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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-Op21 <br /> Building Depattment _ <br /> . " <br /> Date Recetved .Phone�Cantact far Perm[ttin - <br /> Owner's Name �i � v1 �. �.' � �� �- � Owner Phone Number Q �3 "' 6 -�a ��_t <br /> Ownsr"s Address �'°�3 � /7/ �"i��.vl C.1 �O � Owner Phone Number r� � <br /> Fee Slmple Titleholder Name � � Owner Phone Number � � <br /> Fee Simple Yitleholder Address � <br /> JOB A[1DRESS �i°�3 / � Gl-VL � �O LOT# �� <br /> SUBDIVISIOPI (��f� �'�- 1 V PARCEL ID# <br /> (QBTAINEQ F.ROM PRQPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDiALT C,� SIGN Q Q pEMOLiSH <br /> e IPISTALL e REPAIR <br /> PROPOSED�USE , Q SFR [� COMM Q OTHER <br /> TYPE OF CONSTRUC'T10N . Q BLOCK , [] FRAME [� STEEL Q <br /> � <br /> DESCRIPTION OF WORK T"�e`�,,,r�c.� � �T� r'�- � �° (,,(,� � o � <br /> �f I <br />' BUILDING SIZE O /�- l�} SQ FOOTAGE D d <br /> HEIGHT <br />� �BUIi.DING r- / �f��`_� .:�'=`� <br />� I�LUA ION OF TOTAL CONSTRUCTION <br /> ��� <br />�, QEIECTfttCAl. $ AMP SERVICE Q PROGRESS ENEFtGY Q W.R.E.C. <br /> QP�UMBING $ -` <br /> OMECHANICA� $ VALUATION OF NIECHANICA�INSTALLATI{}N '�� �"`� <br /> ' QGAS Q ROOFING Q SPEGIAl.1Y � OTFiER <br /> FINISHED FI.00R ELEVATIONS �� FLOOD 2QNE AREA QYES NO <br /> I <br /> I <br /> ��J J��' ���� <br /> BUIIDER �,,,/ � n�C�. f��"/ ��" CONiPANY <br /> SIGNA7URE �F' /�� <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# �� -� <br /> E�ECTRICIAN .� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r- � <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N � FEE CURRE� Y/N <br /> . \ <br /> Address License# r � <br /> MECHANtCAl. - COMPANY <br /> SIGNATURE REGI57ERED Y/ N FEE CURRE� Y/N <br /> Addre�s License# � � � <br /> OTHER COMPANY . <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y./N. <br /> Address License# �- � <br /> RESIDENTiAI: Attach(2)P1af`Plans;{2}sets:af.Bulldiitg°Plans;{1)sef of Energy�Farms;F2-O W Permit far new canstrt►ction, <br /> - Minimum•ten(10),working;days aftecsu,brrilttal date. Requtred onsite;Construcdon Plans,Stortnwater'Plans w/Silt Fence installed, - <br /> � Sanitary Fac(lities&�1,dumpster Site Work�Permlt for subdivisions/large projeots <br /> COMNIERCt�U. Attach{3}camplete se#s of Buildirig Plans plus a�ife Safety Page;(1}set of Energy Fotms.R-O-W Permit for new cansbuction. <br /> Min.Cmum ten.(10)warking days_after submlttal date. Required onsite,Constructlon Plans,Storm�vater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site Work Permit for ali new projects.Ai!cammercEa!requlremenis must meet comp[3ance <br /> SIGN PERMIT Attach{2)sets of Engineer�l Plans. � <br /> ,•«"PROPERTY SURVEY required for all NEW construcUan. <br /> Directions: <br /> FIII out applicatton complekely. <br /> Owner�Contractor sign back of appltcaBon,natarized <br /> If aver 52500,a Notice af Comnnencement ts required. (AlC upgrades over;¢7500) <br /> `" Agent(for the contractor)or Power of Attomay(for the owner)would be someone with natarized letter from owner authadzing same <br /> OVER THE COUNTER PERMITTiNG (Front of Appiication On�y) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />