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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-Op21 <br /> Butlding Department <br /> pate Rscaivad � �p � Phone-Contact for PermlttFn �3 � – � <br /> Qwrter's Name �� �i st�}"► I�'+tt� Owne�Phone Numbar �1� ��_�'C,�L <br /> —� <br /> Qwner's Addre�s ��� Ql 0 C'�ti'" Owner Phone Number <br /> Fee Simple Titleholder'Name � � Owner Phone Number � � <br /> Fee Slmple Tltleholder Address <br /> JOB AbDRESS ��rr, G��' LOT# C�_� <br /> SUBDIVISION � � PAF2CEL ID# � ' `'�( -" ��,0 �� 6 (�r ' D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPQSED NEW COtVSTR ADDJALT Q SIGN� Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTNER <br /> TYPE OF CONSTRUCTION Q BLOCK � Q FRAME �] STEEL Q <br /> DESCRIPTION OF WORK ��( C. e Ip �`1�� � h �'W �i�ct � I Ia , <br /> BUILDING SIZE � � SQ FOOTAGE� HEIGHT � ` t `���� <br /> SUII.plNG $ � � VALUATION�OF TOTAL CONS7RUCTION <br /> �_ <br /> QELECTRICA4. �;_� AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> o�������� � � ��� . <br /> �t <br /> QMEGNANICAL $ VALUATION OF MECHAlVICAI.INSTA�CATION <br /> � QGA3 Q RQOFIN� Q SPEC1Al.7Y �� t?THEF2 <br /> FINISHED FLOOR ELEVATIpNS ��� FLCIOD ZOfVE AREA QYES NO <br /> ., „ <br /> BUtIDER t COMPANIt 1f-�nt� <br /> SIGNA7URE n ` REGISTERED Y/ N E CURRE� Y/N <br /> Address ��i �- ¢� r Llcense# � j0'�S 2 �� <br /> ELECTR(CIAN COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � i <br /> PtUMBER � COMPANY <br /> , SIGNAYURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � ` � <br /> MECHANFCAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# � � <br /> OTHER COMPANY <br /> SIGNA7URE REGISTERED Y/ N . FEE CURRE� Y/N <br /> Address License# � , , � <br /> RESIDEN7IAl. Aftach{2}Ptot Plarts,-{2}sets of Bullding Plans;{1}se#of-Energy Farms;R-0=W Perml#far new cons#ructEon, <br /> Minimum.ten.(10)>working;days,after.'submittal date: Required onsite,Construction Plans,Stormwater Pla�s w/511t Fence installed, <br /> 3anitary Facilides&7 dumpster Stte Work:Permlt for subdiVisionsAarge-proJects <br /> , COMMERCIAt,. Attach(3}complate sets of Buildirig Plans pEus alife Safe#y Page;{1}set af Energy Fomss.R-O-W Pertnit for new canstruc�tlon. <br /> ' Minimum ten(10)working days after submittal date. Requfred onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fac3litles&1 dumpster.Site Work Parmit for aU new proJeots.All commercial�equlrements must mest compllance <br /> S2GN PERMIT Attach{2)sets df Etigineered Pians. . <br /> '••"PROPERTY SURVEY requireci for all NEW canstrucdan. <br /> Directions: <br /> , FIII out applica8on completely. ' <br /> Owner&Ccntrackor sign back of applicatlon,notarized � ,. <br /> ff over S2S00,a Notics af Commencement is required. {A!C upgrades ovar b7540j � ' _ <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing-same =�M•• ' <br /> �.t'.,`�,.%'.= -, �: . <br /> dVER THE COUNTEIt PERMiTTiNG (Front of AppticatiamOnly) - „, �- . .;,,.,,� , • <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) �, „ • . <br /> :�. <br /> Driveways-Nat over Counter if on public roadways..needs ROW �- r - •�•r�•_ ��•••���• ���•�'•=���-�r'� <br />