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813-780-002Q City of Zephyrhills Permit Applicatian � ' FaX-s��-7�Q-oa2� <br /> Building Depaftment p�, )�� <br /> .l�! l <br /> Date Received i� ,�6 ) �� Phane Contact for Permitting �/ � �� — �Z�3' <br /> Owner's Name / /����� ����� r �=11 N l � Owner Phane Number � j� �`'�� `��� <br /> Owner's Address �� �3� /"'�''' v'��� Owner Phone Number�� � <br /> Fee Stmple Titleholder Name ��a�l�.o ��.r'1 `�'i l``'��"' Owner Phane Number� � <br /> � 3 ,�l��.s' .�/1r,,,�t,.6� �� �� ��� ll� � �3� ��"'_' <br /> Fee Simple 7itleholder Address <br /> J08 ADDRESS ��� ��Y�l )✓2'2 X�'"� LC}T# � <br /> suBo�v�s�oH �� � PARGE�ID# �� `�,6 2 � �{�c�G a�s� c�G (� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORiC PROPOSED e NEW GONST33 e ADDlA4.T [� S(GN -� MC?VE 0 DEMOLlSH <br /> INSTALL REPA1Ft <br /> PROPOSED USE C] SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL [� OTHER[! <br /> DESCRIPTION OF WORK ����"' � t�� ��2'"� � <br /> BUiLDIIVG SiZE � � SQ FOOTAGE C�� i�iElGHT � � <br /> � g���'��N�' � '2� G�+ ""7 �' � VALUATtQN t3F TC?1"AL CONSTRUCTION <br /> 0 E�ECTR3CAL $ n ?� �� � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> I if <br /> Q PL.Ui�iB1NG � � � �`�(rQ �-(pl 2�t <br /> � <br /> 0 MEC4iANICAL ($ � VALUATlON QF MECHANICAL INSTALLATION JD I��� <br /> � ���� �1�� <br /> 0 GAS Q ROOFING 0 SPEClALTY 0 OTHER ' <br /> FINISHED FLOOR EL.EVATIONS � � FLOOD ZONE AREA OYES QNO � /(�� <br /> se <br /> 8UIGDER �'�OMPANY � t CrJ 1=��� � <br /> SIGNATURE REGISTEREp N FEE CURRENT N <br /> Address � �.S �t,�� �� ��� License# ��.=��'��� � �� <br /> ELECTR1CIAi+t GOMPANY <br /> SIGNATURE REGISTERHD Y I N FEE CURRENT Y/N <br /> Address Lieense# � � <br /> PLUMBER CQMPANY <br /> SIGNATURE REGISTEREp Y/ N FEE CURRENT Y/N <br /> Address License# � � <br /> MECHAIVICA� COMPANY <br /> SIGNA7URE REGISTEREp Y/ N FEE CURRENT Y/N <br /> Address license# �� � <br /> OTFiEit COMPANY ' <br /> SIGNATURE REGISTEREp Y J N FEE CURRENF Y J N <br /> Address License# � _ � <br /> RESIDENTIAL Attach{2j Plot Plans;(2}sets of Building Plans;{1}set of Energy Forms;R-O-W Permit for new constructian, <br /> Minimum ten(10)working days after submiftal dafe. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence insfalted, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivlsions/large prajects <br /> COMlItIERG1A� AEfach(3}sets of Building Plans;{1}set af Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working tlays after submittal date, Required onsite,Conskruction Pfans,Stormwater Pians w/Sil#Fence instalted, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet comp�iance <br /> StGN PERMI'F Aftach(2}sets af Englneered Ptans. <br /> "`*PROPER7Y SURVEY required far all NEW construction. <br /> Directions: ` <br /> Fill out applicatian completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$250p,a Nafiee of Gommencement is required. {A!C upgrades over$5000} <br /> •* Agent(for the cantractor)or Power of A#tomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> 'QVER THE COUNTER PERMITTlNG (Ftant of Application Only} <br /> Reroofs -.,Sewers,,-,, .�.. Service Upgrades A/C Fences(Plot/Survey/Faotage) <br /> � . ........ .,_ .. ::_�:.,,,....:,�.,a a,,._:�,.,�., _ _ . �,._ _- . , - <br /> Dtiveways-Not:over Counter if an public.raadways:.needs ROW �;; � • ^ <br /> E, v k ` _ .. � l i .... � , <br /> _,..«r. .. �.....s... r� �. 2 _e�", :'k. Ya'�'{ ♦ -^. .n..._ ., x.v... .'.. :�..i.. .�_n.i ' <br />