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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-Oq21 <br /> Bullding Department <br /> � a <br /> Date Received - phone-Contact for Permittin <br /> Owner's Name Yan��t�,� S'+"�.��^�S Ownar Phcne Number f�(ti��r�l�~ <br /> Owner's Address �L��� �-�c��' S'}` Owner Phorie Number � -� <br /> Fee Simple Titleholder Name r -� Owner Phone Number � � <br /> a <br /> Fee Slmple?INeholder Address " <br /> JOB ADDRE3S �4a�t� l a�� J""f� LOT# t� <br /> SUBDIVISION �� � RARCEL ID# <br /> (06TAINED PROM PROPERTY 7AX NQ71Cfi) <br /> WdRK PROPOSED 'NEW CONSTR ADDlAIT �` S1GN Q Q DEMOLISH <br /> INSTALL e REPAIR <br /> PRQpOSED USE Q SPR � CQMM � OTHEFt <br /> TYPE OF CONSTRUCTION . [� t BLOCK � Q FRAME � STEEI. Q <br /> DESCRIPTION OF WORK �� �ob-� � ;„, <br /> BUILDiNG SIZE �� � SQ FOOTAGE HEIGHT ��_--__� <br /> QBUI�DING $ ���.,..�-.. r___ <br /> ��('� VALUATION OF TOTAL CONSTRUGTION <br /> QE�ECTRICAL � � AMP SERtifCE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING � � <br /> Q 11ttECHANICA� $ VALUATION OF MECNANICAi.iAtSTALLATlON �� � t ��� <br /> QGAS � ROOFING Q SPECIA�TY ��] OTHEF! <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO <br /> BUlLDER COMPANY �cf�� �w,ve <br /> SIGNATURE REGISTERED Y/ N �e cu�uten .Y/N <br /> Address Cfcense# � � <br /> E�EC7RIClAN ., COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address - License# �� � <br /> PLUMBER � CBMPANY � <br /> SIGNA7URE REGISTERED Y/ N FEE CURREA Y/N <br /> Address LiCense# � - � <br /> MECHANiCAL COMPANY <br /> SIGNATURE REGISTERED Y./ N FEE CURREM � Y/�N, <br /> Addre�s Y Ucense# �i � <br /> Q��� COMPANY -- <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y-/N. <br /> Address � Ucense# � �� <br /> RESIDENTIAl: Attach{2)PtaE�Plans;:{2)sets of:Building=Plans;{1}set af Energy�Fartns�R-0=W PeRnit for new.construction, <br /> Minimum�ten(10p;working„days after.submittal date. Requlred onsite,ConstiuoNon-PI'ans;Stortnwater`Plans w/Silt Fence tnstailed, � <br /> - Sanftary Facilides:&��1,,dumpster�Site�Worlc�Permit for subdivistonsAarge pro�eots - �.� - - <br /> G011+IMERCIAI. Attach{3}cornplete sets af Buildirig Plaris ptus a�ife Safety Page;(1)se#of Energy Fotms.R-C}-W Permit for new construotion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Canstructian Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Faeilitles&1 dumpster.Site Work Perm{t for all new projects.Rii"commerciai.requlrements must raeet campliance <br /> SIGN PERMIT Attact�{2)sets af Engirieered Plans,.. r <br /> '•""PROPERTY SURVEY required,for all NEW constructlon.. <br /> Diractlans: . <br /> Fill out applicaUon completely. <br /> Owner&Contractor sign badc of appiicaUan,notarized <br /> If over E25d0,a Notice af Commencement is required. (A!C upgrades over S750Q) , <br /> " Agent(for tha c:ontractor)ar"Pov�e.r_of:Attomey(foYRhe owrie�}�would.be�s�imeone with notarized letter from owner auth'oi�zing.same� ' <br /> OVER THE COUNTER PERMITTING. `;-„(Front of Application Only) ` � t� y' • ' � - ' <br /> Reroofs if shingles Sewers f Service Upgrades NC ' Fences(PIoUSurvey/Footage) - " <br /> t - ,,. i : ,. �. - .... . -. .. <br /> Driveways-Not over Counter if oit pubiic•roadways::n�'�iids ROW"'4f �` ' �- <br />