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813-7eo-ao2o City af Zephyrhills Permit Application Fax-813-780.0Q21 <br /> - � Butlding Department <br /> ,.-_ - <br /> Date Recefved + � ' <br /> Phane-Contaet far Psrmittin - <br /> =-�- - -� � � �_-_ - <br /> Owner's Name . ���.,.. f Owner Phone Number <br /> Owner"s Addrass �� -''~ � i�_---- _ - � --!, - ner Phone Number ���_ ��� a � <br /> Fee Slmple 7ltleholder Name � Owner Pho Number � <br /> I <br /> Fee Simple Titieholder Address <br />� ' �r� � E <br /> JOB ADDRESS _ - - _�v Y� P+ LOT# C� <br /> � <br /> _ � <br /> SUBDIVISION PARCEL ID# ��— -a�- CX'���f}G --p i <br /> (OBTAINED FROM PROPER7Y 7AX NOTICE) <br /> WORK PROPt3SED � e NEW CONSTR ADD/ALT SIGN� Q Q DEMOLISH <br /> INSTAU: <br /> Pi20POSED.IlSE � SfiR Q COMM C� OTFiER <br /> TYPE OF CON$TRUC710N ' Q BLOCK R [� FRAME �] STEEL Q <br /> v <br /> DESCRIPTIOPI OF WORK �� 1Gs..0� �� � �" � �I� <br /> BUILDING SIZE �� � SQ F007AGE�� HEIGH7 C�� <br /> OBUl1»DiNG � � VALUA710N OF TOTAL CONSTRUCTION . <br /> �EIECTRICAl. $ ���� � AMP S�RVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> / <br />' QP�UMBING ($ � ��t��s <br /> � � � <br /> QMECNANICAL $ VALUATION OF MECNA�+IIGA�tNSTA�LATtON <br /> , QGAS Q ROOFINfa Q SPECIA�TY [� pTHER <br /> ! FINISHED FLOOR ELEVATIONS �_, � FLOOD 2QNE AREA QYES. NO <br /> 7 <br /> � <br /> BUILDER COMPANY <br /> � SIGNATURE REGISTERED Y L N FEE CURRE� Y/N <br /> � <br /> ' Address L`icense# �� � <br /> ELECTRlCiAN � COMPANY r� �� ���P_�� <br /> 51GNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Addres� �•� • r S ,(/t Llcense# �� ��(1(^}r�- `� l� � <br /> PIUMBER CBMP.ANY <br /> SIGNATURE :REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �—� � <br /> MECNANECAL COMPA,►NY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> r <br /> �Addrsss License# �— � <br /> � <br /> O'FHER COMPANY i <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ' <br /> i <br /> Address Licen'se# � <br /> ttESIDENTIA4: Attach{2}PIot�Plans;�2}sets of�Building`Ptans;{1}set of Eriergy�Forms;R-O-W Permit far new canstructton, <br /> Minlmum ten:(1.0)warking�days after._submittal date. Requi�ed onslte,ConstrucUon Plans;�Stortnwater Pla�s w/Sllt Fence installed, <br /> Sanitary Facil[Uas.&1.dumpster$ite Work Permit for subdtvislonsflarge pro�ects � � <br /> - .COi�1lME}2G1Al. Attach{3)r�omplete sefs'af Building Plans plus a'�.ife Safety Page;(1}set of Energy Forms.R-O-W Petmtt for new construatton. . <br /> Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SUt Fence installed, <br /> Sanitary Fac!liUes&1 dumpster.Site Work Permit for ai!new projects.Al!cammercta!requfrements must meet compltance <br /> St�N PERMIT Attach'{2}sets of Engineered Pians: <br /> ••`"PROPERTY SURVEY required for all NEW construckian. <br /> Directtons: � . �` .a .. <br /> Fill out applicatlon completely. <br /> Owner E�Contractor sign back of applicatton,notarized <br /> if over 52500,a Notice of Commencement is requlred, (I4lC upgrades over$7500) <br /> '" Agent(for the contr'actor)or Power of Attomey(for the owmer)would be someone with notarized letter irom owner authorizing same <br /> DVER 7HE COUtdTER PERMI'fTING (Front of Application Only) <br /> Reroofs if shingles Sewers 5ervice Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on pubUc roadways..needs ROW <br />