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� �� s;�aso-ooza City of Zephyrhills Permit Application Fax 813-780-0021 <br /> 8uilding Department <br /> Qate Reseived '��- � • "Phone�Coo#�cffor Permltting, !�� ��`�-' • <br /> 4wner's Name � V Q-\ i�-��S ���. �nrner Phone Number <br /> Owner'sAddress ��IV ��� � • Zh�`\� OwnerPhoneNurinber � � <br /> Fee Slmple Tltleholder Name � � Owner Phone Number � � <br /> � <br /> Fee$imple Titleholder Address ' <br /> JOB ADDRESS �_���� ��h �� �'�-t' �f��,�,�.`J �-�-- '�J3��� LOT# L� <br /> SUBDIV�S�ON �— � PARCEL ID# , ` �-c��-�}��`C���`��C�{�� <br /> (OBTAINED FR4M PROPERTY TAX NOTICE) <br /> WORK PROPQSED � NEw CONSTR ADDIALT Q SiGfit Q Q DEMOI.ISH <br /> INSTALL R�PAIR <br /> PROP4SED t)SE Q SFR Q CAMM [� OTHER <br /> TYPE QF CONSTRUCTION Q BLOCK ' Q FRAME 0 STEEL. [� <br /> DESCRIPTION OF WORK ` ��.t..�`e-'(� �Vl�� �l.r-C,���-�"� <br /> BUILDiNG 812f r� � SQ FOOTAGE��� HEIGHT C____,�,� <br /> �8���'����'' $ , I VALUATION CIF TOl'AL CONSTRl1CTiON <br /> .J <br /> QE CTRICAI. � � AMP SERVICE Q FROGRESS ENERGY Q W.R.E.C. � <br /> P�u�s��� $,-�Gt� c�� � �1�� <br /> OMECHANICAL $ VF►�UATtON OF MECHAN1GAl INSTR�LATION `t ' <br /> OGAS Q FtOQFINfa Q SPECIALTY �� OTHER � F f f �/ <br /> FINISHED FLOOR ELEVATIQNS FLOOD ZONE AREA QYES. NO �%Y�l � <br /> BUiLDER COMPANY <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# �� I <br /> ECECTRtC1AN COMp/W}( <br /> SIGNATURE '� REGISTERED Y/ N FEE CURREA Y/N <br /> Address - License# � � <br /> �t1�5 c.���11�cx.c�`t1S t 111C, c�..cY�S� 1 t�C..� <br /> SIG AT URE '� COMpAt+iY ��1� �t�`ti C... <br /> REGISTERED Y/ N FEE CURRE� Y N <br /> Address J�� {���5�. ��tl�l LllS �'�. ����o� License# �,����,t��JtD�o�� <br /> MECHAi�i[CAt. COMPANY <br /> SIGNATURE REGISTERED Y,/ N FEE CURRE� Y/N . <br /> Addre�s � License# � � <br /> OTHEfi COMPANY <br /> - SIGNATURE ' REGISTERED Y/ N . FEE CURRE� Y•/�N <br /> Address � �tcense# �— �� <br /> RESlDEMTIAI. Attach{2)P1ot P.lans;�{2)sets:of:Buitding'Rlans;(1}set of Energy�Farms;R-O-W Peririit for naw construction, <br /> Minimum,ten,(1.0)working d"ays after subrrilttal ilate. Required onsite,�Constiuction Plans;°Stormwater Plans w/Silt Fence installed, <br /> �Sanitary Facilides&1 clumpster Site Wot1c Rermit for subdivisionsAarge proJects �, . � � _ _ <br /> � GQABi�EFtC1A[. Attach{3}compliefe sefs of Bu3ldtrig P1aris plus a l.lfe Safe#y Page;{1)set af Energy Fotms.R-C�W Permit#or new construct�on. <br /> Mlnimum ten(10)working days after submithal date. Required onsite,Construckian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanlfary Facilides&"1 dumpster.Site Work Pertnit tor all new projeots;All commercial requlrements must meet compllance <br /> S1�N PERMIT Attacti'{2)'sets af Englsieered�P.lans.°- . <br /> "`"PROPERTY SURVEY required for all NEW canstruction. <br /> Dlrections: . <br /> Fiil out applicatlon completely. <br /> Owner&Contractor sign back.of appficatfon,noiarized <br /> If over$2500,a Notice of Comm�ncernent is�requlred. (A/C upgrades ovef�7500) <br /> '" Agent(fpr the ccintractor)or Powe�of Attamey(far ihe owner)would be�someane with notarized letter from owner autharizing same <br /> dVER THE COUN7ER PERMITTtFiG' ,,' (Fr6nt.of-Appticatian Oniy} <br /> Reroafs if shingles Sewers '�SerSice Upgraiies A/C � Fences(Plot/Survey/Foatage) <br /> Drlvewaya-Not over Counter tf bn putiitc roadways..needs ROW a � <br />