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813aso-ooao City of Zephyrhills Permit Application Fax-$13-780-0021 <br /> Bu3ldi�g Department <br /> , ' ' <br /> Date Recefved ` �.. �`� Phane-Gontact for Permittin �r3 ��� - �Q�� <br /> Owner's Name ���' �"�"`� ''� Owner Phone Number <br /> Owner's Address Owner Phone Number �� � <br /> Fee Simple Titleholder Name r� � Owner Phane Number �— � <br /> � <br /> Fee Simple Titleholder Address ° <br /> JOB ADDRESS '� 7�� �'l�`°-� �'"``�'`�- �or# �� <br /> SUBp�VIS10N ����- ���"�"' � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSEd � NEw CONS7R ADD/A�T 0 SIGN 0 0 DEMQLISH � <br /> e INSTALL 8 REPAIR <br /> PROPOSED tISE Q 5F#2 Q COMNI Q OTHER <br /> TYPE OF CONSTRUCTION [�] BLOCK ' [� FRAME C� STEEL Q <br /> DESCRIPTION OF WORK �� �� ��"�� `�"� ��""�l <br /> BUILDiNG SIZE � � S�G FOOTAGE�� HEIGHT C�, � <br /> i OBUlLDING � � VALUATION'�OF TOTAL CONSTRUCTION <br /> iGECTRtCAI $ �v AMP SERVICE Q PFtOGRESS ENEFtGY Q W.R,E.C. <br />; QPl.UMBING $ . ��� <br /> , � <br /> � OMEGHANICAL $ VAI.UATIOAf OF MECHANICA�INSTACLATfON '�/�� ��� <br /> �GAS Q ROOF1fVG. Q SRECIALTY � OTHER , 7 1� <br /> FINISHED FLOOR ELEVATIONS �----� FLOOD ZONE AREA QYES NO <br /> �, <br /> BUII.RER Ct3MPANY <br /> SIGNATURE REGISTEREb Y/ N FEE CURRE� Y/.N <br /> Address License# �� � <br /> E�ECTRICIAN COMPANY � <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> PIUMBER � COMFANY <br /> SIGNATURE REGI9TERED Y/ N FEE GURREA Y/N <br /> Address Llcense# �� � <br /> MECHA[�fICA[. CQMPAt+IY <br /> SIGNATURE REGISTERED Y./ N' FEE CURRE� Y/N <br /> ��d�$� License# �— � <br /> OTNER . COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address = Ucense# —� <br /> C . , ,,, , � <br /> RESIDEH'fiAt: Attacti(2}.,Rtof!?lans;�,(2}sets�af.Balldiog'Pla�s;(1}set of�Ensrgyt�Fanns;R-{}-W Petml#Eor new constntction, <br /> Minimum.ten(:1Q):w_orking days aftet."submittal date. Requlred onsite,Co�struc6on Plans;Stormwater Plans w/Silt Fence installed, <br /> � Sanitary Facilitles&;-1�,dumpster�Sfte Work.P.ermft far subdivislonsAarge projects . <br /> COMMERCIAt. Attach{3}compiete setsbf Buit�ing Pfans plus a l.i€e Safety Page;{1}set af Energy Fonns.R-Q W Permit for naw canstruc�tion. <br /> Minimum ken(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanifary FaciliUes 8 1 dumpster.Site Wotk Permit for al!new proJeGt's.AIt commercial requfsemenEs must mest comptfance <br /> SI�N PERMtT Attaoti{2)s`ets of Engineered Rlans..t: �� .. <br /> ""PROPERTY BURVEY reguired for all NEW canstructian. <br /> Dlrectlons: <br /> FIII out applicatlon completely. <br /> Owner&Contractor sign back of apptica�on,oatarized <br /> If aver y2500,a Natica of Cammencement ia required. {A/C upgrades over�750Qj <br /> " Agent(for the cbntractor)or Power of Attamey(for the owner)wauld be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER_AERMiTTiNG (Front af AppHcation Only) <br /> Reroafs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> briveways-Rlot over Caunter if an public roadways..needs ROW <br />