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a��-�saoo2o City of Zephyrhills Permit Appiication Fax 813-T80-002i <br /> - Building Department <br /> Date Received _ 2'�>� phone-Contact for Permittin – <br /> Owner's Name � i�: S � e ti.; Owner Phone Numbar --�`�-�"c��t� <br /> �/ Owner's Address �� t v �-�s �^ �e- � r�,.,��l� �"r 33� �- Owner Phone Number � �� <br /> Fee Simple�iftehatder.Name Owner Phone Ftumber <br /> Fe�mpl Titleholder Address A <br /> �o�AooR�ss S'lto 2! S'� k. t�..11 t 33s'`�Z �or# �� <br /> sugnwisiaN �� �� PAltCEL!D# <br /> (OBTAINED FRQM PROPERTY TAX NdTICEj <br /> WORK pROPOSED �NEW'CONSTR � ADD/ALT � SIGN �] Q DEMQLISH <br /> � e INSTAi.I 8 REPAIR <br /> PROP03ED.U$E u �. SFR [� COMM [� OTHER � <br /> TYPE OF CONSTRUC7idF1 _ Q BLOCK � Q FRAME � STEEL Q <br /> r <br /> DESCRIPTION OF WOltK !� /r l� -Sy `� � - <br /> 6UILDING SIZE � � SQ FOOTAGE�� HElGIiT [�,_,!� <br /> �BUILDING $ "A�`�..", ,',��.- <br /> ��'S'S��•Y � 1/ALUATION OF T07AL.CflNSTRUG710N <br /> QELECTRICA� r$'�� � AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> L_ <br /> QFLUMBING �� � <br /> [�MECHANICAR. $ VAt,.UATION OF MECHAh{ICAL INSTALLATION � i �l � <br /> QGAS Q RflOFiNG � SPECIAtTY � OTNER <br /> FINISHED FLOOR ELEVATtONS � i� PLOOD ZONE AREA QYES NO <br /> �UILDER J �� COMPANY Ul�i�PP��--- <br /> �"SIGNATIJRE � REGISTERED Y/ N FEE CURRE� Y/N . <br /> Address License# � � <br /> ELECTRICIAN ., COMPANY <br /> SIC�NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � Llcense# ( I <br /> PLUMBER � COMPANY <br /> SIGNATIIRE _ REGISTERED Y/ N FEE CURRE� Y J N <br /> Address Llcense# � , � � <br /> MECHANICAL COMPANY <br /> SlGNATRli2E REGiS7ERED Y�.I RI FEE CURRER ' Y/N'� � <br /> Address� . License# � � � <br /> OTHER .COMPANY <br /> SlGNATURE REGiSTERED Y i N.� ��cuRR�ti Y/N <br /> Address License# �— �� <br /> RESIDENTIAL: °Attach(2}RIot�P.lans;.(2)sets of�Building`Plans;(1}set of Energy�Fortns;'R-0=W Piarrriit for'new construction, <br /> Minimum,.ten;{:1.4j�woricing:days after,:subritittai date, ftecjufred onsite,Gonstiuctlan P!'ans:•Storrnwater'Plai�s w!SIlt Fence installed, _ <br /> 8anitary FaciltHes;8�1,dumpster Site Work.Permtt for sutidivi'sions/large pru�ects �� <br /> COMNIERCIA� Attach(3j corriplete sets of 6uiitlirig Plans ptus a Lffe Safety Page;(1)set of Energy Fonns.R-O-W Pertnit for new construction. <br /> Mlnfmum ten(10}working days after submlttat date. Required onsite,Consiructlan Pians,Stormwater Plans w!Siit Fence i�stalled, <br /> Sanitary Facilides&1 dumpster.Site Work Permtt for all new'projects.All commercial.requUements must mesi camp!lance <br /> SIGN PERMIT Attach(2)�sets of Engi.'neer,ed Plans,;, .�� � <br /> '"*'PRQPERTY SURIlEY required.for al!NEW c�nstruatlon. <br /> Di�ectlona: <br /> Pilf out appltcatlon campietely. <br /> Owner 8�Contractor slgn back of appffca�on,nota�ized <br /> If over 52500,a Notice.of Gommencement is required. (A!C upgrades ovar�T50U� � <br /> '" /�qent(far the c6nVactor)ar'Power of:Attomey(for the..owner)would be someone with notarized letter from owner authorizing same y --- <br /> OVER THE COUNTER RERMITTING (Front of�Application Only) `= � , ' ,, - , , <br /> Reroofs if shingies Sewers Service Upgrades�`A/C ' ' Fences„(PtoUSurveylFootage} , . � " <br /> Driveways-Not over Counter if an public roadways..needs ROW , ' '` " � -- . _. " <br /> I <br />