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e�a-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-002� <br /> , Sullding Department <br />, t , <br /> Date Resefvad �-- Phoae Corstact for Permittin � � �3 � t� — ��� <br /> Owner's Name ��"`�-� U`"� �-�' Ownec Phane Num6er <br /> Owner's Address Owner Phone Number �— ` � <br /> Fee 5lmple Titleholder Name � � Owner Phone Number �� � <br /> � <br /> Fee Slmple Titleholder Address ' <br /> JOB ADDItESS � � � b ,�" S � L07# r�� <br /> SUBDiVIS1dN ��. ���`Y���� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED = NEW CONSTR ADD/ALT Q SiGN [� Q DEMOLISH <br /> ' e INSTALL 8 l2EPAIR <br /> PROPOSED tJSE Q SFR Q GOMM [� OTfiER <br /> TYPE OF CQNSTRUCTION Q BLOCK " Q FRAME [� STEEL Q <br /> DESCRIPTIQN OF WORK �'� 11 �'�` �Q"�"' ��� v �''�'~1 <br /> BUILDING SIZE �— � SQ F007AGE�� HEIGHT �� � <br /> �������N�'' $ � VALUATION�'OF`TOTAL CpNSTRUCTION <br /> QE�ECTRICAC $ ��� AMP SERVICE Q PROGRESS EN�RGY Q W.R,E.C. <br /> � : <br /> QPE.UMBI�lG $ � �i' �J��Z� <br /> '-�%j � , <br /> OMECHANiCAI $ VALUATION OF MECHANICA�INSTA�LATtON <br /> OGAS Q ROQFING Q SRECIALTY �� OTHER <br /> FINISHED F1.00R ELEVATIONS �------� FLOOD ZONE AREA QYES NO <br /> BU[�DER COMPANIf <br /> SIGNATURE REGISTEREp Y/ N FEE CURRE� Y/N : . <br /> Address Lic�nse# � � , <br /> EIEC'iR(CFAN COMPAFtY <br /> SIGNATURE � REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# �� I <br /> Pi.UMBER Ct}MPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � �� <br /> MECHANIGAL COMPAt�tY <br /> SIGNATURE � Re��srerteD Y/ N FEE CURRE� Y/N - <br /> Address'� License# � � <br /> O7HER COMPANY <br /> SIGIdATURE REGISTERED Y/ N.. FEE CURRE� Y/N.. <br /> Address License# � I <br /> RESIDENTIAt: �Attacfi{2),PtafiRlans;(2}sets af Bul�ding`Plans;(1}set o#Energy�Farms;R-O=Vtt Pemtit for'new conshuction, <br /> Minlmum4ken,.(;1Q);woricing,days after.'subriilttal date. Required onsite,ConsViictio'n Plans;Stormwater Plans w/Silt Fence installed, <br /> � 5anitary Facilities.&-,1.:dumpster Site Wotk.Rermit for subdiv,islon$Aarge proJects � � <br /> COMMERCIAL Attach(3}coinple#e sets afBuiliiltig�Plans plus a Life Safety Fage;{1)set a�Energy Forms.R O-W Permit for new canstruction. - - <br /> N1i�imu7n ten(1p)working days after submittai da4e. Requlred onsite,ConsUucUor�Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Pacilitles&1 dumpster.Site Work PermEt for al!new proJect's:Atl c;ommercia!requlremeMs must meet comptia�ce <br /> SiGN PERMIT Attach{2)ssts cif�rigineered Pia�s.. '{ i - <br /> *"`"PROPERTY SURVEY required for all NEW canstruction. <br /> Dlrec#ions: • - <br /> FIII out application completely. <br /> Uwner&Gontractor sign back of appifcaUon,natarized <br /> if over$2500,a Nottce of Commencement is required. (A/C upgrades over�750Q) <br /> " Agent(for ttie aontr'acEor).or Power of Attoii►ey(for the owner)would be someane with notarized lekter from owner authorizing same <br /> OVER i'FtE COUNTER.PERMITLING (Front af Application Only) - <br /> Reraofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Foatage) <br /> � <br /> Drivewaya-Not aver Counter if on publie roadways..needs ROW <br />