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813-780-0020 City of Zephyrhills Permit Application _. . Fax-a�3aeaoo2� <br /> Building Qepartmen£ �;;; .'°��". ".. .� � <br /> .a.- .,� _�.,.�u� �... �._... �,. _ .n.,..� _"_"' ,;,,; �„: <br /> DateRecelved,��� _ ��, �. �, ,.i •• � PhanaCantaatforPermittin� •�����,. �=-��'��`� � a: ,, �°���� <br /> i- 5'. <br /> `; " _ , N .. '_ - <br /> Owner's Name.::, � Owner Phone Number _, <br /> . . 11_ <br /> owner's Add�ass `3���. . � � Owner Phon�Nu�ber - ` <br /> : . � . _. _ _ ��°; . , �_ � � <br /> .`r-` � - •• • <br /> Fee Simple 7lkleholder Nama �Owner Phone Number, <br /> ...:t' 1�. - _' <br /> Fee Simple 7ttleholder Address <br /> �oa�waR�ss � 3� ��J"--- �` LOT# [�,� <br /> SUBDIYISlON � -- y � PARCELID# , ,, �✓�" � ��� `� �' �fl ��"� � <br /> {OBTi11NED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT C'� SIGN Q Q DEMOLISH <br /> � e INSTfU.L 8 REPAIR <br /> PROPQSED USE Q SFF2 Q COMM �� 07HER <br /> TYPE OF CONSTRUC"TION Q BLOCK [� FRAME [� STEEL Q <br /> QESGRIPTION QF WORK k.��?OF C TPO� ��V��� <br /> BUILDING SIZE �� SCl FOOTAG� ��r�� HEIGHT C�._____� <br /> a <br /> C�B���-����' �� VALUATlON OF TOTAL CONSTRUC710N �1 C�' Q''_ <br /> QEl.EC'CRiCAI $�'—� AMP SERVICE Q PROGRESS ENERGY [^J W.R.E.C. <br /> �� <br /> QPLUMBlNG �> -_-_� ��� , 1�''� <br /> �� � � � <br /> QMECHANICAL $ � YALUATlQN dF MEGHANlGAL IIV3TALlATlON � �c <br /> .��, <br /> QGAS Q ROOFING [� SPECIALTY C� OTHER <br /> FINISFiED FLOOF2 ELEVATIONS �� FLOOD ZONE AREH QYES NO <br /> 8t1lLDER COMPANY <br /> SICaNATURE REGIS'i6RED Y/ N FEE GURR6� Y/N <br /> Address Ltcense# � � <br /> ELEC7'RIC#AN COMFANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address �� Licanse# ( � <br /> PWMBER COMPANY <br /> SlGNA'TURE REGISTERED Y/ N FEE CURREM1 Y/N <br /> Address Ucense# �� � <br /> MECHANICAL � COMP�lY <br /> 31GNA7URE __, f2EGtSTEFtED Y/ N F'EE CURRE� Y/N <br /> Address � License# � ' � <br /> � . <br /> OTHER �J�� COMPANY L� <br /> SIGNATURE ..�-- REGlSTEitED Y/ N FEE CURRE Y i N. <br /> ,4ddress 2- ti..�_ ��t1 � License# �.C-C - �3 S�~7�2-- <br /> RESIDEAITIAL Attach(2}Rlot Plans;.(2)sets of Bullding'Ptans;(1 a set of Energy°Forms;R-O-W Permlt for new construation, <br /> MiNmum ten(1q)work(ng days after.submlttal date. ReqWred onstte,Construuc.Non Plans,Stormwater Plans w!Sllt Fence installed, <br /> Sanitary Fac111Ues$�1 dumpster,Site Woric�Pertnit for subdivislons!large proJects <br /> COMMERCIAL Attach(3�complete sets of Building Plans plus a L(fe Safety Page;(1}set of Energy Farrns.R-O-W Permit#or new consiruction. <br /> Minimum ten{10)worfcing days after submlktal date. Required ansite,ConsRrucHon Plans,Stormwater Plsns wt Sitt Fence instailed, <br /> Sanitary FaclliBes 8�1 dumpster.Site Work Permit far all new proJects.A!I cammercfat requlrements must meet campllance <br /> SIGN PERAAIT Attach{2)sets of Engineered Plans.. <br /> "'•Pf20PERTY SURVEY required for all NEW construotlon. <br /> Directions: <br /> Ffli out appiicadon cainpletely, <br /> Ownerl�Contractor sign back of applicaUon,notahzed <br /> !f over 52500,a Notice of Commencement la requl�ed. {AIC upgrades ov�r i�75d0) <br /> " Agent(far the contractor}or Power af Attomey(for the owner)wautd be someone with nota�ized letter from owner autharizing same <br /> DYER THE COUNTER PERMITTING (Front af App!lcaUan Onfy) <br /> Reraofs ff shingles Sewers Service Upgrades A1C Fences{PtoVSurveylFootage) <br /> Drtveway�-No4 ouer Counter If on pubilo roadways..needs ROW <br />