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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> 8utlding Department _ ' <br /> Date Reaelved �-�-1.� Phane-Carttact for PermCttin ` C�t� tY� �'' — �U/�� <br /> Owner's Name 1 U U l!t�i Qwner Pbone Number <br /> Owner's Address <br /> Z v� ���� Owner Phone Numbsr � � <br /> Fee Simple TlNeholder Name �� � Own�r Phane Number � � <br /> Fee Simple Titleholder Address � <br /> JOB ACIDRESS rj�'-7 Z v� ��''�"Q"�" � �� r l•l I�,S . LOT# t� <br /> SUBDIVISION �— � PARCEL ID# <br /> (OBTA4NED FROM PRQPERTY 7AX NQTICEj <br /> WORK PROPOSED 'NEW CONSTR ADD/ALT �] SIGN Q Q pEMOI.ISH <br /> INSTALL 8 REPAIR <br /> PROPC3SED USE , Q SFR Q COMM � OTHEF2 <br /> TYPE QF CON3TRUC'170N �. Q � BI.00K , Q FRAME, �] STEEL Q <br /> DESCRIPTION OF WORK I�2 l7 V� UI�J' dv�t d�0 t�S — c�� /b'B G.� �N '✓1 r,�g w /'� <br />� <br /> BU�LDING SIZE 5Q FOOTAGE�_� HEIGHT • <br /> , �F:���.�- �,r:. .. � ..s-r <br /> �g���'�i�� $ ���;� � VALUATION OF TOTAI.CONSTRUCTION ��+ <br />� QEIECi'RICAi. �� AMP SERVICE Q PRQGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING $ C ����.,, �/' <br /> OMECHANICA� $ VA�UATION OF MECNAFti11CAl ItVSTAi.LATIt�N �J� <br /> QGAS Q Ft04F1i+IG [� SPECIAI.TY � OTfiER � �hr�Oc� �-2 /Fi��'f�"Gt�,�ZtJO��� <br /> FINISHED FLOOR ELEVATIONS FI.00D ZONE AREA [�YES NO ` � �l <br /> BUIIDER �y�/�� /�` �/ �r' COr�IIAPANYe ���.F �I�i"3� �vL <br /> SIGNATURE ��� v � v REGISTERED Y/ N FEE CURRE� Y/N . <br /> Address ���> � ��€' � � �' �` ��`r��5 Cice�se# ��C G�d�?6 �3 J � <br /> IELECTF21C1AN ,, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE'CURRE� Y/N <br /> , <br /> � Address . Llcense# � � <br /> PIUMBER - COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N' <br /> � <br /> � Address License# r� � <br /> � � � <br /> i MECNANICAL COMPANY <br /> I SIGNA7URE REGISTERED Y�/ N FEE CURRE� Y/N� ' <br /> Addreas License# �� �� <br /> Q3HER COMpANY - <br /> , SIGNA7URE REGISTERED Y/ N. : FEE CURRE� Y/N. <br /> Address � Cicen'se# r� ���� <br /> RESIDENT1At: Attach(2},p16t Plans;(2)se#sofiBuil'ding Pians;{9}sef af Energy�Forms;R-O-W Pertriit for new construction, <br /> Minfmum�,terr(1.0).working�days�afte�_submittal date. Required onslte,ConstiucNon�Plans;Stormwater Plans w/SAt Fence installed, _ <br /> Sanitary FaciliUas&�1,,dumpster,Slte Work�Permit for su6iltVislotis/large projecM . , � <br /> COMMERC(AL Attach{3)corrfpiete se#s of 8uil�irig Plans plus a Ltfe Safekyr Page;(1}set of Energ}r Forms.RA W Permit for new canstruction. <br /> Minimum ten(10)working days after submittal dake. Requl�ed onslte,Canstrucdon Plans,Stortnwater Plans w/Silt Fenae installed, <br /> Sanitary Facilities&1 dumpster:Site Work Perm(t fcr aii new projects.Aii commerciai.requirements must meet compliance <br /> SIGN PERMIT Attach{2}sets of Engineer.ed Rlans.;; �� ., - <br /> """PROPERTY SURVEY reyuired for all NEW canstrucUan. <br /> Directians: <br /> FIII out applicatton completely. <br /> Uwc�er&Contractoc stgn back of appifcaflon,natatized <br /> ff aver�2500,a Notice of Commencement is re,quired.. (AlC upgrades over 57500) <br /> " Agent(for ttfe contractor)or'Power of Attomey.(for the owner)wauld.be someone with notarized letter from owner authorizing.sarcie , <br /> OVER THE CQtiNTER PERMITTING � (Front,of Applicatlon Oniy) � ' � <br /> Reroofs if shingles Sewers Serviae Upgredes A%C Fences(Plat/Sun►ey/Foatage) . . � - <br /> - , „- _ <br /> Driveways-Not over Counter if on pubifc roadways..needs ROW '" - � ,„, <br /> 1 <br /> I <br />