COMNANY <br /> SIGNATURE „_ REGISTERED Y/ N . FEE CURRE� Y/N <br /> Address j� � <br /> Ucense# �_ � <br /> RESIDEN3fA1: Attach(2)Ptat Rlens;{2}sets of�Biiltdittg�Plans;t1)set at Etiergy Farms;R-O-W Perrriit far new canstruc#ian, <br /> Minimum:ten_(.10)�working:days aftec.submlMal date: Required onsite,Construction Plans;Stormwater Plans w/SIIt Fence installed, <br /> � _ Sanitary Faciiitles&1 dUmpster,Site Work Permit far subdivistonsllarge projecGs - <br /> COMMERClAL Attach{3}corrtplatei sefs of Buitding`Plans ptus a�ife Safety Page;(1)set df Energy Forms:R-O-W Permit for new construction. ._.- <br /> Mlnimum ten(10)working days after submittal date. Required onsite,CanstrucUon Plans,Stormwater Plans w/Silt Fence l�stadled, <br /> Sanitary Facilities&1 dumpster.Site Ntork Fermit far aii neinr proJects.Aii�mmerciai requlremer►ts must meet compllance <br /> SIGN PERMIT Attacfi{2)sets of Eiigineered P_tans.�� , � � - <br /> ••«•PROPERTY SURVEY requlred for all NEW canshucdon. <br /> Directtons: . - <br /> Fill aut appl(cadon completely. <br /> bwner&Contractor sfgn back of applicaBon,notarized <br /> if aver 52500,a Notice of Commencement is requlred. (A!C upgrades over�7500) � <br /> '" Agent(for the contraotor)ar Power of Attotney(far the owner)�:would be someone with notarized latter from owner autharizing same <br /> t3VER THE COUNTER PERMiTTiT1G (Front of Appilcation On�y), -, '; ,� _ , " <br /> Reroofs If shingles Sewers ,Service Upgrades;AlC ' �Fences(PIoUSurvey/Footage) , , , " � ` • - � <br /> Drivewaya-Not over Counter if on pubiic rriadways..needs ROW � � �. � <br />