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s�s-Teo-oo2a City of Zephyrhills Permit Application Fax-813-�80-0021 <br /> --=a Buitding Department <br /> Date Recelved Phone-Ca»tact for PermittFn <br />� Owner's Name 3 ..Q ��<<''e �y Owne�Phone Number <br />� Owner's Address �- (..� �. �(� Owner Phone Number � � <br /> Fee 5lmple Tltleholder Name �� � � Owner Phone Number � I <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESB �' �" �� LOT# �� <br /> SUBDIViSiON � � PAttCEL IC3# "l � -�'! J����`��J��� <br /> (OBTAINED FROM PROPER7YTAX NQTICE) <br /> WBRiC PROPt}SED NEW CONSTR ADDlALT �� S1GN Q Q DEMOIISM <br /> INSTALL 8 REPAIR <br /> PROPOSED;USE Q SFR Q COMM [� QTHER <br /> TYPE OF CONSTRUCTION Q BI.00K "' Q FRAME � STEEI. Q <br /> pESCRIP'i'ION OF WQRK � t (.,,�} � � <br /> BUtIDING S#ZE SQ FOOTAGE[� MEIGHT �._� <br /> QBUt� IiUG $ - �� � • <br />�i � � VALUATION OF TOTAL CONSTRUGTION <br /> ,..,__ „ .�.J <br /> ELECTf21CA� $ �";�--���� AMP SERVICE Q PRQGRESS ENERGY Q W.R.E.C. <br /> [�FLUMBING ��� �1 l� (�' � ��Q� <br /> '�i'li'�l �J <br /> �" <br /> ; OMECHANlCAI �� VALUATlUN OF MECHANtCAL li+1STAL�ATION � <br /> OGAS [� ROOFiF�tG Q SPEGIALTY �,� QTHER ���` <br /> ' FINISHED FLOOR ELEVATIpNS �� FI.00D ZQNE AREA C]YES NO <br /> BUtlDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �- � <br /> ElEC'i'E21CtAN G������ COMPANY � <br /> SIGNATURE ,��_y ^� �'t'� � °� Yt t�- �'� <br /> REGISTERED Y/ N FEE CURRE� Y/N' <br /> Address License# ������� � <br /> �'��M��� COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Licanse# � � � <br /> MECHANIGAL COMRANY <br /> SIGNATURE REGISTERED Y,/ N . FEE CURRE� Y/N <br /> ����g$ License# �- � <br /> t�THER C�NIPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N <br /> Address ' License# � ] <br /> RESIDENTIAL, Attach(2)Plot Plans;(2}sets af-Building Pians;(1}sef of Eriergy�Forins;F2-0=W Pecmit for`new c�nstruction, <br /> Minimum,ten(1.0).workjng;days after submittal date. Requlred onsife,ConstrucHan Plans,Stortnwater Plans w/Silt Fence fnstalled, <br /> " Sanitary FaciltUes,&1;dumpster,Site Work Rertnit for subdivision§Aarge pro]ects ' <br /> COMMERCIAC. Attach{3)cari�plete se#s of Bu3ld�rig Plans ptus a l.tfe Safety Page;(1}set of Energyr Fanns.R O•W Permit for new construcBan. <br /> Minimum ten(10)worlcing days'after submittal date. Required onsite,CanstrucUan Plans,Stormwater Ptans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Slte Work Permik for all new proJects.All commercial requlrements must meef compliance <br /> SIGN PERMIT Attach"{2)sefs of Erigineered P1ans.._ _ � <br /> "'"PROPERTY SURVEY required far all NEW constructlon. <br /> Dlrec#ions: <br /> Fiil out applicatlon complstely. <br /> Owner 8�Contractor stgn baok of appltcado�,notarixed <br /> If over�2504,a Notice af Commencement i�reqaired. {NC upgrades over ST500) <br /> '" Agent(for the contractor)or Power of Attomey(far the owner)wauld be someone with notarized letter from owner authorizing same <br /> OVER THE CCtl3NTER PERMITI'ING - •{Front af Apptleation Only} <br /> Reroofs If shingles Sewers 8ervice Upgrades A/C Fences(PIaUSurvey/Footage) <br /> Drivaways-Not aver Gounfer 1f an pubtic roadways..needs ROW <br />