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a�3-78aoa2o City of Zephyrhills Permit Application Fa�c-813-784-Q021 <br /> i • Building Department <br /> 1 1�� <br /> Date Recelved� � phane Contact for Permitting � � — <br /> Owner's Nam� � � ,U /� Owner Phane Number 7�a <br /> Owner's Address �. �� '1 � " Owner Phone Number � � <br /> Fee Simple Ti�lefiolder Ftame Owner Phone Number �— � <br /> Fee Simpte Ti tehoider Address <br /> J08 ADDI2ES � ' � S �D�� lOT# C� <br /> SUBDIVISION � � PARCEL ID# �''2Y� '' �/�' ����^t.v���^t ZI {� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP�SED e NEW CONSTR 8 ADDlAl.T � SlGN Q Q DEMO�ISH <br /> INSTALL REPAIR <br /> � PROPOSED SE Q SFR Q CQMM � QTNER <br /> TYPE'OF CO STRUGTION [� BLOCK • [� FRAME � STEEL [� <br /> DESCRiPT10N 8F WQRK J`t � � T� f{P � <br /> .. <br /> BUI�DING SIZE -d A I� �` SQ FOOTAGE _� °�` HEEGHT �— � <br /> BUI I DING � ��...��� VALl3RT10N OF TOTAE.CONSTRtJGTlON <br /> .,,..... '� <br /> QEL CTRICAL ($ — � AN1P SERVICE Q PROGRESS EIVEF2GY Q W.R.E.C. <br /> � <br /> QPL MBING (�>� � <br /> L ��� <br /> �]ME�HANlCAL $ VRLUATlON OF MECHANlCAL iNSTALLRTiQN �' <br /> QGAS Q ROOFING Q SPECIALTY � QTHER <br /> FINISHED FLQOR ELEVATIONS FLOOD ZQNE AREA QYES NO <br /> R - <br /> BUELDER �� ��� CONIPAFlY ( <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> ELECTRICI COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address Ciaense# �^ y � <br /> PLUNIBER: CONlPANY <br /> S(GNATURE REGIS7ERED Y/ N FEE CURRE� Y I N <br /> . Address - License# �— � <br /> � MECHANiCAI. � COMPANY <br /> SIGNATURE REGISTERED , Y/,N FEE CURRE�. Y/N <br /> Add�e`ss ` � " License.# � _�� <br /> QTHER �pMppNy � <br /> SIGNATURE=. ' REGISTERED Y/.N- FEE CURRE�' Y./N <br /> Address = - - - License# � � <br /> -.� : " <br /> � `.RESIDENTlAi�;�- RtEach-(2)PIQt P.lans;:{2}-sefs o#Buitdirig=Plans;"{1}`set`of Energy'Fdrms;R-Q-W.Pe�(TtI�.fOF f18W COt1SfTUCfIO(1, <br /> �. � Minimum.ten;(10}woricing,iiays after'sufirriittat�date. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed, , <br /> � Sanita.ry-Faailities:&<,t.dumpster;Site Work Permit for:subdivisions/large projects . � ' - <br /> ,;..COMMERC►AL Attach`(2}complefe sets cif Buitdirig Plans ptus a LiEe Safety Page;{1}se#of Energy Fotms.R-O-W Petmit fbr new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, �, <br /> Sanitary Faailities&1 dumpster.Site Work.Permit fo�all new proJects.All commerciat requirements must meet compliance i <br /> ;�y StGN P�RMIT i4ttacti(2}sets af;Eng�neered Ptans. '�, <br /> *'**PROPERTY SURVEY required for all NEW.canstructian. <br /> Directions: ;_ -�-= , , <br /> FilP.out a�plication completely. � <br /> Owner&(,Contractor sign.back of application,notadzed , <br /> lf over$2540;a Natice af Cammencement!s reqaired. {A!C upgrades over$7500) <br /> *' Agent(fo��'th'e contractor)or Powerof Attomey(for'the owner)would be someone with natarized letter from owner authorizing same <br /> ';,OVER TME C�1UNi'ER,FERM17?IHG {copy af cantract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIaUSurvey/Footage) , <br /> Drivewa� Not over Counter if on public roadways..needs ROW - ..,a..�-. 4:F'w+'��SRM:✓a�=eN �•- -� — ' \ <br /> � �t ; ^:7tr!.'•ii:iY'i: '�� , - , , <br /> � ;'',F..,i.sE��:t'•tJl'<'. ,. � <br /> ,�, :)\�._ �S ' _.,... . _, �:;-_. ;�. / <br /> ' ,_ �, nin^.i:.��Gi.... �'..c.'' �. �.. ... ,� " ' .. , <br /> l I� —' .s. ..:r,...�� ...=-,�a•_ox....: �.�._. , _ .�... , � <br />