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813-780-0024 City of Zephyrhills Permit Application 'Fax-813-780-0021 <br /> $uliding Depattment <br /> Dats Received O` �� Phone-Coetaet far Permlttin <br /> Owner's Name t�U�� U4 Owner Phans Nu er� 1� ' 3'�,(� <br /> Owner's Address �lC �� ''�y � Owner Phone Nu er. �"� �'" �ZL� <br /> Fee Simple Tikleholder Name � � Owner Phone Number <br /> Fee Stmple Titleholder Address <br /> JOB AqDRESB LOT# ��� <br /> SUBDiVIS10N � � PARCEL ID# <br /> (OBTAINEO FROM PROPER7Y TAX NOTICE) <br /> VYORK PROPQSED � NEW CONSTR AQt3/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED-USE = SFR Q COMM � {�THER <br /> TYPE OF CONSTRUC710N BI.00K ° Q FRAME [�� STEEL Q <br /> DE3CRIPTION OF WQRK � <br /> BU1LDtNG SIZE � � SQ FOOTAGE[�� HEIGHT �__--_� <br /> QBU11.01NG � t� �'. � � VALUATION OF TOTAL.CONSTRUCTION <br /> [�E�6CTRICA� � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPIUMBiNG ($ � � V <br /> � A� <br /> QMECHANICAL $ VALUATION OF MECHANICA�INSTAI.lATIQN � � � Q� ����� <br /> �� ��� <br /> QGAS Q F24QFING Q SpEC1ALN Q OTHER �(�S <br /> lJ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZQNE AF2EA QYES NO <br /> � ,. <br /> „ �,„y�.,__, �_, <br /> BUt�D�� t'���f �` '��� �JI F� l� COMPANY � J��E�E�I� <br /> I SIGNATURE � �� .� G�/� REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address � <br /> License# <br /> EtECTRICIAN COMPANY <br /> , SIGNATURE r REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Addresa License# � T� <br /> PLtlMBER -� COMRA�IY <br /> SIGNA7URE REG13TERED Y/ N PEE CURRE� Y/N <br /> Address License# � � <br /> MECHANIC1�t. COMPANY <br /> '' SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# ' � <br /> OTHEF2 � COlIf1PANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � license# � —� <br /> REStQENT1Al: Attach(2)Plof Plans;(2}se#s of Buflding'Ptans;{1)set of Energy�Forms;R-O-W Perml#for new construction, <br /> � Minimum ten_(10)working days.aftec submittal date. Required onsite,Construction Plans;Stormwater Plans w/Siit Fence installed, <br /> Sanitary FaciliUes&1.dumpster Site Work�PeRnit for subtlfvislonsAarge pro]ects - <br /> GOMMERGiA1. Attach{3}cosnplate sets of Bu3ld�rig Plans plus a kife Safety Page;{1}set�o#Energ}r Forms.R 4-W Permit hrr new canstruntion. <br /> Mtnimum ten(10)woridng days after submittal date. Requi�ed onstte,Constructlan Plans,Stormwater Plans w/Silt Fence fnstalled, <br /> Sanitary FaciliUes 8�1 dumpster.Site Wark Permik for all new projects.All commercial requlrements must meet compliance <br /> StGN P�RMIT Attach{2)sets o#Engtneered Plans. , � . <br /> "`"PROPERTY SURVEY required for all NEW construcUon. <br /> Dlrestians: <br /> Fill out applicallon completely. <br /> Owner&Contractor stgn bacic of applfcadon,notarized <br /> If over 52500,a Nottce af Commencement is reqaired. {A/C upgtades over�7500) <br /> '" Agent(for the contractor)ar Power of Attomey(far the owner)wauld be someone with notarized letter ftom owner authorizing same _ <br /> OVER THE COUNTER.PERM11"fING {Front of AppllcaSan OntY) ..,_n„...._. : ,, , . _ ..- ,., � • ,. <br /> Reroofs If shingles Sewers Service.Upgrades A/C"'" Fences�,(Plot(Survey/Footage) ' � "' r . ; • , <br /> - " • -, ,:, - � - - . <br /> Drlveways•No#aver Gounter if on publlc roaduvajrs..needs ROW � ,- c - � • � � � ' ` <br /> . ' t. '.,_ , ' �, :`,..'.>a-.- .,� .�, '�.,. _.� . ........, ...... e�.._,-,,,R.�..�,e... ,.a..._.. <br />