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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Qepartment <br /> i � <br /> i . <br /> Date Received ,�—..� "`ff ( t�, Phone Cantaat far Parmittin 3 C� �3 � r`� _ 7� � ! <br /> Owner's Name ���'"�'' �-� � bwner Pbone Numbsr <br /> Owner's Address dwner Phane Number �� � <br /> Fee Simple Titleholder Name r� �� Owner Phone Number �� � <br /> � <br /> Fee Slmpie Tltlehalder Address , <br /> J09 ADDRESS � ` � � �� � � � � � �'""' LOT# C+� <br /> SUBDiViStON ���~� C�Ar"'�'� pARCEL iD# <br /> (OBTAINED FROM PROpERTY TAX NOTICE) <br /> WORK FROPOSED � NEW CONSTR ADDlALT � SIGN Q Q DEMQIISH <br /> INSTALL 8 REPAIR <br /> PROPQSED:USE Q ' SFR Q Ct3MM C� OTHEFt <br /> TYPE OF CQNSTRUCTION Q BLOCK ` Q FRAME C� STEEI. Q <br /> DESCRIPTION OF WORK <br /> 8���-�Z����� � � SQ FOQTAGE�� HEICl,HT �� <br /> ��u�l�1�'�' �' , � VALUATIONWOF�TOTALCQNSTRUCTION <br /> �— �J <br /> C��_�=�C�R���- $ � � � AMP:SERVICE Q PFtOGRESS ENERGY Q W.Ft,E.C. <br /> [�P�t1MBING � � <br /> OMECHANICAI $ VALUATIQN OF MECHANICA�IN8TAL�ATlON `�� <br /> /��v��. <br /> QGAS Q ROOF!(VG Q SPECIAt�TY � OTHER <br /> FINISHED FL.00R ELEVATIQNS � � FLOOD ZONE AREA QYES NO <br /> BUI�RER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N , <br /> �d��$ License# �� � <br /> ELECTRICiAN COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llaense# �— � <br /> PLUMBER y W� CQMPANY <br /> SIGNATURE REGIBTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# � � <br /> MECHAtriilCAL C�MPA�lY <br /> SIGNATURE REGISTERED Y./ N FEE CURRE� Y/N ' <br /> Address License# �� ^ � <br /> OTNER COMPANY <br /> SIGNATURE . REGISTERED Y/ N _ FEE CURRE� Y/N <br /> Address License# �' �� <br /> RESID�N'i1A1. Afiacti(2j,PlofiFlans;�{2}sets af 8u11ding Plans;{1)'set ofiEriergy�Farms;R-0-W Permit for�ew constructian, <br /> Minimum.ten(:1Q)�working days;after,submittal date: Required onsite,Constiucdon Plans;Stormwater Plans w/Silt Fence installed, <br /> 5anitary Facilides 8�r1:dumpster_Site�Work;Rermit for suddiv.isions/large proJects -. � <br /> COMMSRClAL At#ach(3}camplete sets af Beilliliiig`Plans plus a life Safefy Page;{1}set of Energy Forms.R-O-W Permi#for new canstructiori.' - � <br /> Minimurn ten(10)woeScing days after submittal�date. Required onsite,CpnstrucUon Plans,Stormwater Plans w/Silt Fence ins'talled, <br /> 8anitary FaciliUes&1 dumpster.Site Work Permit for aU new proJects:All comrnercial requirements must meei compltance <br /> StGN PERMIT Aftac�i{2)�sets of Eriglneered.Blans. � <br /> ""PROpERTY SURVEY required for all NEW canstructlon. �i <br /> Dlrec#lon�: , . <br /> Fill out applica8an completely. <br /> Owner&Contraator sign back af applicaUon,notarized <br /> tf aver�2500,a Hctice of Cammencement i�required. (A/C upgrades over 57500) <br /> " Agent(for the con�tractor)or"Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER.PERMI'FTING - (Front af Application Oniy} <br /> Reroofs if shingles Sewers Servlce Upgrades AJC Fences(Plot/Survey/Footage) <br /> privewaya-Nat aver Caunter if on pubiic roadways..needs ROW <br /> �I <br /> E <br />