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813aso-oo2o City of Zephyrhills Permit Applica#ion Fax-813-780-0021 <br /> Buitding Department <br /> . DateRecelved � �.��j phone-ContactfarPsrmi#tin �� �� ���� <br /> r � <br /> Owner's Nartee � i'il,�{' Owner Phone Number �2� 2-�J � �S, <br /> 4wner's Address c}�n(� ��� �1'' �t/Z- Owner Phone Number ��3 '��!) �Z-�� � <br /> Fee Slmple Tltleholder.Name ��t1°,���!". � �'I'"I�C._�QJ►Ui�I Owner Phone Number �- �� <br /> T <br /> Fee Stmple Titieholder Address �� I�'1 �1 Jfi �.¢ � �(, 33 J��' <br /> JOB ADDRESS � 0 b I 1 �I� f,)�� I�4 �C. �3 c���""��2 LOT# [�,� <br /> SUBDIVISION �� � P10.RCEL ID# <br /> (OSTAINEp PROM PROPERTY TAX NQTiCE) <br /> WORK PROPQSED �NEW CONSTA ADD/ALT � SIGN Q CJ DEMOLISH <br /> � INSTALL e REPAIR <br /> PROPOSED.USE _ Q SFR Q COMM Q OTHER <br /> TYPE QF CONSTRUCTION , Q BLOCK � [�� FRAME � STEEL Q <br /> a <br /> QESCRIPTION OF WORK 'cl � �e��-e- �� M/► �'�� �9 `�`� ��S�l <br /> BUILDING SIZE � � SQ FOOTAGE�,�„�. HEIGHT C�� <br /> BUIL,DING $ � `--� 4''�•"�", '-'_,� <br /> , ��.��� VALUA710N QF TOTAI.CONSTRUCTION <br /> L_..� <br /> QELECTRICAL � � AMP SERVICE Q PRQGRESS ENERGY [� W.R.E.C. <br /> o���MB��� � � -���7j�z <br /> QMECNANlCAi. $ VALUATlON OF MECHIWICAt.lRtSi'ALLATION <br /> OGAS � ROOFiN{^a Q SPECIAtiTY � t3THER <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZQNE AREA [�YES NO <br /> BUILDER /� r��;,�"='��~ COMPANY C/�--- <br /> SIGNATURE � REGISTERED Y N FEE CURRE� .Y/N .. <br /> Address License# r� � � <br /> ELECYRICiAN � COMPANY <br /> SIGNATURE REGISTERED Y J N FEECURRE� Y/N <br /> Address �� License# � � <br /> PLUMBER - � COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANiCAI. COMPANY <br /> SIGNA7URE REGISTERED Y./ N FEE CURRE�- ' Y/N <br /> Address License# I � <br /> OTHER COMPAFiY <br /> SIGNA7URE REGIS7ERED Y/ N . �FEE CURRE� , Y-/N. <br /> Address ' - ' Ucense# � �� <br /> RESlDENTIAt. Attach{2)Ptot P.lans;.(2}sets afBuilding Pians;(1}set o1 Energy�Forms;R 0=W Perrtiit far_new constructf,on, <br /> Minimum.ten,(1.0)working;tlays afiter.submittal dete. Required onsite,ConstivoHon Plans;°Stormwater Plans w/Silt Fence tnstalled, <br /> Santtacy Facilities.&�1;dumpster,.31te Work�Rermit tor,"subiifvis[onsllarge projects - <br /> COMMEiiC1AL Attach(3}c;ompfete sets�of 8uildirig Pians plus a Cife Safety Page;(1}set of Energy Fornns.R-Q-W Permit for new canstruction. <br /> Minimum ten(10)wo�lcing days after submittal date. Requtred onstte,CanstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> SaniGary Fec3litles&1 dumpsier.Sfte Wcric Permit for ail nei�r'projacts.Alt commercEal.requirements must meet compllance <br /> SIGN PERMIT Attach(2)sets of Engineered°Rlans:. : <br /> """PROPERTY SURVEY requir�cl for all NEW canstructton. <br /> Directions: " <br /> FIII out application completely. <br /> Owner 8�Contractor sign back of applica�on,notatiz�i <br /> If aver 52500,a Notice of Commencement(s requlred. (A!C upgrades over S750d) � , ---• - . �-• �� <br /> '" Rgent(for ttie contraafot}or Pbwer of Attamey.(far the owmerj'woutd be.someone with natarized letter frdm owner authorizfng same ' ; <br /> DVER THE COUNTER PERMITTING (Front of Application Only) � ' � <br /> Reroofs If shingles Sewers Service Upgrades WC Fences;(PIoUSurvey/Footage) ' , <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />