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� e�saso-ooao City of Zephyrhills Permit Application Fax-813-780-0021 <br /> } Building Department <br /> i , • . <br /> Date Recelved � �� p}�one Contact for'Permitttn �(�� — ��� S� <br /> / �' <br /> Ownar'a Name C.. � S /�' C-^ Owner Phone Number <br /> --�-. <br /> Owner's Address Owner Phone Number � � <br /> Fee Simple Titleholder Name �� � Owner Phone Number � � <br /> Fee Stmple Titleholder Address <br /> JOB ADDRESS u� v �8 �� LOT# �� <br /> SU8DMS18N � � PARCEL ID# ` <br /> (OBTAINED FROM PROPERIY TAX NQTICE) <br /> WORK PR4POSED NEW CON5TR ADD/ALT .� SIGN Q Q DEMOLtSH <br /> INSTALI. REPAIR <br /> PROPOSED-USE Q SFR Q COMM C� OTHER <br /> TYPE QF CONSTRUC710N Q BI.00K ' Q FFtAME Q STEEL Q <br /> DESCRIPTION OF WQRK <br /> BUILL?IT1G SiZE �^ �� SQ FOOTAGE C�.� HEIGHT ��� <br /> OB���g��� I'" • � VALUATIONrC►F TOl'AL CONS'i'RtJCTION <br /> �..J <br /> QElECTRICAI � —� AMP SERVICE Q Pi20GRESS ENERGY Q W.R.E.C. <br /> QPLt1NIBING �� � <br /> MEGHANI � ` �� <br /> Q CAl $��3��. c2) VALUATtQN OF MECHANIGAl.IItiESTAI.IATI{?N �v ' <br /> QGAB Q RCJOFING Q SRECIAI.'i'Y � OTHEFt � ( <br /> � <br /> � <br /> FINISHED FLOQR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUI�DEFt COMPANY <br /> SIGNATURE REGI3TERED Y/ N FEE CURREF Y/N <br /> Address Gcense# � � <br /> ELECTRICIAht. COMPAFtY �`�� �t � � '�j'C�✓ � C <br /> SIGNA7URE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa / �� j � License# � �-'"'U��L� <br /> P�UNIBER COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAt. COMPANY t fLS ��-r-+ Vr` <br /> SIGNA7URE � REGISTERED Y./ N FEE CURRE� Y/IV <br /> �'�" � <br /> Address License# ( G� <br /> OTHER COMPANY <br /> SIGNATURE REGIS7'ERED Y/ N . FEE CURRE� Y/N <br /> Address �License# �_ � <br /> REStDENT1AL Attach{2)Plot Plans;-(2}sets of-Bultding`Pta�s;{1}set of Eoergy�Form`s;R-O-W Permtt far new c�onstructicn, <br /> Minimum ten-(1.0}working days:after.submlttal date. Requtred onslte,Construction Plans,Stortnwater Plans w/311t Fence installed, <br /> Sanitary FaciliUes 8�1 dumpste.r.Site Work�Permit fo�subdivislonsAarge projecks <br /> COMMERGtA� Attach{3}complete sets of Buil�irig Plans pius a 1.ife Safety Page;(1}set of Energy Forms.R-Q W Permit for new canstrucBon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanftary FaoiliUes&1 dumpster.Site'1Nork Permit for all new proJects.All commercial requlrements must meet compilancs <br /> SIGN 3'ERMIT Attac�i{2)sets of Engfneered Pla�s. , <br /> '•""PROPERIY SURVEY required far all NEW construcUa�. <br /> Dlresftons: . <br /> Ffll out applicaUon completely. <br /> 4wner&Contractor stgn back of applicatkon,�otarized <br /> if cver$2504,a Natice cf Cammencement is required. (A/C apgrades over ST540) <br /> `" Agent(far the contractor)or Povirer of Attomey_(forlhe owner)would be�sameone with nota�zed letter fmm owner authorizing same <br /> DVER THE CQUNTER P.ERMI'FTING . (Front�of Application Onty}"'� '=,�.;, <br /> Reroofs if shingies Sewers Service`Upgrades;A/C = Pences(Plot/Survey/Footage) <br /> Driveways-Not aver Counter if on public roadways..needs ROW ` `; '� <br />