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��a-�8aoo2o City of Zephyrhills Permit Application Fax a�a-7eo-oo2� <br /> � . Building Department <br /> Date Recelve P,hone-Contact°for Permlttln � <br /> Owner's Nam �� � G • Owner Phone Number <br /> Owner's Addr ss ��� ��,���,� ,�/�L lil�� Owner Phone Number <br /> Fee Simpl�Tit eholder Name Owner Phone Number <br /> ' , +;r . <br /> Fee Simple Tit eholder Addresa � <br /> JOB ADDRES ��`l� 1 S i�'�� LOT# � <br /> SUBDIVISION PARCEL ID# �l������� �--� O�..._ 4� <br /> . (OBTAINED FROM PROPERTY,TAX NOTICE) <br /> WORK PROPOSED r NEW CONS7R ADD/ALT Q� SIGN` �Q Q DEMOL•ISH <br /> INSTALL B : REPAIR <br /> PROPOSED.0 E Q 'SFR- Q �GOMM Q OTHER <br /> TYPE OF CON TRUCTION � �' BLOCK ' Q FRAME [� STEEL [� <br /> DESCRIPTION OF WORK � � ���� GI`G �� D/�'1� .�s1����L S/`l��� <br /> BUILDING SI �- ' � SQ FOOTAGE � - HEIGHT� . <br /> QBUIL ING $ s1 / �Q� � VALUATION40F'TOTAL'CONSTRUCl'ION � " <br /> � oC.,�l <br /> QELE TRICAL $ � • AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> .< � <br /> QPLU BING $ ' ' <br /> QMEC ANICAL $ ' VALUATION OF MECHANICAL INSTALLA7'ION � <br /> . � � <br /> . ���1 <br /> QGAS Q�ROOFING Q SPECIALTY Q OTHER Z�a� <br /> FINISHED FLO�R ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPi4N1f` <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N , <br /> l0.ddress � Cicense#' <br /> ELECTWCIAN. � . COMPAI�IY - <br /> SIGNATURE _' REGISTERED Y/ N FEE'CURRE�• Y/•N <br /> Address ' . ,. Ucense#. � � <br /> PLUMBER C.OMP.ANY , , � <br /> SIGNATURE' � ' , REGISTERED Y,I,.N. �;�ecuRRE�` Y/N � ' <br /> Addres$ License,# �. <br /> MECHANICAL" � � C.OMP..ANY. <br /> SIGNATURE ' ` REGISTEREO Y,/ N , FEE CURRE� Y/N <br /> Address� �•= � � � y� � ll " License# <br /> OTHER " " �� ' •� ` ` .;COM,PANY � /�l!✓ O�!//�� <br /> SIGNATURE' ":; '� (/� ' 'REGISTERED Y/ N.. FEE CURRE� Y/N <br /> � _ _... . . . <br /> �,d�.� o a o�. ::,3(3 � �i1�� :�� ��.r �, . u��se# a 6�.� � , <br /> Y:;"' <br /> RESIDENTIAL';• � ;Athacfi`(2);Plot%P,lans;:,(2)sets;of�Builili'n`g''•Plans;(1)sef of'Energy�Forms;R=O=W`Perrnit for new construction, <br /> ,:MinimumHtenh(•1;0);working�daysnafter,,submittal`date�;.•Requlred onsite;:Con'striicdon�Plans;-StortnwaterPlans w/Silt'Fence tnstalled, <br /> +'�' Sanitary Facflitles;851;dumps.ter,;Site•Work�P...ertnit for subdivisions/large p[oJects; � .;� ' ' ' � <br /> COMMERCIAL Attach(3)`oomplefe�sefs�of Bulldfng Pians�plus a Ufe Safe{y Page;(1)set of Energy Forms.R-O-W Permit for neW canstrucdon. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FacillUes 8 1 dumpster.Site Work Permit for all new;projects:All commercial requlrements.must meet compllance � <br /> SIGN PERMIT AttacFi'(2)"sets ofEnginee[ed'Rlans.; :� ���_ =, � � ` <br /> ""PROPERTY SURVEY reguired for all NEW constructlon. _ , <br /> Dlrectlona: �. �� < ' <br /> Fill out appli tlon completely. <br /> Owner 8 Co tractor sign back of applfcaUon,notarized <br /> If over 52500,a Notice of Commencement i�requirede (AIC upgrades ov�r ST500) <br /> ,�:;�,.. <br /> '" Agent(for e contractor)br Powe�of Attoriiey(for tFie�owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COU TER PERMITTING.: -�-(Front of Application Only)- - <br /> Reroofs If shingl s Sewrers ` Service.Upgrades;A%C � Fences(PlodSurvey/Footage) <br /> ,:�,�•- , , � • _„ <br /> Drivewaya- ot over Counter if on pubiic�roadways..needs ROW'_ � <br />