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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0p21 <br /> Building Department - <br /> Date Reaelved Phone-Contact far Parmlttln � — ��1� <br /> Owner's Nams � e- �f Qwner P1�one Number 7a�"`����1 <br /> Owner's Address ��� � /, /f�V ���D Owner Phone Number r • � <br /> Fee Slmple Tikleholder Name �� Owner Phone Number �� ., �1 <br /> _,� � <br /> Fee Simple Titleholder Address <br /> JOB ACIDRESS J �� ,i�'/- �G���/��/v'�=' ,�7 /`11�` LOT# � <br /> SUBDIV(SION Gjj"�i � �`G7/�/� PARCEL ID# � .�� ���� 11�G� �`CS � '�� <br /> I (OBTAINED FROM PROPERTY 7AX NOTICE) , <br /> WORK PRdPO3ED � , e NEW CONSTR� ADDJALT � S1GN Q Q DEMOLISH � <br /> INSTALL REPAIR ` <br /> PROPOSED USE Q SFR Q Ct�MM � OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK " Q FRAME � STEEL Q <br /> pE3CRiPTIOtd OF WORK . ��U/I7d C�G- `/}'IVZ�' � '1�.�°�— c�i� D C < ��✓ �G <br /> 4 <br /> BUtLDING SIZE �i �_SQ FOOTAGE C_�. HEIGHT i;- <br /> � <br /> .... _ �t <br /> QBUI�DthtG r? � VALUA710N`OF�TOTAL CONSTRUCTION � <br /> L <br /> QElECTRICAL �$ . � AMP SERttIGE Q PRtJGRESB ENERGY Q W,R.E,C, 1t, <br /> �___._ <br /> [�PLUMBIiVG �� � <br /> QMECHANICAI $ VA�UATtON OF MECFtANICA�.IEVSTA�LATIt�N � <br /> `:,,.�L.�. �..�� <br /> QGAS Q ROOFING Q 3PECIAl.TY � OTHER ' <br /> FINISHED FLOOR ELEVATIOiVS �`� FL.00D ZONE ARBA QYES NO <br /> BUiLDER COMPAt+tY <br /> SIGNA7URE REGIS7ERED Y/ N FEE CURRE� Y/N ' <br /> � Address License# � � <br /> ELECTF2lCIA�1 COMPANY <br /> SIGNATURE «' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r� � <br /> PCUMBER � COMP,.AI+tY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ` _ � <br /> MECHANICAI. ` � �Q�✓ COMPAI+tY /''�/L � ���j�;�'.�,`��-'�p`��.. <br /> SIGNATURE G�� /� REGI$TERED Y./ N FEE CURRE� Y/•N. . <br /> Address ��f /� � ����4"� ��� License# ������!��"'o � <br /> O'CiiER COMPANI' <br /> SIGNATURE " REGISTERED Y/ N . F�E cuRaen Y/N <br /> Address � License# ��T � <br /> RES[DENTIAL: ' Attach{2}Plot Plans;.{2}sets af.Si�l1'tling'Plans;{1)set af Energy°Farms;R-O-W Permlt far new canstruct�on, <br /> Minimum:len;.(1.0)working days after,subrinittal date. Required ons(te,.Constnictibn Plans;Stormwater plans w/Silt Fence installed, <br /> ' Sanitary Facllitles,&1:.dumpster S(te°Wot1c•Permit for subdiVisions!large pro�ects � <br /> COMMERCIAI. Attach{3}complete"sets"of 8siildirig Plans plas a Ufe Safetyr Page;(1)sat of Energy Forms.R O-W Permit for new canshuction. <br /> Minimum ten(10)working days after submittal date. Required onsite,CansUucBon Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpsier.Site Wotk Permit tor a{I nei+v proJeats:All commerciai requtrements must meei compiiance <br /> SIGN PERMIT Attach{2}sets of Engineered;Plans,:.., � <br /> .««»pROPERTY SURVEY reguired for all NEW cpnstrucUan. <br /> Directio�s: , ' <br /> , Fill out appl(catlon completely. <br /> C?wner&Contractar slg�back of applicaUan,notarized <br /> ' If over S^500,a Notice af Commencement is required, (I4lC upgrades over ST500) <br /> ' `" Agent(for the contractor)or'Power of Attoiney(fo��the owner)would be someone with notarized letter from owner autho�izing same <br /> � OVER THH CQUNtER PERMITTiNG- - �(Front of Appiicalion Only) <br /> Reroofs if shingles Sewers Service Upgrades A/G Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubtic roadways..needs ROW <br />