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813-�so-oo2o City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Buitding Repartment <br /> , �. • <br /> Date Recelved p}yqne Contaat for Permittin -��� � � = l ��, <br /> Owner's Name (�ET/'T/:.1-L J O��`�'-1v J� Owner Phone Numbe'r :� ���" � �� <br /> Owner's Address �� � �GA�'N�,/l� �tf�— Owner Phone Number � � <br /> Fee 5lmple Tlkleholder Name �! Owne�Phone Number � � <br /> � <br /> Fee Simple Tltleholder Address � <br /> J08 ADDRESS � ! ��O �rG��G�. /� �'�' �ND �d LOT# C� <br /> susaivisioH � � PARCEL ID# � �5` �C.�d �� <br /> (OBTAINEO FROM PROPERTYTAX NOTICE) <br /> WOR4C PROPOSED , e �NEW CONSTR� ADD/AlT �� SIGN Q Q DSMQLISH <br /> INSTALL REPAIR <br /> PROPQSED USE Q 3FR Q COMM 0 OTHEF2 <br /> TYPE OF CONSTRUC710N � Q BLOCK ' Q FRAME � STEEL Q <br /> DESCRIPT�ON OF WORK GS. ��G G� e �bLLT � �/1,.� , �� /��OM /11�1"% <br />� <br /> BUILDlNG SIZE � � SQ FOOTAGE C� HEIGHT <br /> O�u���E�� �' ��� VALUATION'OF TOTAI CONSTRUGTION <br /> L .�J <br /> QELECTRiCAI. � � AMP SERVICE Q PR{3GRESS ENERGY Q W.R.E.C. <br /> OPLUMBING �>� <br /> OMECNANlGAI $ �1 j���i�� VA�UATION C}F NiECHANICA�.INSTAllAT10N �� � , <br /> �� �� <br /> QGAS Q R40FING. Q SPECIALN Q OTFiEf2 <br /> � FINISHED FLOOR ELEVATIONS ��� FLOOD ZQNE AREA QYES NO <br /> � <br /> i <br /> I BUIlDEtt COMPAt�tY <br /> SIGNATURE REGISTERED Y/ N FEE CUf2RE� Y/N <br /> Address License# �� � <br /> E�ECTRICIAN COMPANY <br /> SIGNA7URE � REGISTERED Y/ N FEE CUFtRE� Y/N <br /> Address License# �^ � <br /> PLUMBER COMPANY <br /> SIGNATURE „ REGISTERED Y/ N FEE CURREA Y/N <br /> Address Gcense# � � <br /> MECNANIGAI. ��,�, '�J'0 L��.�1�.1J�..� COMPANY /�1Q�.�fc�3 �� ��Y-��.- ��i✓ <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/-N <br /> Address ��j /�"��� � Z .. � ` �icense# l �/'tt:.D�}���� <br /> OTHEit COMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� - Y-/N. <br /> Address • � Licanse# �! � <br /> RESlDENTIAL AttacFi{2).Plof Plans;{2}sets:af Bullding"'Plans;{1}se#of Energy°Farms;R-O-W P'smilt for new c�nstruc#lon, <br /> Minimum ten;(10)woricing;daysafter_submittal date.�Required onsite,Construction Plans;Stormwater Pla�s w/Stlt Fence installed, <br /> Sanfta"ry FaciUties&�1 dumpster,Site Work�Rermit ior subdivislons/large pr�jects � <br /> COMNiERC1AL Attach�3}c�tnplete"sets of Bu�IdEag�Plan"s ptus a I.Ife Safety Page;{1}set of Enat'g}r Famts.R-Q-W Pernti#for new construction. - <br /> Mintmum ten(10)working days after submittal date. Required onsite,ConsUucUan Plans,Stortnwater Plans w!Silt Fence installed, <br /> " Sanitary FaciliUes&1 dumpster.Site Woric Permtt for all new proJects.All commerc,iai requlrements must meet compliance <br /> SIGN PERMIT At#ach{2)sets of Ehglneered Ptans. , <br /> ""•PROPERTY SURVEY required for all NEW constn�cUan. <br /> Direotions: { <br /> Fill out application completely. <br /> Owner 8 Contractor slgn baok of applicallon,notarized <br /> if aver 32500,a Natice af Commencement is reqaired. (dUC apgrades over 57500) <br /> `" Ag�ent(for the contractor)or Power of Attomey(for the owner)wauid be someone with notarized letter from owner auLharizing same <br /> DYER THE COUNTER PEEtMIT{1FiG {Front of Appltca8an On{y} <br /> Reroofs if shingles Sewers Service Upgrades A/C �Fences(PIaUSurvey/Footage) <br /> Driveways•Not over Caunter tf on pubtic roadways..needs ROW <br />