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s»-�ao-oo2a City of Zephyrhills Permit Application Fax 813-780-0021 <br /> = Buiiding Depa�tment <br /> + • - <br /> Dats Recelved Phane Con#act for Permlttin <br /> Owner's Name �1! tZN L..,.uN�✓�/v Owner Phone Nurnber <br /> Owner's Address !.3�Z. �t��.+Ot 8V�/�- � LJ7-- Ow�er Phone Number � <br /> Fee Simple 7ltleholder.Name � � Owner Phone Number � � <br /> � . <br /> Fee Slmple Titleholder Address '� <br /> JOB ADDRESS 7�1 Z �,Ac/�o( ie LOT# �__� <br /> SUBDIViS10P1 � ��!7,Q V( j 1 A,g� � PARCEI.tD# � <br /> ,(OBTAINED'FROM PROPERTY TAX NOTICE) <br /> WdRIC PROPOSED , e �NfW CONSTR 8 ADDJALT C� S1GN Q Q DEMOI.ISH <br /> INSTALL REPAIR <br /> PROP4SED USE Q 5FR � COMM [� OTHER <br /> TYPE OF CONSTRUCTION � Q �BLOCK ' Q FFCAME [�. STEEL Q <br /> DESCRIPTfON OF WORK � I <br /> BUIIDtNG S1ZE � � SQ FOOTAG �S�HEiGHT C`_____� <br /> ���«'����' I'" � VALUATIOiV OF Tbl AL CONSTRl1GTION <br /> L�. <br /> QEI.EGTRICA� �� AMP SERVICE Q PROGFtE55 ENERGY Q W.R.E.C. <br /> QPlUMBIN� L�.—� <br /> �MECHANiCA� $�' � VALUATtO(tit OF MEGFiANICA�INSTALLATtON <br /> � ` <br /> [�GAS �/ ROOfING. Q SPEGIA�TY C� OTHER <br /> FINISHED FLOOR ELEVATIONS ��o� FLOOD ZONE AREA C]YES NO <br /> BUI�DER C�MPANY <br /> SIGNATURE REGI$7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> E�EC7RtC1Atd� COMPANY <br /> SIGNATURE �* REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �^ � <br /> RLtlMBER � COMP.ANY <br /> SIGNATURE REGI9TERED Y/ N FEE CURRE� Y/N <br /> Address .License# � �� <br /> MECHAJ�itCAl. COtltlAAt+IY <br /> SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N' <br /> Address� License# � � <br /> OTHEt2 ���CiR�� r COMPAE+iiY ~ � • <br /> SIGNATURE ��J ' REGIS7ERED Y/ N.. FEE CURRE� Y N: <br /> Address (�- .a..•�� (�. � License# �-�---Q.�I�7�� <br /> RESlDENT1AL Atta'ch 2 Plot'Plans; 2 se#s of=8ulli1ln �Plans; 1 set af Etie <br /> (_} � } 9 { ) rtJY"form§;R-O-W Permlt Eor'neuir construc#�an, <br /> Minimum,ken(10)working;days after"subrriittal date.�Required onsite,ConsVuctian-Plans;Stormwater Plans w7 Siit Fence instailed, <br /> Sanitary FaciliUes:&-1,;dumpste_r,Site�Work P.ermit for subdiVisionsllarge projects �� -` <br /> C4MMERCIAL Aitact�{3}co's�gtete;se#s of Betildirig Pians plus a t�ife Safety Page;{1}set of Energy Forms.R Q-W Permit fo�new constructlon. _ <br /> " Minimum ten(10)working days after submittal date. Required onsite,ConstrucUan Plans,Stormwater Plans w/Silt Fence installed, <br /> Santtary Facilities&1 dumpster.Site Work Permit for all new projects.All comme�cial requlrements must rs�ee!campltance <br /> SIGN PERMIT AttacFi{2)sets af Engineered Ptans.;,.-£ .� � <br /> •"""PROPERTY SURVEY reguireti for all NEW canshuctlan. <br /> Dtractions; . <br /> Fill out applicatlon completely. <br /> Qwner&Contractor sign back of appticafion,notarized <br /> tf aver�2500,a Notice cf Commencement is required. (A!C upgrades over ST500) <br /> '" Agent(for the contracfor)ar Povuer of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER TiiE COtlNTER PERMt1TiNG {Front of Application Only) <br /> Reroofs(f shingles Sewers Service Upgrades A/C `Fences(PIoUSurvey/Footage) <br /> Driveway�-Not aver Counter if on pubiic roadweys..needs RdW <br />