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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> ,;, � 8uildit�g Department . <br /> Date Reasived Phone Cantaat for Permit#�n <br /> Owner'�:Marrie�: � Owner Phone Number ��J "' �� `� ''1� <br /> Owner's.Ad'dress . � . ._�.tJ__ � dwner Phone Number �- � <br /> Fee Slmple Titlehalder Name �� � Owner Rhone Number � � <br /> Fee Simple Titlehalder Addresa <br /> JOB ADDRES3 V LOT# �� <br /> su�o�ws�ow � � PARCEL ID# � " Zb - 2 r -{}d�p �j�6�� -p0 - --__ <br /> (OBTAINED FROM PRQpERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR AdDJAt�T � S1GN Q Q DEMOLiSH <br /> INSTALL 8 REPAIR <br /> PROPOSED LlSE � SFR Q COMM Q OTNER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL C] <br /> DEBCRIPTMON OF WORK �,7 "'C-'e �Q� •�' t`�j L.1 ' �e <br /> BWLDlNG SIZE �� � gp FQOTAGE�� HEIGHT �_�� <br /> QBUILDfNG ��`�1-�,�C3 VA4UATiON OF 70TAL CONSTRUCTION <br /> U V <br /> QEt�ECTR�GAI- �� AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> Qt�t��n�B�t�G � �] �O`�7 <br /> _._.1 � `(� <br /> OMECNANiCAL $ VALUATION OF MECHANICAL tNSTA�LA'TION <br /> Q�S � ROOFiNG Q SPEClAITY � OTHER <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO <br /> BUII.DER ,,, CQMPANY �,1�1�„�({'F <br /> SIGNATURE ��t�-�.,,� REGISTEREC� / N FEE CURRE� Y/N <br /> Address � Lfcense# I -� <br /> ECECTRtC1AN COMPANY <br /> SIGNATURE REGISTEREd Y/ N FEE CURRE� Y/N <br /> Addrass License# � � <br /> PCUMBER CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> MECNANIGAL �Q�Pp�r <br /> SIGNATURE ReGISTERED Y/ Pl �E CURREn Y/N <br /> Addtess License# �� �� <br /> OTNER Ct3MPANY <br /> SiGNATURE REGISTERED Y/ N . FEE CURRE� Y/N. <br /> Addre$s Ucense# � � <br /> RESIDEN'FIAl. Attach(2)Plot Plans{2}sets of Building Plans;(1}set of Energy Farms;R-Lt-W PeRnit fur new constructian, <br /> Minimum,ten(�1Q).working days after.submittal date. Requlred onsite,Construcdon Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary FaGiiUes&1,dumpster,Site Work�Partnit for subdivisions/large proJects <br /> - COMMERGtAC - At#ach(3)compJete sets of Buildlrig Plar�s plus a l.Ife Safe#y Page;�1}se#af Energy Forms.R-tJ-W Pe�ni#for new construc�on. <br /> Minimum ten(10)working days�after submittal date. Required onsite,Gonstruction Plans,Starmwater Plans w/Silt Fence installed, <br /> Sanftary Facilides 8 1 dumpster.Site Work Permit for all new projects.All commercial rec}utrements must meet compilance <br /> StGN PERMlT Attaah{2)sets of Englneered Rtans. - <br /> `""PROPERTY SURVEY required for all NEW consWction. <br /> DirectEons: <br /> Fill out application completely. <br /> Uwner&Contractor sign back of applicadon,notarized <br /> IE over a2500,a Notice of Cammancement is reqaired. {AtC upgrades over�7500j <br /> " Agent(far the contractor)or Power of Attomey(for the owner}would be someone with nota�zed letter ftom owner authorizing same <br /> I DVEF2 THE COUNIER PERMI'TTFNG (Front of Application Only} <br /> Reroafs if shingles Sewers Service Upgrades AJC Fences(PIoUSurvey/Faotage) <br /> Driveways-Not aver Counter if an public roadways..needs ROW <br />