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813-780-0020 City of Zephyrhills Pecmit Application Fax 813-�ao•oo2� <br /> Building Department - <br /> . � ' <br /> Date Recelved �.- • Phone�Contact for.Permlttln — <br /> Owner•s Wame \ ' � "�` Owner Phone Number <br /> Owaer's Address ��� (��� Owner Phone'Number ��� � <br /> Fee Slmple Titleholder Name � � Owner Phone Number '�� � <br /> Fee Slmple TtNeholdgr Address <br /> JOB ADpRESS �«�`�`� c�j �y� ��� \� l�'`- L07# � <br /> SUBDtViS10N � � PARCEL it1# <br /> . , {p8TA1NE0 FROM PROAHR'EY 7llX tiOTtCE) � <br /> W�RK PROPOSED �.NEW CONSTR ADOt1U.i �� SIGN Q Q DEMOLtSH <br /> e. INSTALL � REPAIR �� � <br /> PROPOSED+USE Q SFR Q COM(�A' � OTHER ' ' <br /> TYPE OF CON$7RUCTION Q ' BLOCK " Q FRAME � S7EEL Q <br /> UESCRIPTION OF WORK � ���� �������+'�J� <br /> SUILDtHG SlZE � !��SQ�FOOTAGE��: ,HEIGHT C�_� <br /> 0 � <br /> • .��n _. <br /> BUILDING $ <br /> a�� VALUATtOi�i�OF T01'AL CONSTR11CTiO1V ` . <br /> �,]ELECTRICAI. �� AMP SEE2VIC6 [� PRO�RESS ENERGY [� W.R.E.C. <br /> Q PLUMBING � <br /> C.,__.� <br /> OMECHANICAL r$ VACUATION OF;MECHANICAL(fVSTALLATlON <br /> L�._�'. <br /> [�GAS Q ROOFING .Q SPECIALTIf Q OTHER� <br /> FINISHED FLOOR ELEVATIONS L��� FLOOD ZONE AREA QYES NO <br /> BUILDER - ��OMPANY� - ��� `�`���l� ����`�� <br /> SIGNATURE REGISTEREO Y/ N FEE CURRF.1� Y/N <br /> Addre�s �4�� "'�3 j ��� - Ltcsnse# � � � <br /> ELECTRIGlAN. COMPANY <br /> 51GNATURE ' REGISTERED Y! N FEE CtIRRER� ' 'Y/N � <br /> Add[ess . � LiCenSe'# �. � � <br /> PLUMBER COMP/4Nlf <br /> SIGNATURE : ,REGISTERED Y/:N FEE CURREt� . ' Y�/N.'� <br /> Address Licens,e,# �� � _ �� � <br /> MECHA[dICAL• . . . ., � COMPAMY, ` <br /> SiGNATURE� � �` � REGISTERED, YI N . FEECURREA� X/'N <br /> Addres�� - , - , . ' • � -� . � � . tic�nse#�� , I <br /> � , , , :,� <br /> .-fJ , <br /> OTHER ` ' - � ' � _.COMPANY. - <br /> SIGNATURE -=� ' ' � �� REGISTERED' � Y/ N..�. ';F��cuw�n y. Y/�! <br /> Addres�F _ , - ' '" - • _' License#'� � � <br /> RESIDENTIAL',:;„ rAttacH�(2).:PIot�Plans;::(2)sets�:of'Bui18lrig''Fla►�s;'(1}sefof Ene'rgy�Farms;'R=0=V11''Peirnif fo�new aonstruaflon, ` <br /> � ,_;.�.,Ml,ntmum.ken_('IJO);,working;days_:after,;submittal date�<RequireiJ onsite;.Conslructfon'Plans;•'Stormwater Plans w/Stlt'Fence fnstalled, <br /> Santtary Facilides&;1,�,dumps#er:Site�Work Permit#or subdivis.ionsllarge:projecis. ;" .,� ` ' <br /> COMMERCIAL Attach(3)•complete sets of Bullding'Plans plus a Lffe Sateijr Page;�(1}sei of Energy Forms.R-O-W Permit for nevV c�nstsuction.- � <br /> Minimum ten(10)working days after submittal date. Required onsite,CansUuction Plans,Stormwater Plans w/Silt Fence instsUsd, <br /> Sanitary Facilities 81 dumpster.Site Wortc Permit far all new,proje`cts.All commerolai requirements,must meet compiia�ce � ., � <br /> SIGN PERMIT ,4ttach'(2)'sets of�Ertgfneered�Plaris.;. -.>:,-= �, . � ' " <br /> . . .. <br /> ••"•PROPER7Y SURVEY required for,all NEW_constructlon.. <br /> Dlrectbns: � �: = � - ' � <br /> Fill out applicatlan completely. <br /> Qwner&ContracMr stgn back of applicatlon,notarized <br /> if aver�Z50Q,a NotEce of Commencement t�requlred. (AtC apgrades over tr7500) <br /> .: ':{;";� ,,,;:., <br /> Agent{foc ttie catttractct)�or'Pavire�of Attairtey(for ttie awner}wauld be someone with notarized letter from owner authorizing same <br /> DYER THE Ct}UN'i@R.PERMtTGtNG•- - �(Front o€Appiication�Only} - - - <br /> Reroofs lf shtngles Sewers Senrice Upgrades A!C Fences{PloUSutvey/Footage} <br /> � Drtvawaya-Not avar Counter if on pubiic roadways..need's ROW <br />