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813-7�0-002o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � p; � , Buiiding Departrnent <br /> Date Recelved ji, � . - P..hone-Contactfor:Permittin ' - <br /> _ � <br /> Owner's Name Owner Phone Number � <br /> Owner's Addre�s �S"-�(m`{�� � � 3'3`�j�1` Owner Phone Number <br /> Fee Simple Titleholder Name � � � Owner Phone Number <br /> � . � - <br /> �I - <br /> Fee Simple Titleholder Address ° <br /> JOB ADDRES� �tv�J�5�c.�1 ��'`�" Z�S � 335 ti LOT# � <br /> SUBDIVISION PARCEL ID# �l'o� "02 " (�df0 -!!GC°a -66// <br /> , _ „ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP�SED :NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> �:8, INSTALL e -..REPAIR • <br /> PROPOSED U%SE Q SFR [� �COMM ' Q OTHER � <br /> TYPE OF CONSTRUCTION - Q� � BLOCK " Q FRAME Q STEEC Q _ <br /> DESCRIPTIO�OF WORK � CS� �V�j` <br />' BUILDINGSIZE � � SQ FOOTAGE '� . ..,HEIGHT � _ - <br /> � UI�DING $ VALUATION�OF'TOTAL CONSTRUCTION <br /> � � � � ��� - <br /> ELE�CTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ '� <br /> � � �7 <br /> QMECHANICAL ' $ • VAI:UATION OF,MECHANICAL INSTALLATION I� <br /> � <br /> Q�� Q ROOFING Q SPECIALTY _� OTHER� <br /> 0 33� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QY�S ;NO <br /> � - . � . - ^ . <br /> , _ �BUILDER COMPANY= �� ��(,l�1- �1 <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N� . <br /> Address License# <br /> ELECTRICI,, :_ . COMPANY ` - � <br /> SIGN�►TURE ' REGISTERED Y/ N FEE CURRE�^- Y/-N <br /> Address � License# � <br /> PLUMBER ' COMPANY - � <br /> SIGNATURE- ; REGISTERED Y./.N :FEE CURREK ` Y•/N � <br /> Address License,# _ <br /> MECHANICAL � - COMPA,NY <br /> SIGNATURE � � - ` � REGISTERED Y./. N FEE CURRE� Y hN . <br /> i � , <br /> Address;f' � � � � .. ,. _ � . � .. #, „ <br /> u License <br /> _ - <br /> OTHER �. r � • ` �`COMPANY ' � ' � � <br /> SIGNATURE .. - • • � '� +' = � ' RE�isTEiiEo'' � Y/ N _' FEe Cu�n Y/N <br /> Address � - . - � -- � L''lcense# <br /> RESIDENTIA�:•;•-;Attacfir(2)�PIot�P,lans;..(2)sets:of:Bullding��Plans;':4 set of:Ene' Poim.s;'R=`O=VU`Pertnit for new construction, ' <br /> AL � ) nJY': <br /> "� �. .Minimum�ten;(�.1A),wo,rking;days;after,;submittal date.~R'equlreil onsite;�Constiucdon:Rlans;=Stormwater Plans w/SIIt Fence installetl, <br /> ��'�����'Sanitary Facil(tles;8=1,dumpste_r,_-31te�Work;P,,ermit,for subdiy(sions/large'projegfs'; ,,� ' � � � ' � _ <br /> COMMERCIAL Attach(3)'complete sets of BuildingxPians plus a Life'Sefefy Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submlttal date. Required onsite,ConsUuction Plans;Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaGlides 8 1 dumpster.Site Work Pertnit Tor all new:projects.All commercial requlrements_must meet compllance � <br /> SIGN PERMIY AttacFi"(2)sets�of Engineer.ed.Plans.� -:.���-•-,. :, � - <br /> ' ""PROPERTY SURVEY reyuired for all_NEW construcUon. _ <br /> Dire'ctlons: � ,-. , ,.. , , � <br /> Flll out appAcaUon wmpletely. <br /> Owner&I,Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencament is requlred. (AIC upgrades over 57500) <br /> " Agent(f�the contraotor)or PovueF of.;i4ttoiney°(fo�'tFie�owner),would be'someone with notarized letter from owner authorizing same <br /> ,� , <br /> DVER THE COUNTER.PERMIT7ING-•--; -(Front.of�Applicatlon:Only)�� �- - ` ' <br /> Reroofs if shirigles Sewers `, . `Service Upgrades;A/C� -Fences(Plot/Survey/Footage) <br /> Drivewaya-Not over Counter'if�on"public roadways::need`s ROW <br /> � <br /> ; <br /> ; <br />