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813-7I 0-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> : Building Department <br /> Date Received'I� Phone Contact far Permitting — <br /> � <br /> Owner's Name' �( ! �.� � Owner Phone Number ,_ ,_ <br /> Owner's Addre s �9 �Q� �d� Owner Phone Number � � <br /> Fee Simple Tit eholder Name ���..�c/ f'�� (it 2/ _.1��'�_-��� Owner Phane Number �— � <br /> Fee Simple Tit,eholder Address � � � <br /> JOB ADDRES( LOT� � <br /> SUBDIVtS10N �� V ���'��� PARCEL ID#� �'`C� '�`�l�'�•�''� �v�� , <br /> (OBTAlNED FROM PROPERTY TAX NOTIGEp _ . <br /> WORK PROP�SED � NEW CQNSTR 8 ADDlALT � SIGN Q [� DEMOLISN <br /> INSTALL •REPAIR <br /> PROBOSED U+ E Q SFR . Q COMM � OTHER <br /> TYPE'OF GONSTRUCTION Q BLOCK - Q FRAME C� STEEL Q <br /> DESCi21PT10 OF WQRK Cs� � �"(,/�Z�J < GJ�=t�-- G"''�'l� <br /> BUIlLi1NG S! � � SQ FOQTAGE C� HEIGNi' E�_�{� <br /> �9U!�DING �9i ���^��� r�"�"' VALUATIQN'OF TOTAL CONSTRt7CTtON <br /> L ► � ��,�__I <br /> QELEI TRICAL . (9> � AMP SERVlCE [� PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> QPLU BING (8i � <br /> � ��� <br /> OME� HANICAL $ VALUATION OF MECHANICAL INSTALLATION ��`'� � <br /> Q,GA, Q ROOFING [� SPECIAL7Y Q OTHER <br /> FINISHED FL��OR ELEVATIQNS FLOOD ZONE AREA QYES NO � }�� �� �� <br /> � <br /> , <br /> BUELDER i /'�� ��/"' C4MPANY ( `�li�Li�3 d/� <br /> SIGNATURE �'' �K1��` REGISTERED / FEE CURREA Y 1'N , <br /> Address License.# ����� � <br /> ' � <br /> ELEGTRICI CQM RANY <br /> SIGNA7URE REGISTERED Y! N FEEGURREA Y!N <br /> � Address l:icense# � 8 �� <br /> PLUMBER. CQMPANY <br /> SIGNATURE � REGISTERED Y'/ N ' FEE CURREA ' Y J N <br /> . Address ' ' License#��` ^'� <br /> MECHANlC COiVlPA�+1Y <br /> SICaMATURE � REGISTERED Y/.N FEE GURRE�+ ' Y/N <br /> Aid��essE ` License# � i�� <br /> •I .. . . <br /> OTHER� `"', . � COM,FAPfY <br /> SIGNAT,URE�: - � REGISTERED . Y/.N,. FEE GURREA' . Y.(N <br /> Address . � ' • [.icense# � � <br /> ; RE3IDENTIAI�'� Attach(2�.PIot Rlans;'{2).se#s of�Building-Plans,{1)'set of Energy For�ns;R-U-W,Permit for new.construction, <br /> � Minimum.,ten;(10}irvorking,days aftersubrriittal:da#e. Required onsite;Constrvction Plans,.Stormuvater Plans w!Silt Fenoe instaAed, <br /> � Sanita Facitities.&1�.dum ster,Site Work Permit for.subdivisions/1a e ro ects � <br /> ,rY;. . P. .� r9 P 1 <br /> �COMMERCIA Attach-(2)`complefe sets of Builiiirig Plans pttas-a,Life Safety Page;{1)set af Energy Fartns.R-O-W Permit for new canstruction. <br /> Minimum ten(10)working day,s after submittal date. Required onsite,Conskruction Plans,Stormwater Plans w!Silt Fence instailed, <br /> - . ( Sanitary Facilities&�1;dumpster.Site Work Permit fo�all new projects.All commercial requirements must meet compliance <br /> . SlGN,PERMlT Attach(2j seis of.Engineer.eiiPians. , <br /> ,I ""**PROPERTY SURVEY required'for.�_aII.NEW,construction'�' <br /> QIf@Ct141iS.. � . -. ti - . , <br /> - Fill.out a�i plication completely. , <br /> � Owner B�jiContractor sign back of application,notarized <br /> {f over$2500,a Natice of CammeocemeM is required. ,(AJC upgrades over$7500} <br /> � *' Agent{f� fhe`contractoc):or.=Power of Attorney(for`the.owner)�virould be sorrieone wi#h natarized letter from awner authorizing same <br /> : ,:; . . <br /> :`:OVER THE C ,UNTER,PERM117(NG; ;�,,�.�(copy of:contract�equiirecl} - . <br /> 'Reroofs if shi� !es Sewers, :� �Service;Upgracles t1(G�''; �Fences(PiotJSun+eylFoatage} <br /> drivewa s-Not over Counter�if on publia ra�dway's..needs�ROW <br /> I <br /> ( <br />