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813-78Q-0020 City af Zephyrhills Permit Application Fax 813=780-0021 <br /> Building Departmant - <br /> i � . • <br /> Date Recelved Phone-Contact for Permittin �� �.-�r�— "��j J <br /> , ./' � ' r <br /> Owner's Name G � Ownec Phone Number <br /> Owner's Address ��� �~� ��� Owner Phone Nurnber �G�_"z%�1���.�'� <br /> Fee Simple Titleholder Name �� _� Owner Phone Number � -�. I <br />' �. , <br />( Fee Simple Tltleholder Address <br /> JOB ADpRE58 SO` � �1� � � � LOT# �� <br /> SUBDIVISION ��/��. ��l � PARCEL ID# <br /> (OSTAlNEO FROM PROPERTY TAX NdTICE) <br /> WORK PROPQSED �NEW CONS7R ADD/ALT �' SIGN Q Q DEMOLISH <br /> , e INSTALL 8 REPAIR <br /> PftOPOSEd�USE Q SFR Q CI�MM � OTHER <br /> TYPE 4F CONSTRUCI'ION ', Q BI.00K � Q FRAME � STEEL CJ <br /> 2 <br /> DESCRIPTION OF WORK � � � � P� � l/� <br /> � , ,,, <br /> BUILDING SIZE ������� � SQ FOOTAGE������i���-� HEIGHT /rG� <br /> QBUILDItVG $ ��°'-`�, .<.__- <br /> �,�"'��"`,,r� VALUATION OF TOTAI.CONSl'RUCTION <br /> .J <br /> QELECTRICAL ($� � AMP SERVICE Q PRQGRESS ENERGY [� W.R.E.C. <br /> � <br /> [�PLUMBtNG � •� �� / �/ <br /> �MECHANICAi. $ VALUATtON QF MEChiANICA�.i1VSTALLATIQN <br /> C..-._-.� �� �- <br /> [��as Q RC30FING � s��c�A�•nr �] t3THER � <br /> FINISHED FLQQR ELEVATIONS ��� FI.000 ZONE AREA QYES NQ <br /> BU(LDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N . <br /> Address Cicense# � � <br /> �LECTRiC1AN ,� COMPANY <br /> 51GNATURE REGISTERED Y J N FEE CUFiRE� Y/N <br /> Address � License# r � <br /> PLUMBER • COMP�4NY <br /> SIGNATURE REGISTERED Y/ N FEE CUf2RE� Y/N <br /> Address .License# �� ' � <br /> MECHAP11CA1. COMPANY .�� � �G I G � � <br /> SIGNA7URE REGISTERED Y./ N FEE CURRE� Y/N <br /> Address � � �` �Y� �� �'��� License# ��G�d.���''�.�a-� <br /> QTHER COMPANY <br /> SIGNATURE REGI57ERED Y/ N . FEE CURRE� . : Y-/N <br /> Address License# � I <br /> RE3IDEN�IA1: Attaeh(2)Plot Plans;(2}sets�affBu3ldi�g Rlans;'(1)set of Energy�Farm's;Ft-U-W Permit for�new,construction, <br /> Minimum;ten(1,0)�working.days after;subriiittaf daYe. Required onsite,Canstruo8on Plans;Stormwater Plans w/Sllt Fence installed, <br /> Santlary Facffitles.&1;,dumpster Slte Worlc:Perrnitfor""su6afVis3onstiarge proJects , <br /> COMMERCiAi. Attach(3}aomple#e sets of Buitdirig'Pians pius a�Life Safety Page;(1}set of Energy Forms.R-O-W Permit for new consMucd'on. <br /> - -- - -- Minimum ten(10)working days after submittai date. Required onsite,Constructlan Plana,Stortnwater Plans w/511t Fence inskalled, <br /> Sanitary Fao3liBes&1 dumpster.Site Work PermEt for aii new groJecE"s,Ali commerclal_requlrements must meet compiiance <br /> SIGN PERMIT Attach(2}sets of Engineer,ed P..lans:;, ,Y� � <br /> � """PROPERTY SUR1/EY reguired for all NEW canstructlon. <br /> pirectiona: <br /> FIII out applicadon completely. <br /> Owner&Con#ractar sign badc of applica�on,natarized <br /> If av�r$2500,a Notice of Commencement is requlred. (A/C upgrades over 57500) <br /> " Agent(for the contcacEor)ar Power of Attamey(for the oumer)wauld be someone with notarized tetter from awner autho�izing same <br /> DVER THE COUNTER.PERMI7TING (�ront of Application Only) <br /> Reroofs if shingies Sewers SeMce Upgrades A/C Fences(Plat/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />