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813-780-0020 City of Zephyrhills Permit Application FaX-sas-�eo-oa2� <br /> Buiiding DeparUnent <br /> i <br /> + . . <br /> Date Recelved Phone Contact far Permtttin - <br /> Owner's Name �� "�� �/�"e� � Owner Phone Number <br /> Owner's Address Owher Phone Number � � <br /> Fee Simple Titleholder'Name � � Own�r Phon�Number � —� <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS � � -C. LOT# C� <br /> SUSDIVISEON � � PARCEL ID# / 1 J��--� -�J11 f Z7 G��O�C;�'-UC7C�V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORIC pROPt}SED NEW CONSTR ADDIAIT � SIGh! Q Q DEMOLtSH <br /> INSTALL e REPAIR <br /> PROPOSEQ;USE Q SFR Q COMNI � tJTHER <br /> TYPE OF CONSTRUC710N Q 84.00K ` Q FRAME � BTEEL Q <br /> DESCRiPTION OF WORK � � c� �-`��f"' 6 <br /> BR3lLDlNG SIZE �� � SQ FOOTAGE�� HEiGHT �� <br /> �8���"����' � � VALUATIONrG'►FTOTA�CONSTRUCTION <br /> .J <br /> E�ECTRICAI. $� ��� AMP SERVICE �p� Q PRQGRESS ENERGY Q W.R.E.G. <br /> QPLUMBI►VG $�'— � <br /> � <br /> OMECNANlGAI �� VALUATION OF MECHRNICAL INSTA�lAT10N <br /> QGAS Q ROOFilVG Q 3PEGIRLTY �� OTHER <br /> FINISHED FL40R ELEVATIONS �� FLOOD ZQNE AREA [�YES NO <br /> I <br /> BUIl.DER COMPANY <br /> 51GNA7URE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> �d�&$ License# <br /> ElECTRICIAN. � COMPAFIY I`� -�L� �.� �{r � �¢.' � � <br /> SIGNATURE REGIS7ERED Y/ N FEE'CURRE� Y/N <br /> Addre�s � License# (����� /�tP��� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address license# �� � � <br /> MECMRNfCAL COMPANIt <br /> SIGNATURE REGI,STERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> GITHER ` �p{y�ppNy <br /> SiGNATURE REGISTERED Y/ N : FEE CURRE� Y/N. <br /> Addres� Llcense# �^ �� <br /> REStDENTtAL Attach(2j Rlot F.lans;{2)sets of Butlding Plans,{1}se#of Energy4Farms;R-0=W Perrrilt far new constructian, <br /> Minimum ten(1,0}working days after subrriiktai date. Required onsite,Construction Plans;Stormwater Plans w/Sllt Fence installed, <br /> '� --W" Sanitary FaciliBes:&1tdumpster Site Wor1c>Rermliforsubd(vislonsAarge projects----- - - - -- — -- - <br /> COMMERGtAf. Attach(3)complete sets of Buildltig P1ans pius a Ltfe Safety Page;(1}set o#Energy Fomss.R O-W Permit tor new canstruetian. <br /> Minimum ten(10}working deys after submittal date. Required onsite,CansUuction Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary Facilides&1 dumpster.Site Work Pertnit for all new proJects.All commercial requlrements must meat compliance <br /> SI�N PERMIT Attach(2)sets of Englneered Plans.. : , <br /> , "'"PROPERTY SURVEY required for all NEW canstrucUan. <br /> Dlrectians: <br /> Fill out applicaUon completely. <br /> Owner&Cor►tractor slgn back of applicaUon,notarized <br /> If over�2500,a Notice.of Comrnencsment[s reqaired. {A�C upgrades over l,7500j <br /> `" Agent(for the contractor)ar Powe"r of Attomey(for the owner)would be someone with natarized letter fmm owner authorizing same <br /> .._ . .„ti-...:-�•.....,...>:.�._ .:.. _- _ . ._ <br /> DYER TFiE COtlNtER PERMiTTiNG ,; '_`{Front of RpPllcatioa:On1Y) - <br /> Reroofsifshingles Sewers Service'Upgredes A/C�" "Fen'ces,(PIotLSurvey/Footage) <br /> ' Driveways•Nat aver Caanter if on;publia roadways:.neads ROW � . . <br />