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s�s-�eo-oo2a. City of Zephyrhills Permit Application Fax 813-780-0021 <br /> � � — <br /> � Building Department _ _ <br /> y . <br /> Da#e Recelved Phone-Contact fa�r Parmittia — <br /> Owner's Name J'C,. �. �.0�f�3 Qwner Rhatse Nu ber �! � •��b ""�-�o�- � <br /> � <br /> Owner's Address �7�p� ����� �a Ownar Phone Number � <br /> � <br /> Fee SMmple Titl�hblder Name Owner Phone Number � � <br /> Fee Stmple Titleholder Address � <br /> JOB ADDRESS � P�.L�.�GL�I.J�Q C..� LOT# [__� <br /> SUBDIVISION �� � PARCEL ID# <br /> (OBTAINEQ FROM PROPERTY TAX NOTlCE) <br /> WORK PROPOSED 'NEW CONSTR ADD/ALT � SIGN Q [� DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED=USE , Q SFR [� CQMM � OTHER <br /> TYPE QF CONSTRUCTION . Q e BLOCK � [,� FRAME Q STEEL Q <br /> t <br /> DESCRI TIOM OF�� � ( S �� <br /> BUiLDING SIZE C � SQ FOOTAGE C�y�. HEIGHT C�� � <br /> .QBU1{»DING $ �''�- ��`�`, <br /> � I ao � � VALUATION OF TOTAL CONSTRUCTION <br /> QEIECTRICAL � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E,C. <br /> [�.7P�un�B1�,� $ 5�._ t.-� <br /> . � �� <br /> QMECHANICAL � ��� VALUATION OF MECNANICAI.INSTALLATlC}N r �� l� <br /> �v <br /> Q GAS Q ROdF[NG Q SPECIALTY C� OTHER ���"}1 � �f}� �(g, <br /> (/f �v.r. V <br /> PINISHED FLOOR ELEVATIONS FI.00D ZONE AREA QYES NO -� �'�'�, <br /> BUi pER _.1 11 ��/ � I�/ �� � t C�MPAN1f ���'�r �� <br /> SIGN�►TURE ���""""" C,�-�'��''�✓�'�'j° REGISTERED Y/ fV FEE CURRE� Y/N <br /> Addres$ License# � � <br /> ELECi'R1C1AN •, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUF2RE� Y/N <br /> Add�e�s License# � I I <br /> PLUMBER COMI?ANY <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address � License# I � <br /> MECNANICAL CBMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/IV• ' <br /> Address License# [�� � - <br /> fJTFiER - COMPANY <br /> SIGNATURE REGISTERED Y/ N . �ee cutt�n Y/N, <br /> Address License# �� � <br /> RESED�NTIAI; Attach{2}P1ot Plans;{2}sets�of:Btillding Plans;{1}set af Energy°Farms;R-O W Permit for'new consfruofian, <br /> Minimum;,ten(1,0);workjng�;days;aftee,subrrilttal date: Requlretl onsite,Constiuc8on Plans;Stormwater'Pians w/Silt Fence installed, <br /> � Sanitary Facilitles.&-1:dumpster�S{te�Work�P_ermit far subdivistonsAarge projects <br /> COMMERCIAt. Attach(3}compiete sefs of Buitding Plans plos a Life Safety Page;(1}set af Energy Fotms.RA W Permit#or new canstruction. <br /> Minimum ten(.10)working days'after submittal�date. Required onsite,ConsUuctlon Plans,Stormwater_Plaas w/:Silt�enae installed, <br /> San�tary Faciiitles&1 dumpster..Sike Watk Permit for aN ned+r projecfs.Aii commer`cial requlrements must meet compliance <br /> SIGN PERMiT Attacti{2)sets of Enginc;ered Ptans.. �� �• ' , . . - � <br /> .__ •`""PROPER�Y SURV'�Y r�qUired fior all NEVV construction:� F- � - - . . - , . . � . <br /> Directfans: ' � , - _ <br /> Fill out applicaHon completely. � <br /> Owner&Contraotor slgn back of appiicatlan,natariz� , . <br /> if over 52500,a Notice af Comm�ncement ts�requlred: (�UC upgrades over!b7500) -� ° <br /> " Agent(for the contractor)nr Power of Atfomay(for the,awner}wouldbe someone with notarized letter fram owner authortzing same <br /> DVER THE COUNTER PERMITTING `.� (Front of Application On�y)�- � ' -.- , F . <br /> Reroofs If shingles Sewers � Seniice'Upgraides A%C . Fences(PIoUSurvey/Footage) ' , � <br /> Drlveways-Not over Counter if on putilic roadways..needs ROW <br /> I <br /> � <br />