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s�saso-aa2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> !► � <br /> Building Department <br /> Date Received '��—'� �r�� phone Gontact for Permitting `�j �j _ <br /> Owner's Name rn.� �1, �.�'" Owner Phone Number � ^� � , � <br /> Owner's Address � �-.�'-�"" � Owner Phone Number �� � <br /> Fee Simple Titlehotder Name �� � Owner Phone Number C � <br /> Fee Simple Tltieholder Address <br /> JOB ADDRESS � � � S LOT# C�� <br /> SUBDIVtSlON �i,T t-i �S���l�t'�t��� PARCEL ID# ���a�'�,� '' ����'� ���j�-^� �„1Q a � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) F <br /> WORK PRQPOSED e NEW CONSTR 8 AdDJALT [� SIGi� [� [� DEMOLISH <br /> INSTALL REPAIR <br /> PFtOPOSED USE � SFf2 Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION O�WORK �F tM a��� � G� � ` t��f2,� ��1 �f�i n� � 1i v\����S <br /> 4 v <br /> BUILdlElG 31ZE ���� � SQ FOOTAGE�� NEIGHT � <br /> �g��LQ��� ��`�� � VALUATtON OF TOTAL CONSTRUCTION <br /> QELECi'R1CA� r>� AMP SEt2VlCE Q PROGRESS ENERGY Q W.R.E.C. <br /> L <br /> QP�UMB�NG ��� _ , �� �,, <br /> QMECHANlCA� $ VA�UATtON OF MECHANICAC lNSTALIATIQN �� <br /> QGAS `�� ROQ�ING Q SPEGIAITY � QTFtER j lj�� � <br /> c._� <br /> FINISHED FLOOR ELEVATIONS FLOQD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �i � <br /> Ei.ECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— �—� <br /> Pl.UMBER � COMPANY <br /> SIGNATURE F2EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> �THER � � - CONtPANY tJ�� C`1V�r G ^ �fVl ��rYI � <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address [,� �j3 1 L�K.. �� � License# �` ,` ,�j�,�,��� � <br /> 2ESIDENTIAL Athach(2)Plot Plans;(2}sets of Bu9lding Plans;{1}set af Energy Fotms;}2-Q-W Permi#for new canstructian, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> _ - - SaNtary_Facllitles-&=1_dumoster,.Site Work Permit for subdivisionsAarge pro}ecfs__ _ _ _ <br /> :OMIIIIERCIA� Aftach{3}complete sets of Baitding Plans plus a�ife Safe#y Page;{1}set of Energy Forms.R-O-W Permit for new constriiction. ` - - — <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for aik new projeats.Ail comrnerciai requlrements must meet campliance <br /> a1GN PERMFT Attach(2}sets af Engineered Plans. <br /> '""PROPERI'Y SURVEY required for all NEW construction. <br /> �l�ections: <br /> Fill aut application completely. <br /> Owner&CaniracEor sign baak of appEication,nota�ized <br /> If aver�2500,a Natice of Commencement is required. (AlC upgrades over$T5d0} <br /> ' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> 7VER TNE COUNTER PERMITI'iNG (Front of Apptication Onty} <br /> teroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubtic roadways..needs ROW <br />