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a�s-780-Op20 City of Zephyrhills Permit Application Fax 813-780-Oq21 <br /> BuEiding Department - <br /> �' �M <br /> Date Recslved Phone Contact for PermitEing — <br /> Owner's Name — ,+�� C..Q��C"�. Qwner Phone Num6er <br /> Owner's Address /D d S�� l7��--5 7 Owner•Phone Number � � <br /> Fee Simple Titleholder Name � � Owner Phone Number �� � <br /> � <br /> Fee Simple Tltleholder Addre�s ' <br /> JOB AbDRESS �B �TGG`�/�"L/�� ��"�J� LOT# �� , <br /> , �i< <br /> SUBDiViSiON �1��c� t��<<.0 � PARCEL ID# �9��� � 1^�j��-��d�� "� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PR4POSED � NEw CONSTR ADQlAl.T Q SIGN [� Q DEMOt,ISH - <br /> INSTALL REPAIR <br /> PROP08ED iJSE Q SFR Q COMM �� OT#iER �' 8 � / <br /> TYPE QF CONSTRUCTION [� BLOCK ' Q FRAME [� STEEI. Q <br /> _ � <br /> DESCRIPTIdN OF WORK DO� jR/{t"7'� I� J'� � �' �iJ,jlJ/lf��"L �0`t/Af�-G� <br /> BUiLDING S12E � � SQ FOOTAGE C� HEIGHT C„_ .� <br /> ����L����'" � q '� VALUATION`C'1F TOTAL CONSTRLICTIOIV <br /> G► �-���� <br /> QEl.ECTE2ICA� $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMSING $ .�� �V <br /> C,_... � � <br /> QMECNANICAL $ �VAL{fATtON OF MECHANICAt INSTALlAT10N �� <br /> QGAS � FtQOF!!VG Q SPECIAl.'fY Q OTHER <br /> FINI$HED FLQOR EL.EVATIONS �`--_� FLOOD ZONE AREA QYES. NO <br /> BUt�DER COMPAIIdYY <br /> SIGNATURE REGISTERED Y/ IV FEE CURRE� .Y/N <br /> Addres$ License# � � <br /> E�EGTRtC1At�! COMPAFtY <br /> SIGNATURE �"' REGISTERED Y J N FEE CURRE� Y/N <br /> Address � License# �� � <br /> PLUNIBER GOMPANY <br /> SIGNATURE REGI9TERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECNAN[GAL. COMPANY <br /> SIGNATURE REGISTERED Y;/ N FEE CURRE� Y/N <br /> Address � License# �� � <br /> OTHEft � ��r COMAANY - , L tTyt� �+�tl�ylr'f� .. - <br /> SIGNATURE� REGISTERED Y/ N.; FEE CURRE� , Y L N. . <br /> Address 9�30 ��63' Df}'p�--a. L'J� �"�c— Cicense# /�-L-f7a��,,�-�f � <br /> RESIDEN'FIA� A##ach{2):p1ot F.lans;.(2}seEs ofBu�lding`Ptans;{1)'set of Eriergy Foims;R-0=W Pemi,it far"naw construction, <br /> Minlmum:ten,(10).woric,ing;daysafter,subrinittal`date. ,Requlred onsite,-ConstnicHon�Plans;°Stormwater Plans w!Silt Fence installed, <br /> SanitaryFaciliUes&;.1�,dumpste,r.-Site�Work:,Permitfor;subdiyisionstlarge�proJeots: � c`` ` -_ <br /> C�fi�t�tERGIX41. Attach{3)"complete sets of Baildlrig Plans plus a�ife Sa#ety Fage;{1}set a#Energy Forms.R-O-W PeRnit tor new canstructian. <br /> Minimum ten(10)working days after submlttal date. Required onsite,Canstructlon Plans,Stormwater Plans w!Siit Fence installed, <br /> Sanitary Facilitles 8�1 dumpster.Site Wark Permtt for all�ew proJecks:All commercial.requirements must meet compilance <br /> St6N PERM!'f Attacti'{2)sefs af'Eiiglneer,ed Plans.;��-,�.:_ ° • <br /> ""'PROPERTY SURVEY reguired,for.ail NEW.constniction. , , <br /> Dlrectlons: � <br /> FIII out applicaUon completely. <br /> Owner&Contractor stgn back af appltcadan,notartzet! <br /> tf aver 52500,a Motice of Commencement ts requireci. (NC upgrades over 57500j <br /> - �,. - <br /> " Agent(for the�cont'ractor)�or P'ower of Attomey�(furthe owner)would be someone writh notarized letter ftom owner authorizing same <br /> DVER TME GOUHTER PERMIT-TtNG , (Front of-Application On{Y) <br /> Reroofs(f shingles Sewers � , Service Upgrades�A%G - Pences(PIoUSurvey/Foatage) <br /> Driveways-Not over Counter if on public roadways.:needs ROW <br />