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813•780-Op20 City of Zephyrhills Permit Application FaX-s�aaeaao2� <br /> Buflding Department <br /> Rate F�'aceived � Phone-Cantact for Permittin ��� 1 � �� <br /> Owner'�Name � �1 4 ��t Owner Phane Number <br /> Owner's Address O I ""1� � Owner Phone Number � � <br /> Fee 3lmple Titleholder Name � � Owner Phane Number �^ � <br /> � <br /> Fee Simple Tltleholder Address ' <br /> JOB ADDRESS ���"I� ��� 1 `V� C�. �L � ' � LOT# �� <br /> SUBDIVIStON �� � PARCEI.tD# ti�2-�-� �������d�b�� <br /> (OBTAINED FROM PROPHRTY TAX NOTICE) <br /> WORiC PROPOSED a NEw CONSTR RDDlA�T [� SIGIU' Q C] DEMQI.ISH <br /> , e INSTALL 8 REPAIR <br /> PROP#}SED USE Q SFR Q COMM �� t}TFiEF2 � 1 <br /> TYPE OF CbNSTRUGTION� [� BLOCK ' C] FRAME �] STEEL [� <br /> DESCRIPTION OF WORK �v 1'" GU�T 1 � ����Y�� <br /> � <br /> BUILDING SIZE � SQ FOpTAGE�� HEIGHT �� <br /> - � ....,, <br /> �$�}�'���fi' 1"' � VALUATiOIV�OF TOTAL CONSTRUCTION <br /> L �J <br /> QE�ECTft1CAl � ��� AMP SERVICE Q PRtJGRESS ENEFtGY �Q W.R.E.C. <br /> QPLUMBtNG $ ` 1 �. <br /> `r� � <br /> OMECHANICAL (;�� VRLURTtQN OF MEGHANICA�IIYSTAll,4T10N <br /> t (7 ��� <br /> OGAS Q ROOF!!VG Q SFECIA�TY � QTHER �� <br /> FINISHED FLOOR ELEVATIONS �� ��� ��— FLOOD 20NE AREA QYES NO � ( �� <br /> BllILDER CC?MPANY � �i� � 1 /����. <br /> I SIGNATURE REGISTERED Y/ FEE CURRE� Y/N, . <br /> Address Lic�nse# �1��,-b��Q(,�(�Q � <br /> ElECTRICIApt COMPAFtY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ,-, License# � � <br /> PLUNIBER COMRANY <br /> SIGNATURE REGISTERED Y FEE CURRE� Y/N <br /> Address License# i T i,f���; `�Q� <br /> MECHANICAI. �pMpp�+ <br /> SiGNATURE REGI$TERED Y/ N FEE CURRE� Y/N <br /> Address License# � —� <br /> OTHEF2 COMPANY - <br /> S1GNA7URE REGISTERED Y/ N . FEE CUR�n Y%N <br /> Addrsss . . l.icense# � � <br /> RES4DENTIAI: •Atiach(2}Ptot P.lans,,{2)sets of•Buliding'Plans;{1)set of EnergyxForms;z R-0-W Pecinit for'neuv constru�tian, <br /> ( MiNmum�ten(1,0)-wrorking-days,afte[.submittal date. Required ons(Ee,Constructlon Plans;Stortnwate�Plans w/Silt Fence installed, <br /> Sanifary Faci�liUes.8�.1..,dumpster,Site Wor1c•Permit for subdiVi'sionsAarge proJects <br /> � G4NCi�tERCIAl. Attach(3}complete sefs"of Buiiding Plan`s pl�s a l.ife Safety Page;(1)se#af Energy Forms.F2-t?-W Permtt for new constnsctio�. <br /> Minimum ten(10)workfng days after submittal date. Required onsite,Canstruction Plans,Stormwater Plans w!Silt Fence installed, <br /> SaNtary Facilitfas&1 dumpster.Site Work Permit for all new projeot's:All commercial requirements must meek compliance <br /> BtGN PERMIT Attach{2}sets o#Englneeted Plans. a <br /> ""`PROPERTY SURVEY required for all NEW canstrucGon. <br /> D)realtans: <br /> F(II out applicaUan completely. <br /> Owner&Contractor sign back of applicadon,natadzed <br /> tf ovar�2500,a Nat[ae of Commenaement is required. {AtC upgrades over 57500) <br /> " Agent(for the coritrac4or)or Power of Attomey(for the owner)would be someone with natarized letter from owner autho�izing same <br /> t3VER THE COUFI7ER PERMI`FTING (Front af Applicatlon Only} <br /> Reroofs ff shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Nat aver Counter tf on public roadways..nesds Rt3W <br />