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• 81�780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> z , ("-��,,Ruiiding Department <br /> date Received phone ConWet for Permiffing — `6 � <br /> 'T7T'1 <br /> . <br /> Owners Name `��_�,,,IY )� Owner Phone Number ��� � <br /> i, Owner's Address 6 V �{ Uwner Phone Number ,(�� <br /> IFee Slmple Titlehotder Name Owner Phone Number <br /> I Fee Slmple Tideholder Address <br /> � �' JOB ADDRESS 107# <br /> �i(l ���.... <br /> &tJSDlViS10N �PAI2CEL ID# � • <br /> i (08TA1NE6 FROM PROPEF2TY TAX NOTIGE) <br /> WORK PROPOSED e NEW CONSTR� AL7DlALT Q SIGN Q Q DEMOLISH <br /> {NSTRIL REPAtR <br /> PROPOSED USE Q SFR Q CpMM O OTHEF2 <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � <br /> BUtLD1Nf�S1ZE �� SQ F047AGE HE16N7 <br /> QBUILDING �� VALUATlON OF TOTAL CpNSTRUC710N <br /> [�ELECTRICAL �� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> � ��t/� � <br /> QPLUMBING � � <br /> �MECFiANlCAL $ VALUA7tbPt OF MECHANiCAI tNSTAIlATtON /� � � <br /> OGAS Q ROOFING � SPECIALTY Q OTHEFt ! <br /> � <br /> F1N1StiED FLOtSR EIEVATtOT3S F�OOD ZONE AREA QYES h10 �/�� <br /> lY <br /> BUILDER � � COMPANY � � <br /> SIGNA7URE � REGISTEftED Y/ N FEE CURRE� Y/N <br /> Address License#! { 1 <br /> ELECiRIClAN � � COMPANY � � <br /> StGNATURE � REGlS7ER6D Y! N r-�Ecuw�n Y!N <br /> Address License# I � <br /> PLUMBER � � COMpANY � <br /> SIGNA7URE REGISTERED Y/ N FEE cuw�n Y/N <br /> Address � License# � � <br /> MEGHANlCAL OMPANY 1 <br /> SIGNATURE rtEcisTEREo Y! M1t FHE CURRE� Y/N <br /> Address License# �� <br /> OTHER � � COMPANY � <br /> SlGNATURE � REGIS7ERED Y/ N ��cuw�n Y/N <br /> Address License# { � <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> REStOENTUtL Attach{2}P[at Flans;(2}sets of Building Ptans;(1)set of Energy Forms;R-O-W Permit fot new construction. <br /> Minimum ten(tOj working days aRer submittal date. Required onsite,Canstnsctian Plans,Startnwater Plsns w/Silt Fence ins#atied, <br /> Sanftary Facilities&1 dumpster,Site Work PertnH far subdivisions/large projecCs - <br /> GUMMERCIAL Attach(3)complete sets of Building Plans plus a I.ife Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br />� Minimum ten{10}Working days after submiftal date. Reqaired onsite,C�nsWction Plans,Stormvreter Pians wJ Silt Fence instaited, <br /> Sanitary Facilities S 1 dumpster.Site Work Permit for a�i new projects.AII commerciat requirements must meet comptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPER'iY SURVEY required tar aIl NEY+I consWctian. <br /> Directians: <br /> Fill out application completely. <br /> Owner&Gontractor sign back of appiicatian,notari2ed <br /> It over 32500,a Nottes of Cammencemant is reqatred. {AlC upgrades over 57500) <br /> •• Agent(for the contractor)or Power of Ariamey(tor the owner)would be someone with notarized letter from owner authorizing same <br /> 6VER SHE COUHTER PERMITT{HG {Ftont of Appiica6on 4nly) <br /> RerooTs ii shingtes Sewers Service Upgrades AJC Fences(PfoUSurveylFootaga} <br /> Drlveways-Not over Cou�ter ff on public roadways..needs ROW <br /> - � � <br />