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_______ _ _____ �� <br /> r---- <br />' 813-780-Od20 City of Zephyrhills Permit App(ication Fax-813-780-0021 <br /> Building Department <br /> Date Received � phone Contact for Permitting — <br /> Qwner's Name ��-�r^a-�"` �' • '��' 1 �'��`'� Owner Phone Number � � 3 " 7 �v .�"'���- �- <br /> i <br /> Owner's Address S � lA � �f V` � Owner Phone Number � � <br /> Fee Simple Titleholder Name t_` ��-��`t-} �^� ��N�� Owner Phone Number �— � <br /> Fee Simple Titleholder Address ��i� `l� ST <br /> JOB ADDRESS � J � � ���v1 S '� LOT# �� <br /> SUBDNISEON � � PARCE�ID# <br /> (OBTAINEp FROM PROPERTY TAX NQTICE) <br />! WOE2it PROPOSED e NEW CONSTft� ADDtAi.T � SIGN � Q DEMO�tSH <br /> INSTALL REPAIR <br /> PROPOSED U3E � SFi2 Q CO{UIM 0 OTHER <br /> TYPE OF CONSTRUC710N d BLOCK Q FRAME � STEEL Q ' <br /> DESCRIPT(ON OF WORK ��2� �"�"``"t � �"`OC7� �Vf,._T �-��c'`"i'��`"� <br /> BUILDtNG S1ZE �—i� SQ�OOTAGE[�- HEtGH7 [_� <br /> �BU3�DING � (� VALt3ATtON OF TOTA�CONSTRUCTION <br /> ���" <br /> �ECTRIGA� $ �""1 �� � AN1P SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> d <br /> �PLUMBING �'> ������_f� <br /> �L <br /> �MEGHAN(GAL $ VALUATION OF MECHAiVIGAL INSTALLATION <br /> QGAS ROOFENG Q SPECIALTY C� QTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES NO <br /> BUILDER ` COMPANY ��n�3 r�-��-'� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —� <br /> ��.�cTa�c��v � COMPANY <br /> �� ��� <br /> SIGNA7URE Recisr�Reo Y/ N FEE CURRE� Y/N <br /> ' Address License# � � <br /> PCUMBER COMPANY <br /> SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �` � <br /> tVrEGHAN1CAt. COMP14tdY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> C}THER . COMPANY ��''"'� ��-� <br /> I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— —� <br /> FtESIDEtdT1AL Attach(2}Piot Plans;{2}sets af Buiiding Plans;(1)set of Energy Forms;R-O-W Permit fpr new canstruction, <br /> Minimum ten(10)working days after submiktai date. Required onsite,Construction Plans,Stormwater Plans w/5ilt Fenae installed,_ __ - <br /> � � - Sanitary Facilities&1 dumpster;Site Work Permit for subdiuisions/large projects ' ``� <br /> COMMERCIAI. Attaoh{2}comple#e sefs of Building P1ans pius a�ife Safety Paga;{1}set af Energy Forms.R-O-W Permit fos new cons#ruction. <br /> , , Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans,.Stormwater Plans w/Silt Fence installed, <br /> ' Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commerciai requirements must meet compiiance <br /> SIGN PERMIT A#tach(2}sets of Engineered Ptans. <br /> "'*PROPERTY SURVEY required for all NEW construction. <br /> Directians: <br /> Fili out application completely. <br /> Owner&Contractor sign back of appiication,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500} <br /> ** Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter fram owner autharizing same <br /> OVER THE COUN7ER PERMI1TitdG (copy of cantract required} - ' _ � ` y <br /> Reroofs if shingles Sewers� � ""'S'enrice Upgrades A/C _Fences(PIoUSurvey/Footage) � - ' " � � <br /> �� � ,. , <br /> ' Driveways-Not over Counter if on public roadways.:needs��ROW, ' ' <br /> ' �: , y. '-.,,.. .. - . _ .: , > --. .. , <br />