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s�saao-oo2o City of Zephyrhills Permit Application Pax-813-780-0021 <br /> Buifding bepartment <br /> � ,� <br /> Date Received , S �� Phane Gantact for Permittin i� ��e� –U� �� <br /> Owner's Name � �,C�I { d � Owner Phone Number <br /> Owner's Address Owner Phone Number r� � <br /> Fee Simple Titieholder Name �— �� Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �C,(� � � � �,(� '� LOT# �___� <br /> SUBQIVISION PARCEL tD# <br /> (OBTAINED FROM PROPERTY TAX N01'ICE) <br /> WORK PROP03ED NEW CONSTR ADDIA�T 0 SIGN Q Q DEM4l.ISH <br /> INS7ALL 8 REPAIR <br /> PRQPOSEQ USE Q SFft Q COMM � ClTHEFt <br /> TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �C�� � C.� � Y r 1 �,,.r O 1'1 � <br /> BUIlDING SIZE �� ��SQ�OOTAGE�_] HEIGHT L�� <br /> QBUILDIIVG �$ .------� .�:.. _ - <br /> �— UALUATtON`OF TOTAL COAFS7F2ltCTtfJh! <br /> QELECTF21CAt. �� AN1P SERVIGE Q PRQGRESS ENERGY [� W.R.E.C. <br /> �LUMBIIVG $� �� 0� <br /> QMECHANICA� $ VALUATtQN OF MECHANIGAL tN8TA1.LATlON <br /> �_�`. <br /> QGAS Q ROQFING Q SPEGlALTY Q GTHER � <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NO � <br /> BUi�DER CQMFANY <br /> SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Cicense.# � � <br /> ELECTRICFAt+1 COMPANY <br /> SIGNATURE ' REGISTERED Y I N FEE CURRE� Y/N <br /> ,. , „ ,, ...,_..,...„ <br /> Address E.icense# � � <br /> Pi.UMBER � COMPANY <br /> SIGNATURE FtE�iS7EREo Y/ N FEE CURRE� Y/N <br /> Address License.# � � <br /> MECHANIGAL COMPANIt � <br /> SIGNATURE REGISTERED Y/ N FEE CURR6� Y/N � <br /> Address t License# � I <br /> OTHER r ��, �, _ COMPANY � �. �� �I�I�J Cl.,��I ,� ' <br /> SIGNATURE , ��'t-� REGISTERED Y/ N . F��cu ED N <br /> , <br /> Addr@SS v�tJ� 6 I.iCBRSe�# � `�^� v 1 ���� ! <br /> FtESlDENTtAL Attach(2}Plof Plans;.(2}sets of'8uilding'Pians;(1}sst af Eriergy�Forms;R-Q-W Pertnit far new co�stnsction, <br /> - -�- �_ _ _ Minimum,ten,(1.0}working;days aftet'submlttal date. Requlred onsite,Construction Ptans,Stormwater Pians w/Silt Fence instailed, <br /> ' Sanitary Faciliees&.1„dumpster,Site�Work�Rertnit for subdivislonsAarge pro)ects - <br /> COMMERCIAL Attach(3)complete se[s of Buiicltrig Plans pius a Life�aie�r,�r y;('!)-�i-ag E�es�v.lF�cros._R_Q-W Permit tor new canstruction. <br /> Minimum ten(10}waricing days after submittal date. Required onsite,Construction Pians,Stormwaker Plans wl 3ilt�=aic�;��staii�,---=-----__.- _ _ <br /> Sanitary Facilities&1 dumpster.Site Work Permit far all new proJects.All commercial requlrements must meet compliance � <br /> SIGN PERMIT Attach(2)sets af Eiiglneered Rlans.._. � -� ' <br /> "`••PROPERTY SURVEY reguired far ail NEW consWctlon. <br /> I <br /> DlrectEans: <br /> Ffll aut appllcaUon completely. -�� <br /> Owner&CanUactor sign back of applfcaUon,notarized . <br /> 1f over�'1500,a Notice of Commencement Is required. {AtC upgrade�over$T50Q) <br /> '" Agent(for the contractor)or'Power of'Attorriey(fo�the�owner)would�be sameone with notarized letter from owner authorixing same <br /> ��,,�,�, � - <br /> OVER THE GOttNTER PERMITTIi+�G = "(�mnt of Appt'Icatian Oniy}•' °=- <br /> Reroofs ff shingles 8ewers r Service�Upgrades ALC:� ., Fenaes(Plat/SurveylFootage) <br /> Drtveways-Not over Gaunter if bn pulilicroatiways.,�eeds ROt�Y. ..':, <br /> . - --`..- <br /> �� <br />