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813-780-Od20 City of Zephyrhills Permit Application Fax 813asa-ooz� <br /> w Bullding Department <br /> Date Recetved �, Phone Contact for Pet�»tttln �� - ���� <br /> Owner's Name �'� V V 1,���--� Owner Phone Number ��� �ta`"'������� <br /> Owner's Address �"1 � V !`-�1 l ( ��..p�=- OKmer•Phone Number O!� "��� � `-'�� <br /> �ee Simple Titlehoider.Name ���{ � Owner Phone Number <br /> Ree Simple Titieholder Address ��t�--- ' <br /> Jd8 ADQRESS ✓ 1 V 1�/1 I t �� '� LOT# �� <br /> � t� � <br /> SUBDfVIS10N 1 cJ m,�L�� � �� PARCEL.!D# I P'�'Oti LQ 'a�' ! '" C��(�(� "`�'�� d <br /> (OBTAfNEQ FRQlA PROAERTY TAX NQTlCE) <br /> WORK PROPOSED � � NEW CONSTR ADDiALT � SIGPt [� Q DEM0418H - <br /> INSTALL 8, REPAIR <br /> PROPOSED USE SFR C] COMM [� OTNER <br /> TYPE OF CQNBTRUCTiON BLOCiC ' Q FRAME Q STEEi. Q <br /> DE3CRIPTtdN OF WORK ���C�`\ � 'TC�1C�� �C�O ��'_C�CQ_ C� t Q'I—) r C.r � �c�i,j�'�� <br /> SUILDiNG SitE � � �Q FOOTAGE�� HEIGHT . <br /> BUILQING $ �'� "" <br /> �f D' C.��J J VALUA7101V bF�TOTAL CONSi'RGCTION <br /> ._.1 <br /> C]ELECTRICAL �;S_�-w� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> L <br /> �]PLUMBING �� � <br /> � � (� /�Z,,,, <br /> QMECNANICAL $ VALUATION OF MEGHRNlCAl.INS7ALLATION � � � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED F�OQR EIEVATtONS C�—� FLOCiD ZONE AREA QYES NO <br /> f �--�-r�n�e. ��a��.r- <br /> BUILDER } �'}1 �--- - COMP <br /> SIGNATUtt� C�'� � �/' t �� i�"� REGtSTERED Y/ N FEE CURRE� Y/N <br /> Adc�ress Ltcensa# � �� � <br /> ELECTRIClAN COMPANY <br /> SIGNATURE "' REGISTERED Y/ N FEE CURRE� Y J N <br /> Address �Llcense# �� � <br /> PLUMBER � COMRANY <br /> SIGNATURE ( REOlSTERED Y J N FEE CURRE� Y/N. <br /> Address Llcense# �— � <br /> MHCHANICAL ' COMPANY <br /> SIGNATURE REGISTEREQ Y/ N FE6 CURit�h Y/1+1. <br /> Adclress Ltcense# � � <br /> OTiiER COMPAldY <br /> SiGNATURE REGISTERED Y! N ��cuR�t� Y i N <br /> Addreas Ucense#•i � � <br /> �.s .� <br /> RESIDEN7'tAl. Attach(2}Plof`�Plans;•.(2)sets_oi�8u11dIng,Plans;(1)set ofEnergyForms;R-O-W,Permit.for hew.con,stru�tion, <br /> Minimum:ten:(1.0);working?days:after,.submittaf8ate�Required ansfte,ConstrucUon'Plans;�Stortnwatet Plans w!Silt Fence instailed, <br /> Santtary EacjltUes&,1,,dumpster,Site�:Wot1c.�P<ermit for'sutidtvi'slonsllargeproJects�•- �'° <br /> COMMERCIAL Attach(3)`aomplete sets of Bullding'Plans plus a Life Safaty Page;(1)se!of Energy Forms,R O-W Permit for new canstruction. <br /> Minimum ten(10j working days after submitffiI date. Requlred onslte,Construction Plans,Staanwater Pfans wt Sflt Fence tnstaited, <br /> Sanlhary Facllitles&1 dumpster.Site Work Permit for,al!ne+nr'proJeats.All commercial requlremer�ts must rrii�ai compilance <br /> SiGN PERMIT Attach�(2)`sets of Engineered=Plans:,'- �r:- � <br /> "'•PROPERTY SURVEY,reguired for,all NEVU construc8on. <br /> Directlons: ' <br /> FIII out appllcatlon complekely. <br /> QMrner 8 Contractor sign back of appltcarion,natarized <br /> � If over�2500,a Notice af Commeac�mant Fa requlrad. {AIG upgrades ov�r�7500) <br /> '* Agent(for#he contractor}or'Powet of i4#toi'ney(fo�the owner)would be sameone with notarized letter from dwner authotiztng same <br /> OVER THE COUNTER.P.ERMITTlNG- {Front of App!lcation On{y} <br /> Reroafs If shingles 8ewers Servlce Upgrades A!C Fe»ces(PfottSuroeylFootage) <br /> Driveways•Not over Counter if on publlc roaiiways..n+eeds ROW <br />