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s�3-7so-oozo City of Zephyrhills Permit Application Fax 813-780-0021 � <br /> , <br /> • Building Depattment . <br /> Dafe Recelved Phone Contact for Permittin ��� � — tR�'�� <br /> Owner's Name c.� Owner Phane Number <br /> Gwner's Address �'a.7'"1''$' � t fl 1- Owner Phon+a N�mibsr � � <br /> Fee Slmple Tltleholder Name Owner Phone Number � � <br /> i <br /> li Fee Simple Titleholder Address � <br /> JOB AbDRESB �+Z� l.�Lr^�ir�� � LOT# �� <br /> SUBDIVISION �� � PARCELID# 3 � �.�=V — �5A- �'O'��"J"�(� � <br /> (08TAINEQ PROM PROPERTY TAX NQTICE} <br />� WORK PROPOSED NEW CONSTR ADDiALT C� S�GN Q [,� DEMOLiSH <br /> INSTALL REPAIR <br /> PROPOSED USE ,w Q SFR ` Q COMM � t?THEF2 I <br /> TYPE OF CONSTRUCTION . Q � BLOCK Q FRAME � STEEL Q <br />� - I <br /> DESCRIPTION OF WQRK <br /> BUiLDING SIZE � � SQ FOOTAGE� HEIGHT C�� <br /> 08U!l.DING $ ��� VALUATION�OF�TOTAL COIVSTRUC710N <br /> 4� _� <br /> QELECTRiCAt. }$� � AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> QPLUMBING $�'��� � . ��Q� <br /> I l <br /> �„ , <br /> QMEQHANIGAI $ VAlUAT1�tV OF MECHANICAL ti�ISTACLATlOiV <br /> QGAS Q ROQFING Q SPECIALTY � OTHER <br /> FINISHED FL�OR ELEVATIpNS �� FL.00D ZQNE AREA QYES NO <br /> B!lILDER COMP/�I�Y <br /> SIGNA7'URE REGISTERED Y/ N FEE CURRE� Y/N . <br /> Addresa License# I � <br /> ELECTRlCIAN �x CO�APANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PLUMSER � COMP.ANY <br /> SIGNATURE REGI8TERED Y/ N FEE CURREP Y/N <br /> Address License# � � � <br /> MECHAPIICA� COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/-N <br /> Addreas License# � � <br /> OTHER �... " COMPAfi+IY � ' <br /> SIGNATURE REGISTERED Y/ N PEe CUR�n Y/ <br /> Address l�. ,rc%w.2� D c..._ License# �C C,—4.'7 7���� <br /> RfSlDEldT1AL Attach{2}Plot Platts;{2}sets=of:8uilding Pians;{1 j set af Enargy Form's�R-O-W Permlt far�ew canstruckon, <br /> Minimum,ten(10):working;days:after subrrilttal date. Requlred onslte,Canstructian Plans,Stormwater'Pla�s w/Silt Fence installed, <br /> � Sanitary FaciliUes,&1.=dumpster Site Work�f'ermit for subdidisionsflarge proJects " <br /> COMMERCIAI. A#tach{3}camplete sefs of Building`Plans plus a l.if�Safety Page;(9)set of Energy Forms.R-O W Permit far new canstruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucHon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles�1 dumpster._Site Work Permit for ail riew projects,Ai)cammercial requirements must meet comptlance <br /> StGN PERMIT Attach{2}sets of Engineered P..tans. ° <br /> """PROPERTY SURVEY required for all NEW construction. <br /> � �irections: <br /> Fill out applicatlon completely. <br /> 4wner&Contractor stgn back af app!#catlon,notatized <br /> if ovsr E25d0,a Nottce af Comrnencement is required. .(AIC upgr�des over$7500) <br /> `" Agent(for the contractor)ar Power of Attomey(fo�the ownar}would be someone with notarized letter from ownar authorizing same <br /> DVER THE COUNTER PERMI'TTING ,` (Front`of_Applicatian Only} _ - . . - <br /> Reroofs if shingles Sewiers Seryice Upgradas A/C Fances(PIoUSurvey/Footage) . ` � • - <br /> t�rlveways-Not aver Counter if on pubiic;roaduiays..needs ROW ' - �- - <br />