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_ __ � <br /> 813aeo-ooaa City af Zephyrhills Permit Application Fax 813-780-0021 <br />' , • 8u31ding Depar#ment . <br /> Da#e Receivad � �j�jz,,, ��" _ f�'� <br /> Phoee-Cor�tact for Parnsi#t[n <br /> Ou+rner's Name /f! !�� S Owner Phane Number <br /> Owner's Address � � ��• Owner Phone Nurnber � r � � �Z `�6� ` ' i <br /> Fee Slmple 7ltleholder Name �� � Owner Phone Number � ,t � <br /> I . <br />� Fee Slmple Titleholder Address � � <br /> JOB ADDRESS ��S�e � D � �l l � LOT# � <br /> SUBDIVISION �' � PARCEL ID# <br /> (OB7AINEQ FRQM PROPERTY TAX NQTtCEj <br /> WORK PROPOSED , e +NEW CONSTR ADD/ALT C� ,S1GN Q Q DEMOLISH <br /> INSTALI. REPAIR <br /> RROPOSED.USE _ SFR � Ct3MM Q OTHEF2 <br /> TYPE OF COhISTRUCTION �. BL.00K � Q FRAME �� STEE Q <br /> - : <br /> DESCitIPTION OF WORK � ` <br /> BU�LDING SIZE �� � SQ FOOTAGE � �� HEIGHT <br />� QBUI�DfNG r$ -`""`".`" . :�''�_ <br /> L`� �� VALUATION OF TOTAL CONSTRUC710N <br /> .��J <br /> QELECTRICAL �� AMP SERViCE Q PROGRESS ENERGY [� W.R,E.C. <br /> [�PLUMBIRlG � � <br /> �MECHANIGA� $ 2 .�.�� ---'��. VA�UATION OF MECNANICAI.IhISTALLAi'!{�71V <br /> J <br /> QGAS Q F200F]I�iG Q SPECIA�.TY C] OTNER <br /> FINISHED FLQOR ELEVATIONS ��� F�OOD ZONE AREA QYE$ NO <br /> I BUILDER COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURREP �.Y/N , <br /> Address Cicense# �� � <br /> EIECTRiCtAN ,, COMPANY �'' <br /> SIGNATURE REGISTERED Y/'N FEE CURRE� Y/N � <br /> Address tfcense# � � <br /> P�UMBER • COMRANY � <br /> SIGNATURE ",,,,y„�_„__,,,,_, , � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address .Ucense# " � - ' <br /> MECHRFItC/U. COMPANY l �C 4�'1 � - <br /> SIGNATURE REGIS7ERED - Y•,/ N FEE CURREt� ' Y N� ' <br /> Address� '- l s�7� �G.�{ License# � y�c�I �l„� � <br /> t}THER COMPANY <br /> SIGNATURE REGIS7ERED Y/ N, . FeE CURRe� . . Y/N <br /> Address License# � � <br /> RESIDENTIAI. °Attach{2),P2a€Pla�s;.(2}sets•of Building:Plans;(1)set oE Energy�Forms;Ft-O-W Perinit,for,`'new.constnictian, <br /> Minimum�ten(10),working•"days after.submittal date. Requlred onslte,Canstrucdon Plans;°Stormwater�Plans w/SUt Fence instailed, � <br /> SaNtaryFacilifles.&1,,,dumpster�Site.Worlc'RermitforsubiltyislonsAargeprofects � ' � <br /> COMMERCIAL Attach{3)complete seCs of 8uildirig Plans plus a�ife Safety Page;(1)set of.Energy Forms.i2-O-W Permit for new canshvction. <br /> � Minimum ten(10)woricing days�after submittal date. Required onsite,CansUuctian Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary Facili@es&1 dumpster.Site Work Permtt for ai!new proJeefs.Aii cbmrr�erciai.requirements mus#meet camp!}ance <br /> StGN PERMlT Attacti"{2)sets af Engineer,ed-Plans.;:: ;� - <br /> """PROPERTY SURVEY required for all NEW constructian. <br /> Directians: <br /> Ffll out applicatlon completely. <br /> Owner&Contraotar slgn back af appticatton,notartzeti <br /> 1f over 52500,a Notice af Commencement Is required. (AIC upgrades over 5750Q) <br /> " Agent(fqr ttie ccintractor)or Pbwer of i4ttomey(for the owner)would be someone with notarized letter from ov+mer autttocizing same <br /> DVER THE COUNTER.PERMITiiNG (�ront of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIaUSurvey/Footage) <br /> Drivewaya-Not over Counter if on publia roadways..needs ROW <br /> _� <br />