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- �' 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Oepartment <br /> Date Rsceived � � /} � � <br /> 1 '� i?hane Contact"far PermittFn � � '�.`� �� <br /> Owner's Name �t1� �_A � � � Owner Phone Number t1j' � <br /> Owner's Address OwnerPhone NumEser � � <br /> Fee 5lmple Titleholder Flame � � Owner Phone Nuenber �� —� <br /> ',r� � <br /> Fee Simpla Titleholder Addres� �� <br /> JOB/4DDR�SS � G Ut ��-L7 L01'# ��� <br /> SUBDIVIS(OPO �1�U��ft/�Gl � ��/��� ,/�i4RCELID# � " (.L/ ' / ' ' (,/lJ <br /> (OBTAINED FROM-PROPERTY TAX NOTfCE} <br /> WORFC PROPOSED , E�`��Ew CONSTR� ADD/ALT ['� SiGN [� C] DEMOLISH - <br /> INSTALL REPAIR <br /> PftOPO�ECi USE Q SFR � COMM � OTHEF2 <br /> TYPE OF CQPISTRUCYION � [� 9LOCK " Q FRAME L� STEEL Q <br /> DESCRIPTION OF WORK I/ /5 � jj � � , �C� (C� l D '� / � <br /> �UILDING SiZE � � 8Q FOOT/�GH�-1 HEiGHT ; �'N#� U/� � �G� G`'�� <br /> ��y«���`' � �, ,� VALUATION`�OF�'iO`TAL CONSTRI`JCTION � �� � <br /> QEl.ECTRiCAi. ��-� AMP SERVECE Q PFtOGRESS ENERGY [� W.R.E.C. <br /> QPi.tFMBING �y_� <br /> QMEGHAN1GAl (y;� VA�UATIOt�OF MECNANtCA�INSTALIATlOtV � (`�t/ � ! <br /> L � ' � �{( cf� <br /> QG�RS Q ROOFlNG Q SREGIAITY � OTHER �''� � ' �� <br /> FINISHED F�OOR ELEVATIOP1S FLOOD ZOfVE AREA QYES. PVO � <br /> BUlI.DER CQNfPANY �-��/�`U/ /Lz' � �2 1/ .�i C <br /> SIGPIATUR� � REGISTERED Y/ iV FEE CURRE� Y/N <br /> �ddress ! ��� ��L-/,. r,�C�if2 L.laense# � � <br /> ELECi`I�tC1AF1 C(�MPANY <br /> SIGNATURE �' REGISTERED Y/ Pl FEE CUf2RE� Y/N <br /> �ddress �Llcense# � �� <br /> PLUMBER � COiVIPANY . <br /> SIGWATURE RECi1STERED Y/. N FEE CURRE� Y/N <br /> Address l:icense# � � <br /> MECHANICAi. GOP�IPANY <br /> SIGNATURE REC,ISTERED Y:/ N FEE CURREn Y/•N <br /> �4ddress� License# � � <br /> OTNEFt COMPAI@Y <br /> SIGN�YURE REGISTERED Y/ N. , FEE CURRE� Y/:N. . <br /> Addre�s �_ - License# �� � <br /> EtES�DEFiT1Ai.� Attaah{2)'Plot?Plans;.(2}sets:af�8uildin'g'Plans;'•{1}set af�Eitiergy�Fomis;.R-O-W=Ferinlffor,nevil,construction, <br /> - Minimum�;tenx(10)woriting;d"ays,aftec;sutimlttal date.�.Requlred ons(te,�Cons`truati'ori�Plans;,Storrnwate�'Plans w/Silt Fe�ce Installed, <br /> �Santtary Faciltties�:&�1.;dumpster;Ske;:Work��Permit€or subd�vistonsAarge projects: .- "� ` ' <br /> COMMERC4�1. Attaoh(3)qinplete sefs'ofBulliling Flaris pius a Life Safety Page;(1}set of Energy Forms.R-O-W Permit far newf construc8on. <br /> Minimum ten(10)worktng days after submittal date. Required ansite,ConsWcHon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster.Site Work Permtt for aN new`proje'cts.Ail cammerciai requ3rements must m�et campUance <br /> StGN PERNIIi' AttacFi(2j�sets of`Engineered:,Plarts:;;::e�;-;: . _ . <br /> `•"'PROPERTY SURVEY reguired;for.ali IVEW.constrwction. <br /> Dlrectiana: <br /> F'III out applicaklan completely. <br /> Uwner 8 Gontractor stgn back-of applicatEon,notarized <br /> if over#250d,a Notic�af Commencemsnt i�required. (lallC upgrades over$7500) <br /> " Agent(for the1co�tractoc)or.Power of Attomey(fo�the�owner)woutd be someone with notarized letter from owner authodzing same <br /> DVER THE COUFI'tER.P..ERMi1TING-- - (Front of Appiica6om Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Detvew�ys-Not aver Counter if on publia roadways..needs ROW <br />