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813-780-0020 City af Zephyrhills Permit Application Fax 813-780.0021 <br /> � 8u1lding Qepartment <br /> Qate Recelved ' Phone Contact for AermlttFn r� � � — ! � � <br /> Qwne�'s Name 6C i'1 • Owner Phane Number !J�� ' t r r'�'�,.�'�� <br /> Owner`s Address �� /�5,,�'�-- � //l� Owner Phone Number �� � <br /> Fee Slmple Titleholder Name � � Owner Phane Number r� � <br /> Fee Simple Tftleholder Address <br /> JOB AQDRESS � I p` //SS a— /!�' LOT# � <br /> SUBDMSION � � PAFtCEL ID# /� •o� • ' �(� • G? � </� <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PRBPOSED NEW CONSTR ADDtALT � S1GN Q Q E}EMO�ISH <br /> e INSTALL REPAIR <br /> PRQPOSED USE Q SFR Q COMM � OTNER <br /> TYPE OF CONSTRUCTION Q BLOCK " Q FRAME � STEEL Q <br /> DESCRIPTION OF WQRK (/ C �ic'! .�C�ti1" � � <br /> BUtIDING SIZE �� � SQ FOOTAGE[�__� HEIGHT �'Ui� <br /> �����'�1��' �.� � VALUATION OF TOTAL.CONSTRUC710N <br /> QELECTRICAl. � � AMP SERilICE Q PROGRESS ENERGY Q W.R.E.C. <br />, QPLUMBtNC7 �� <br /> [,V�MECHANICAI $ VAlUAT10N OF NiECHANICAI.INSTAL�ATiON <br /> , J . <br /> �c�s [� ROOFING p sP�ci,a�.rr 0 t?THEE2 <br /> FINISHED FLOOR ELEVATIQNS ��� FLOOD ZONE AREA QYES NO <br /> _ BUILDER __ GONlPAHY <br /> SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> ELECi'RtCtAN! COMPAMf <br /> SIGNATURE '' REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �! ^�� <br /> PLUMBER � CO[VIPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ,,, „_,,,, <br /> Address _^ License# �— � <br /> MECN�4NiCAL � , �, COMPANY fZ/`!S � <br /> SIGNATURE �rr REGISTERED / N EE CURRE� /N <br /> Address- GJ �} ` License# �� S� <br /> ' OTHER COliI1PANY <br /> SIGNATURE REGIS'TERED Y/ N FEE CURRE� Y/N <br /> Actdress License# �_ �� <br /> RESIDENTIAt. Attach{2}P1at Plans;(2}se#s af Bitilding'Plans;{1}set of Energy Forms;R-O-W Permit for new ccnsWa6an, <br /> � Minimum ten(10)working:days.after.submittal da1e. Requlred onsite,Constructian Pians;Stormwater Pla�s w/Sllt Fence installed, <br /> - Sanitary Faciqties.&;1:dumpster,Site Work•Permit for subdlvislonsAarge projects � <br /> COlNMERC1At. Attach{3}complete sefs of Buildirig Plans plos a l.ife Safety Page;{1)set af Energy Forms.R-O W Permit for s►ew constnsctian. <br /> Minimum#en(10)working days'after submittal date. Required onsite,CansUucUan Plans,Stormwater Plans w/Silt Fenae installed, <br /> Sanitary Fmcilitias&1 dumpster.Site Work Permit tor all new proJects.All commercial requlrements must meet compltance <br /> S1GN PERMIT Attach{2)sets af�ngtneered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructlon. <br /> Otrectlons: <br /> FIII out applicatlon completely. <br /> Owner&Guntractor slgn back of appltcation,nota�ized <br /> If aver 52504,a Natice of Commencemes�t[s required. (AIC upgrades over�7540) <br /> �I '" Agent(fpr the contractor)or Power of Attamey(far the owner)would be someone with notarized letter from owner authorizing same <br /> � DVER THE COUNi'ER PERMIiTiNG•:-:• �u{Fron#ofApplicatian-{}nly}.,:.� <br /> Reroofs if shingles Sewers ' Service.Upgrades�.d/C �''°� Fences(PIoUSurvey/Footage) <br /> Driveways-iVat aver Counter if dn ptiblic madwayrs..needs°ROW' � <br />