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813-?80-0020 City af Zephyrhills Permit Application Fax-813-780-0021 <br /> - ' ' Butiding Department <br /> Date Recefved ' <br /> Phone-Contact for Permtttin — <br />� Qwner's Name � �� �PU PC�-�Z�-r' Owner Fhoste Number �t- 3 rz-,�G y���'� � <br />� . � � <br /> Owner's Address �� � Owner Phone Number <br /> Fee 5lmple Titleholder Nama 5���l � � Owner Phone Number � <br /> Fee Slmple Tltleholder Address � � Q <br /> JOB AClDRESS �����' �� �2r ��J <br /> � LOT# l <br /> �Llv n.Tv� a �lt�"' - i <br /> SUBDIVISiON ��� � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTlCE) <br /> WBRK PROPOSED �NEW CONSTR ADD/ALT [� SIGN Q Q DEMOLISH <br /> e INSTALL � REPAIR <br /> PR4POSED USE . � SFR Q COMt+II �„� OTHER <br /> TYPE QF CONSTRUC170N , Q BLOCK � [� FFtAME [� STEEI. Q <br /> e <br /> DESCRIPTION OF WORK ��'���� SV�'j b ��K/1')dDL-C �' ��C/2'fi�. <br /> BUILDING SIZE �� � SQ FOOTAGE��. HEIGHT ��� <br /> QBUIL.OthIG �� `"_�'�`.:.__� :r_._. <br /> VALUATION QF TOTAL CONSTRUC710N <br /> QE�ECTRICAL $ �J,�T-� AMP SERVICE Q PROGRESS E(VERGY Q W.R.E.C. <br /> QPEt1MBING $ <br /> �,,,� � r � �� <br /> OMECHANICA� $ VA�UATtON OF MECHAIdICA�tNSTALLATit}N � � � <br /> , QGAS Q E200FiNC, Q SPECIALTY [� OTHER �'j �� <br /> t <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Addresa Cfcense# � � � <br /> ELECTFttC1AN � ,�--� ., COMPAI�IY (�, � ,C�i <br /> SIGNATURE REGIS7ERED Y/ N . FEE CUFtRE� Y/N <br /> Address � Llcense# �� � <br /> PLttMBE12 • COMRANY <br /> SIGNATURE REGISTERED - Y/ N FEE CURRE� Y/N <br /> Address Ucense# � ' <br /> MECHAid11CAL COMPANY <br /> SIGNA7URE REGISTERED Y�,/ N FEE CURRE� ' Y/•N� <br /> Address License# � I <br /> OTFCER COMPANY � <br /> SIGNATURE REGISTERED Y/ N. FEe CURRen . : Y/N <br /> Address . I:icense# � � <br /> RES{DENTIAL Attaah{2}Plot P1ans;(2)sets af Building.Rlaos;(1}set of Eiiergy�Form's;R-O-W PeRnit.for`new,construc�on, <br /> Minimum ten,(:10),working'days after.subrr'iittal date. Required onsite,Constructlon•Plans;�Stormwater'Plans w/Sllt Fence installed, <br /> Sanftary Facitities.&;1_.dumpster�Site Work>P.ermit for subilivi'slons/large proJects. ��� � <br /> - Co1VlMERC�Al. Attach{3)oomplete sets cif Building Ptaris ptus a Life Safaty Page;(i}set af Energy Forms.R-O-W Permit for new construc�on. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUan Plans,Stormwater Plans w/Silt Fence installed, <br /> 8anttary Fac11i8es&1 dumpster„Site Work Pemfit tvr aN riew proJects.Aii cammerclai_ret}ulrements must mest compNance <br /> StGN PERMIT Attach{2)`sets of Engineered_Fians.,,_ .*° - <br /> '"""PROPERTY SURVEY requireci for all NEW construcdon. <br /> Dl�ecttons: <br /> FII)out appiicadon completely. <br /> C}wner&Contraatar sign back of applicaUon,notarized <br /> If over E250d,a Notice af Commencement is requlred. (A!C upgrades over aT500) <br /> " Agent(for the contractor)ar'Power of Attomey(for the owner).wauid be sameone with notarized letter fmm owner authodzing same <br /> dVER TNE COUNTER PERMITTtNG - (�ront of Appiicatlon`Oniy},,. � <br /> Reroofs if shingles Sewers Service Upgrailes•WC� Fences(PIoUSurvey/Footage) <br /> brlvswaya-Not over Counter if on pubiic roadways..needs ROW,."`.:'� � <br />