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-- �"� 813-780-OQ20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departmant <br /> Date Received phone Contact for Permittln <br /> Owner's Name I �. � ���-� Owner Phone Number rJ' ! – 3� "`� <br /> Owner's Address �g�VQ �V.}Qfl-��} Ctwner Pho»e Number �— 1 <br /> Fee Simple 71tleholder.Name � Owner Phane Number �y �� <br /> Fee Sfmpte Ttttehaider Address <br /> J08 ADDRES$ . �'J�-f.2... L07# �_�„�_� <br /> SUBD�VISION �— �� PARCEL ID# <br /> (OBTI4INED FROM PROPERTYTAX NOTICE) <br /> wORK PROPQSED H�w CaNs� ADDlALT �] SIGN� � [� DEMOLISH <br /> e lNSTALL 8 REPAIR <br /> PRQPOSEa USE �] SFR Q COMM � QTHER <br /> TYPE OF CONSTRUGTION Q B�QCK p Q FE2AME � STEEL Q <br /> DESCRIPTION OF WORK �� � Q� <br /> BUILdiNG SIZE �� � SQ FOOTAGE HEIGHT C�„� <br /> QBt11LDiNG $ �� � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICA� ($ � AMP S�RVICE Q PRQGRESS ENERGY Q W.R.E.C. <br /> �._. <br /> QPl.UMBING $ � ���"��? <br /> OMECHANICAL $ �� VRl.UATION 4F MEGHANlCA�INSTALIATION <br /> _��' <br /> [�GAS Q RQOFING Q SPECIALTY � OTNER <br /> FIIVISHED FLOOR ELEVATIONS � , � F�OQq ZONE AREA QYES NO <br /> _„. ,�._"_ , <br /> BUII.DER ,,L„�y � �d?��f�������k'� COMPANY t {(,��� ' <br /> SIGNA7URE �K-C.�� f" 'Y � REGISTERED Y/ N FEE CURREh Y J IV <br /> Address Lfcense# �` � <br /> EIECi'ttfCiAN COMPANY <br /> SIGNATURE �' REGISTERED Y 1 i�t FEE CURREA Y I N <br /> Address L(cense# �— � <br /> PLUNIBER �. N� COMPANY <br /> SIGNATURE REGlStERED Y J N FEE CURRER Y/N <br /> Address License# � �� <br /> MECHANICAL CQMPANY <br /> SIGNA7URE REGlS7ERE0 Y/ N FEE CURfiEt+ Y t N <br /> Addre�s License# �� � <br /> QTHER COMPANY <br /> $IGNA7URE REGISTERED Y/ N . FEE CURREP Y/N <br /> Address License# r— i � <br /> RESIDENTIAL. Attaah{2}Flat"Plans;(2)sets oE�Bultdiitg'Pians;(1)set of Energy Forms;Ft-O-W Permit far new cans#ruation, <br /> Minimum ten(1.0)warking days after.,submittal date, Required onsite,Constiuotlon Plans,StoRnwater Plans w/Sllt Fenca instaNed, <br /> Sanitary Faciti�es&1,dumpster,Site Work Permit for subdirristonsliarge projects - <br /> COMMERCI�4L -Attach(3)complete sets of 6ultdlrig Plans ptus a Life Safety Page;{1}set af Energy Forms.R O-W Permit for new canstnsction. <br /> Minlmum ten(10)working days'after submittal date. RequUed onsite,ConstrucUon Pians,Stormwater Plans w!Silt Fence fista{Isd, <br /> Sanitary FaciliBes&1 dumqstec Site Work Permit for all new proJects.Ail commerclal requlrements must meet compllance <br /> SIGN PERMIT Attach(2)sets af Engfneered Plans.. <br /> "••'PROPERTY SURVEY requlred for all NEW construGtlon. <br /> a�rect�ons: <br /> Fill out applicaUon completely. <br /> Owner 8�Cflntractor sign back of applicatlon,notarized <br /> ff aver 52500,a FiotCce oE Cammencement is requirsd. (AJC upgrades over$i500j <br /> " Agent(#or the contractar)or Powaraf Attomey(for the�ownerj�wauld be sameone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTiNG (Front af ApPflcation Orily}:.. � . . .-. _ _ - ,. . � . <br /> Reraofs if shingles Sewers , Service Upgrades A(C Esnce�,(PlottSurvey/Foatage) ; - _ ' " <br /> :. . � ., . , , .��� , , � � �� <br /> Drtveways-Not aver Caunter if on public•roadways.:needs Rt>W�.,::�� , - � � . , ' � - �� <br />