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813-�so-oo2o City of Zephyrhills Permit Application Fax-B13aaaoo2� <br /> Building Degartment - <br /> �: � <br /> Date Reeelved '� �, Pho�a Contact for Permittln �j - � � <br /> Owner's Name p Owner Phot►e Numba� <br /> Owner's Addrass ( ,�J � �-'�'- 3 Owner Phane Number � -� <br /> Fee Simple Tltleholder Name � —� Owner Phone Number � � <br /> Fee Simple Titleholder Address � <br /> JOB AClDRESB O 'Z �--�` � LOT# � <br /> SUBQIVISION �— � � PARCEL ID# � � -��(Q- p ` 6r"c� b <br /> (OBTAlNED FROM PRQPfiRTY 7AX NOTtCE} <br /> WBRK PROPOSED NIEW COMSTR ADD/ALT � $iGN Q [� DEMOLISH <br /> e INSTALI, e REPAIR <br /> PROPOSED=USE Q SfiR [� COMM � OTHER <br /> TYPE OF CONSTRUC'fION . Q BLOCK � [� FRAME [� STEEL Q <br /> 4 <br /> f <br /> DE3CRIPTIOId OF WORK <br /> BUILDING SIZE �� � SQ FOOTAGE��r�. HEIGHT C�� <br /> QBUII,DING ��� -..�,�,:�. _.�_�:. <br /> 3 ,�`� VALUATION C1F TOTAI.CONSl'RUCTION <br /> QE�ECTRICAL � � AMP SERVICE Q PRQGRESS ENERGY Q W.R.E,C. <br /> �PUIMBINfi� � � � <br /> QMECHANICAI. $ VALUATtOM1I QF MECHANICA�(NSTALlATION - .r �;/� � <br /> � <br /> . '� <br /> QGAS /��. RQOFII�SG Q SPEGIALTY �� OTHEFt <br /> FINISHED FLOOR EL.EVATIONS ��� FI.QOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> ELEC7RICIAN -, COMPANY <br /> SIGNATUitE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# �— � <br /> PLUMBER � COMP.NdY <br /> SIGNATURE Re�is"I'eReD Y/ N FEE CURRE� Y/N <br /> Address ' License# � � <br /> MECHANICAL COMpANY <br /> 51GNATURE REGIS7ERED Y/ N Fee cuFtRen- Y Y•N� <br /> Address License# <br /> t3THER �- � COMPANY <br /> 51GNA7URE ,�'��`"Q�\ , REGISTERED Y/ N . FEE CURRE� ,/N. <br /> Address � l.Z-- �t,:--z.� �-- License# ���-�.7 7��� <br /> RE8IDEN'i'4AL Attach{2}Ptot Rlans;.{2}sets:ofiBuilding'Plans;{1)sefaf Enangy°Forms;.R-O-W Petmitfor'naw a�nstruction, <br /> _ - Minimum�ten(10),working-days.after,subrr'ilttal date: Required onsite,ConsVuctlon Plans,Stormwater Plans w/Silt Fence installed, , <br /> Sanitary FaaliUes,&1._dumpster,Site Work�Rermit for subdivislonsttarga proJects <br /> COMMERCIA�. Attach{3)comp}ete'sets of Buildirig Plans ptus a E.ife Safety Page;(7}set of.Energy Forrns.RA W Petmit for new construcUon, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,CansUuctlan Plans,Stormwater Plans w/Silt Fence installed; <br /> Sanitary FaciliUes&1 dumpster.Site Work Perimit for aU new projects.Aii+r,ommerciai requlrements must meet compfEance <br /> SIGN PERMiT AttacFf{2)sets of Engineered P1ans. . <br /> "'*PROPERTY SURVEY required for all NEW conshucGan. <br /> Directtons: <br /> Ftll out applicaUon completely. <br /> Owner&Contractar slgn badc af applicatton,notatized <br /> If aver 52500,a Notice af Commencement i�required. (AiC upgrades over�7500) <br /> " Agent(far the contea�tor)or Povirer of Attomey(far the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE GOUNTER PERMITTING (Front of Application Oniy) <br /> Reroafs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if an public roadways..needs ROW <br />