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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-q021 <br /> , Building Department <br /> Date ltecefved Phone-Contact for PetmittFn � �? �� 7 O t� _ � �j OZ <br /> Owner's Name ��, (�F�.�� ' '� Qwner Phone Number �� ��' �"�� 7 ' <br /> Owner's Address 1 C � � (`� dwner Phone Number � � <br /> Fee Simple Titlehalder Name �� � qwner Phane Number � � <br /> Fee 8lmple Tltleholder Address ° <br /> JOB ADDRESS I LOT# C� <br /> suBorvisroH � � PARCEI.ID# i i-alc�-,�i -G�C J�--1�3Q�- c�C�p <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WOR1C PROPOSEO FtEW CONSTR ADD/ALT � S1GN [� Q QEMOLISH <br /> e INSTAI.L 8 REPAIR � <br /> PROPOSER�t7SE - Q SFR Q COMM [� OTHER <br /> TYPE OF CQNSTRUCTION Q BLOCK Q FRAME � STEEL.� Q <br /> DESGRIP7IQN OF WORK �i'<-^ i a j I ''"j I � � � � . <br /> B!lII.DING S1ZE �� � $Q.FOQTAGE�� HEIGHT ������.,� ���J��� <br /> � �5�-+'�1 <br /> �������N�`' � � � � � VALUATION OF TOTAL CQIVSTRUCTION <br /> �J <br /> QELECTRlCAt. ��� AMP SERVtCE Q PROGRESS ENERGY Q W.R.E.C. <br /> / <br /> QPl.UM81NG $ � �\��+�� <br /> OM�CHANlCAL $ VAl.UAT14N OF MECHANICA�INSTA�lAT10N <br /> QGAS � RQOFING Q SPECIA�TY [� OTHER <br /> FINISHED FLOOR ELEVATIONS �_____� FLOOD 20NE AREA QYES NO <br /> BUIF.DEFt �pMpq�y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Cfcense# � � <br /> E�EGTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# �� � <br /> P�UMBER COMPANY <br /> SIGNATURE RECiISTEREO Y/ N FEE CURRE� Y/N <br /> �d�� Ucense# � � <br /> MECiiANICAt. COMPAFtY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address � ` � <br /> License# � <br /> OTNER �� ���r�i�l COMPANY �. � r ,,,� �, . <br /> SiGNATURE �` j REGISTERED Y N FEE CURR /'N <br /> Address i �J���, � �` � � License# ��.'.�� )�i�.�,�7 ��i� <br /> RESlDENTIRt. Attach(2)Pldt Plans;(2}sets-of;Building'P1ans;{1}set of Energyr�Farms;R-0=W Pemilt far new constnaction, � <br /> Minimum,ken.(1Q);working,days after submittal date. Required onsite,Cqnstructlon Plans;Stormwater`Plans w/Silt Fence installed, <br /> San(tary Facilides&s 1,dumpster Site Work,Permit for subdlvislonsAarge proJects <br /> C4MMERCIAl. Attach(3}compiete sets of Butlil�ng Plans plus a E.ife Safety Page;{1}set of Energ}r Forms.R-O-W Parmit#or new canstructlon. <br /> Minimum ten(10)working days'after submittal date. Required onsite,Construc8on Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides 8•1 dumpster.Site Work Permtt for all new proJects:All commercia!requirements must meet compQance <br /> SI�N PERMIT A#tacfi{2)seGs of Engineere�Plans.: . ' <br /> ""'"PROPERTY SURVEY required for all NEW construaBon. <br /> Diree#lons: <br /> FIII out applicatlan completely. <br /> Clwner&Contrackor sign back of applfcation,notarized <br /> If over�2504,a Notice of Cammencement ts requirad. (AJC uPerades over 57500) � ,• -� -- - - . . • - .. � � � <br /> " Agent(far the contractor)or Power,of Attomey..(farthe awner)would be someone with nota�ized letter from'owner authoriiing'same;�. �;`• <br /> DVER TNE C{3t1NTER PERMITTING�'. ,;,"(Fmnt of Applfcattori Oniy) ; . .. �._. .. : ',. „ =i�z"_ :� ,' <br /> Reroofs If shingles Sewers Seryice'Upgrad'es.AJC�'-,�' Fences(PIoUSurvey/Foatage) - � � - � ' �� <br /> : ,• ; -�� ,. ; : ::� .> .., ,. . - , . <br /> ' .,.f,�,.�� ' - . . - , � .. . , .. , -< . , _ , <br /> Driveways-Nat over Counter if on pub{ic,roadways.;ryeer3s ROW..>:` <br /> i Ii <br />