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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , . <br /> , -- Butlding Departmertt <br /> Data Recelved Phone Cantact fcr Fermlttin — <br /> Owner's Name ' ��(,�� V'(C� �(��� �L.(_ Owner Phane Number <br /> J n � � <br /> Owner's Address �'J � d ¢ � Owner Phone Number <br /> Fee Slmple Tlkleholder Name �— Owner Phone Number �� � <br /> Fee Simple Titleholder Address � <br /> J L�JOB AbDRESS ��I: �-� � LOT# <br /> SUBDIVISION �— � PARCEL ID# ` � <br /> (OBTAfNED FROM PROPERTY TAX NOTICE} <br /> 1NORK PROP4SED NEW CONSTR ADD/ALT Q` SIGM11 Q Q DEMOLISH <br /> e INSTALI. 8 REPAIR <br /> PROPOSED USE t Q SFR [� COMM �� OTHEF2 <br /> TYPE OF CONSTRUC'TION . Q q BI.00K � Q FRAME �� STEEI. Q <br /> DE3CFtIPTION OF WORK �-�, �(,�C�Q d C� �� <br /> BUILDING S12E ��_,. S4 FOOTAGE� HEIGHT �� <br /> QBUII.D1hIG � � -`.`"'h�� ,"„ <br /> VALUATION QF TOTAL CONSTRUCTION <br /> �ECTRICAL ($ ��� /}������ AMP SERVECE J�j� Q PROGRESS ENERGY Q W.R.E.C. <br /> � �� � <br /> QPLUMBING ($ .. � �✓�J�� <br /> � <br /> QMECHANICAL � �. VALUATION OF MECHANtCA�INSTALLATION <br /> QGAS Q f200F1AlG Q SPECIA�TY [� OTHER I <br /> FINISHED FLOOR ELEVATIONS C��_� FLOOD ZQNE AREA QYES NO <br /> BUtLpER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � i <br /> ELECI"RICIAN ����,�� �, COMPANY 'f"" � C'/C.—. <br /> SIGNAI'URE REGISTERED Y/ N FEE CUFtRE� Y N <br /> Addre$s L(cense# ��1�� �~��� <br /> PLUMBER COMP.ANY <br /> 51GNATURE rte��STeREn' Y/ N FEE CURREA Y/N <br /> Address License# � � <br /> MECHAP!lCAC. COMPAI�IY <br /> SIGNA7URE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � � I <br /> OTliER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N 'i <br /> Address License# � �� <br /> EtESFDENTIAI; Attach(2}Rlot Plans;{2}sets:of:Btiildiag`Plans;{1)set of Energy�Fortns;R O-W Permit far new canstruc�on,_ <br /> Minimum.ten_(10),working.daysafte�,subrriittal date. Requireif onsite,Constivc�on Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary EaciliUes;&.1.dumpster�,3lte':Work�Permit for subrlivisfonsflarge pra�eots - <br /> � - CONlME'RCtAl. Attach(3}camplete'sefs of Buildirig Plans plus a�ife 8afety Page;{1}set of Energy Fottns.R-O-W Petmit for new construc8on. <br /> Minimum ten(10)working days�after submittal dake. Required onsite,Constructlon Plans,Stortnwater Plans w/Silt Fence installed, <br /> SaNtary FacBit#es&1 dumpsier.Site Wartc Permit for ait ne+iv projecis.Aii cammerciat regutrements must meet corssplkance <br /> SIGN PERMIT Attach(2)sets af Engineered Plans. ° <br /> ••*"PROPERTY SURVEY required for all NEW construction. <br /> � Directtons: <br /> Fill out applicatlon completely. <br /> Owner&Contractor slgn back af applicatton,natarized <br /> If aver 52800,a Notice of Commencement la required. (A!C upgrades over 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the ownerj wbuld be someone with notarized letter from awner authorizing same <br /> DVER 1'HE CQUNTER PERMITTING � �.;, (Front of AppllcaBon Only) <br /> Reroofs if shingles Sewers � Service Upgrades A/C �-Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubflc roadways..needs ROW <br />