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813-�8o-oo2a City of Zephyrhills Permit Application Fax 813-780-Op21 <br /> : Building Department <br /> Date Recelved �Y Phone Cantact for Permittin — <br /> Owner's Name � t—Y e S� Owner Phone Number --��^,���� <br /> Owner's Address � t_. � �,� Owner Phone Numbgr �' � <br /> Fee Simple Tltleholder Name Owner Phane Number r— � <br /> Fee Simple Titleholder Address <br /> JOB AbDRESS LOT# ��� <br /> $UBDIVISION �� � PARCEL Ip# <br /> (OBTAINED FRQM PROPERTY TAX Nl3TICE) <br /> WORK PROPOSED NHW CONSfR ADD/ALT � S1GN• Q [� pEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED t3SE Q SFR Q COMM Q OTNEFt <br /> TYPE dF CON$TRUC'9'ION � BLOCK � Q FRAME �] STEEL Q <br /> DESCRIPTION OF W4RK 'V1 �' <br /> BUILDING SIZE � � SQ FOOTAGE�_�, HEIGHT C�� <br />� �8���"d»G � VALUA710N OF TOTAI.CONSTRUCTION <br /> [--1��-0�,� ` <br /> i QEIECTRiGA�. � � AMP SERVICE Q PRQGRESS ENERGY [� W.R.E.C. <br />` QP�UMBtNG <br /> C- � ��n� <br /> � OMECHANtCR� $ VAIUATtON OF MECF{ANICAI.lNSTALLATlON ,,� t <br /> , QGAS Q ROOFING Q SPECIALTY [� QTHER <br /> FINISHED FLQOR ELEVATIONS �� FI.00D ZONE AREA C]YES NO <br /> SUILDER CBMpANY ►�G�, � ,. ��e U-�� <br /> SIGNATURE ' REGISTERED Y/ N FEE CUFtFtE� Y/N <br /> Address Cfcense# �` � <br /> EIECTRICIAN _, COMpANY <br /> SIGNA7URE REGIST@RED Y/ N FEE CURREt� Y/N <br /> Address License# � � <br /> PLUMBER COMPANY <br /> 51GNATURE REGI$TERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> MECHANICAI. COMPAPiY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrsss License# �y ��� <br /> OTHER COMPANY <br /> SIGNATURE REGIS7ERED Y/ N.. FEE CURRE� Y/N <br /> Address License# �� � <br /> RESIDENTIAL; �Attach t2}�Plat P,lans;(2}setsaf:Buildiitg Plans;{1)sef af Energy`Forms;Fi-O-W Permit fat new construction, <br /> Minimum ten_(1;0).warking days after.submittal ilate. Requlred onsite,ConstivcBon Plans,�Stortnwater Plans w/Sflt Fence installed, <br /> Sanit+ary Facillties&::1�dumpster:Site'Work-P.ermlt far subdivistonsllarge pro}ects <br /> �--�OIf11ME1tC1A� Attach{3}coinplete se#`s of 8ciilding Pians plus a l:ife Safe#y Page;(1)set of Enargy Famts.F2-O-W Permit for new construction. - � <br /> ' M1nlmum ten(10)working days�after submithal dake. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> San(lary Facili8es&1 dumpsfer.Site Work Permit fuc all nev�+projeats.A!i commerclai requirements must meet complEance <br /> SlGN PERMIT Attach"{2)s`ets of Eitgineered Plans.., �. <br /> ••'"PROPERTY SURVEY reGuired for all NEW constructlon. <br /> Dtrectic�ns: - ' { - <br /> Ffll out applicadon completely. � � . <br /> Owner&Contraotor sEgn back of appifca�on,notarized . ` ' ;�*.;, <br /> ' a : <br /> if aver 52500,a Nctics af Commencement ts.rsquired,��(AlC�upgrades over�T500) �. • ,, _< " � <br /> `* Agent(for tkie contraotor)or Power of Attamey(for tt►e owner)would be someone with notarized letter from owner autho�iztng same <br /> C1VER THE COUNTER PERMITiiNG -.(Front of Application Onty) ., , " j _: , _ '" ' <br /> Reroofs if shingles Sewers Servlce Upgrades�.A/C � ;,Fences.:(Plot/Survey/Footage) , ,..:� .�- � <br /> . . , ,. ---..>, .,. .. -, _` ,• • , .. . . ,. <br /> � Driveways-Not over Counter if on public roadways:Ineeds�„ROW � ,- , i -„, i ` : ' . ` '; <br /> �. . _. . , „ <br />