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813-760-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> � Buiiding Department <br /> pate Recelved 1--��- � phone-Contaet for PermlttEn �� � ..j <br /> Owner's Name r C� Qwner Phone Number <br />� pwner`s Address 2 � �1� U� Owner Phone Number �� � <br /> Fee Simple Titleholder Name �- � Owner Phane Number � � <br /> Fee Simple Titleholder Address <br /> JOB AGDRESS � �S ��c•J � tfJ !/� �'-e h, �.. � LOT# �� <br />� SUSDIVISION ' � PARCEL tD# 3 ' -Z t - b O Q a - ti�+ L5 - <br /> � (��0,��NED FR�OM, PROPERTY T�TICE)�EMOLISH I <br /> I WORK PR4P45ED , e n��w carasrn� ADDtALT <br /> INSTALL REPAIR <br /> PRQPOSED USE SFR [� CQMM C� OTIiER I <br /> TYPE QF CON$TRUCYION � BLOCK " Q FRAME �� STEEL Q i <br /> QESCRIPTION OF WdRK i�'(n. r.ti � t !� c.1 �i �ci- ����; , !�j R <br /> BUILDlNG S1ZE �� �_SQ FOOTAGE � �' NEIGHT ��� <br /> QBUi�DING �� � _ - 1 <br /> VALUATION OF TOTAL CONSTRUCTtON <br /> QELECTf21CA� �� ANIP SERtlICE Q PROGRESS ENERGY [� W.R.E.C. <br /> �f_. �,,.�' <br /> QPLUMB►N� $ � _ ����f I <br /> OMECNANtCAL $ VALUATION OF MECHANtGAl..INSTALCATIQN t j "�� L/ <br /> � .��a� ��- �-(-�-a-P.� <br /> QGAS Q ROOFlNG Q SPEClALTY C� OTHEF2 C-� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO z ��/����� <br /> ' � <br /> BUI�DER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CU12RE� Y/N <br /> Addresa License# �� � <br /> E�EC'1'E2ICIAN COMPAFtY <br /> SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �i �� <br /> PCUNISER COMi?ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ���� �icense# �� � <br /> MECHANlCAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# � � <br /> CiTHER � �� �� `� �i.,C ��v`� , COMPANY ! � l�,.c� �� �.� <br /> SIGNATURE /�- �1 REGISTERED Y/ N . FEE Ren Y/N <br /> Address ��? F�f� 7 �'. ` � � llcense# 1 �� {�2�� 2!�< �� <br /> EtESiQENTiAi: ;Rttach(2)Rlot Plans;{2}sets.of 8iallding''Plans,{1}se#of'Energy�Farms;R-t}=W Peririlt far new c�nstrucbon, <br /> � Minimum,ten(10)working'days after.submittal date. Required onsite,Construcdon Pians,Stortnwater Plans w/Siit Fence installed, <br /> Sanitary FacilfUes.&t1.dumpster Site`Worlc�Pertnit fo[subdlv.islonsAarge proJects ' <br /> GflMMERCFAi. Attach{3)camplete sets'af Bulldirig`Plans ptus a l.ife Safety Page;{1)set af Energy Forms.R O-W Pertrtif far new canstructian. <br /> Minimum ten(10)worktng days after submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site Wor1t Permit for all new proJects..All commercial requirements must meet comp8ance <br /> StGN PERMIT Attach{2}'sets of Eng(neer,ed P-lans.�_. � - <br /> , •••"PROPERTY SURVEY required for all NEW construcdan. , <br /> -�- <br /> Dlrsetions: ' <br /> Fili out applicaUon completely. <br /> Owner 8 Cantractar stgn bacic of applicaUan,notarfzed ' <br /> If over�2500,a Nofice of Comnnencement Is required. {AtC apgrades over�7soo) <br /> `" Agent(for the oontractor)or Power of Attoi�ney(for the owner)would be someone with notarized letter from owne�autho�izing same <br /> OYER THE COUNTEI2 PERMITTlNG,...::.-;. {Front.of•Applicatlon•ORIy}-��: <br /> Reroofs ff shingles Sewers' Service�Upgrade"s A/C , �Pences(PIaUSurvey/Footage) <br /> �;�,, �...,:,.,;;:�.��,:��- . ,.'_, . �. <br /> ( Dr�veways-Not over Coun#er if on pubtic roadwayrs:.needs ROW ` <br /> , , , :.,.,. ,,.�..� � � � �: <br />