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813-�so-oo2o City of Zephyrhills Permit Application Fax 813•780-0021 <br /> Bullding Department <br /> Date Rscf,Svei1 ' f - Phone Contact for Permit#Fng — <br /> Owoer'a Name Owner P6ona Number <br /> awner's Address Owner Phon�s Number � � <br /> Fee Simple Tltleholder Name �,� � Owner Phone Number r� � <br /> Fee Simple Tltleholder Address d <br /> JOB ACIQRESS � �h � LOT# �_� <br /> SUBDIVISION �� � PARCEL ID# ` <br /> (OBTAfNBD FROMI PROPERTY 7AX NQTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT � $IGN Q Q pEMO�ISH <br /> , e INSTALL 8� REPAIR <br /> PR{}POSED USE ,_ Q SFR, Q COMM � UTNEF2 <br /> TYPE OF CONSTRUCTION . Q 6LOCK ! �J FRAME [� STEEL Q <br /> a <br /> DE3GFtIPTION OF WORK �Gi /'N�j� /f'�' f i �✓ � � U I <br /> BUiLDiNG SiZE � � SQ FOOTAGE��. HEIGHT �______� <br /> �s�:��d<::� -_.;: <br /> ��;�'di��' �� 1/ALUA710N OF TOTAL CONSTRUCTION <br /> ���J <br /> [�EIECTRiCAL $ �J��D d� � AMP SERVtCE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING �� <br /> [,�MECNANICAI. ($ �_ VA�UA3'tQN OF MECHANICA�.tNSTA�LATlt�N <br /> �___.. <br /> [��s � �aoFi�G � s��c�,a�.�nr � QTHER <br /> FINISHED FLOOR ELEVATIONS ���---� FI.00D ZONE AREA QYES NO <br /> BUIIDER COMPANY <br /> SIGNATURE REGISTERED Y/ N PEE CURRE� Y/N <br /> Addres� License# �� � <br /> E�ec=�ici�w �� �x COMPANY w��� �C�,�.S -� ��. .�sVC, <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres$ License# �! � <br /> PLUMBER GOMI?ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> MECHANICAI. COMPANY , <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE�" , Y/N� ' <br /> Address License# � � <br /> OTHER . kCOMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y-/N. <br /> Address � License# � � ' <br /> RESIDENTIAI; Attach{2}RIaE Platts;{2)sets:ofi Biailding�Plans;{1}set af Energy�Farms;R-O-W Permlt for new construction, . <br /> Minimum�ten(10),working'days.after,subrrilttal'date. Required onsite,ConstrucUon Plans,Stormwate�Plans w/Silt Fence installed, <br /> Santkary Facflities&7;dumpster Site';Work�Bermit for subdidistonsflarge proJects ' � <br /> COMMERCiAL Rttach{3}+complete"sets of Builtlirig Plans plus a Gife Safety Page;(1)set of Energy Farms.R-O W Pemnit for new construc8on. <br /> - __ Minimum_ten_(10)working days after submitNal dats._Required onsite,ConstrucUan Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary Facilitles 81 dumpster.Slte WQrk Permit'for ail nevir pr'ojeets.Ali commerciai requfreinents must meet compiiance <br /> SIGN PERM#T Attach�{2}`sets of E�gineered�Ptans.. '� <br /> •`*'PROPERTY SURVEY required for all NEW constructlan. <br /> Directlans: ' � ' <br /> Fill out applicaUan completely. <br /> Owner&Confiactor slgn back of appllcatton,notarized <br /> If over 52900,a Notice of Comrnencement la required. (AIC upgrades over�7500) <br /> " Agent(for the contractor)'qr Power of Attamey{far the owner}would be someone with notarized letter from,owner aulho�izing same __r + <br /> OVER THE COUNTER PERMITTING :(Front of.Application Onty) , , , - • . _ • <br /> Reroofs if shingles Sewers Service Upgrades,A%C'"�";' Fences(PIoUSurvey/Footage) � - � � �. ._ � ' _, " <br /> Driveways-Not over Counter if�on�pubiic roadways:.needs ROW; ;' �� �� ; r , <br />