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��saao-oozo City of Zephyrhills Permit Application Fax 813-780-002� <br />, ' ' -� 4 Buiiding Department <br /> �'+.. � . <br /> Date Received . Phane-Cantact far Permittin � <br /> _ � <br /> �wner's Name G C�Y'1 �C-� Owner Phone Nucnber ���� t �t '�L�,.7 v . <br /> Owner's Address Owner Phone Number �� � <br /> Fee Simple Tltleholder Name �� � Owner Phone Number � —� <br /> .� <br /> Fee Simple Titleholder Address ' <br /> JOB ADDRESS �'"� - 1 � � ( ��- , •(�pT;� �� <br />� SUBD1ViSION �� � PARCEL IB# <br /> (OBTAINED FR4M PROPERTY TAX NOTICE), <br /> WORK PR4POSED , e h NEw CONSTR� ADD/AlT [� StGN [� [� pEMOI.ISH <br /> INSTAI.I. REPAIR <br /> PROPOSED USE � SFR [� COMNI [� OTHER <br /> TYPE OF CQNSTRUCTION BLOCK ' Q FRAME [_� STEEL [� <br /> DESCRIPTION OF WORK C// � � 'Q. <br />� BUILDING SiZE �` � 8Q FOQTAGE HEIGH7 C�� <br /> QBtIiI.DING $ ( � �� VALUATION"�OF�`l'OTAL CONSI'RIJCTION <br /> 6 <br /> QELECTRICA� $ AMP SERViCE Q PRt1GRESS ENERGY {� W.R.E.C. <br /> �,_„ � <br /> � � <br /> Pl.UMBIA►G $ <br /> � {� �fJ,V <br /> OMECHANICAL $ VALUATIQN OF MECHANtCA�INSTALlAT1UN ��U "' <br /> � <br /> QGAS Q ROOFlNG Q SPECIAI.TY C� OTHER <br /> FINISHED FL.QOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUI�DER i2� CGIMPIWY '�, <br /> SIGNATURE � �""^ REGIS7ERE0 ,Y/ N FEE CURRE� Y/N - <br /> Address License# �— � <br /> E�EGTRICIAN COMPANY <br /> SIGNATURE '} REGISTERED Y/ N FEE CURRE� Y/N <br /> j Addrsss Cicense# � � <br /> �CUMBER CQMPANY <br /> SIGNATURE REGI3TEREp Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAC COMP/WY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA' Y/N <br /> Address � License# � � <br /> OTHEit CONlPANY <br /> SIGNATURE REGISTEREO Y/ N . Fee cuR�n Y/N�. <br /> Addreas f ticense#'� � <br /> RESIDENTIAL: • ��Attach(2).P1oF F!lans,�{2}sets=af-Buil�ing`Plans;{1}set of•Energy^Farms;R-O-W Permit for new cansttuction, <br /> Minimum,ten(;1.p)<,working;days after.submittal date.�Requtred onsite,ConstrucNon Plans;Stormwatef Plans w/Silt Fence installed, <br /> � Sanitary FaciilUes 8�.7.dumpster$fte Work=Permit tor subdivistonsAarge project§ � <br /> COMMERCtAL Attach{3}camplete sets of Buildirig Plans plus a�tfe Safety Page;(1}set af Energy Forms.R O-W Permit#or new canstruction. <br /> Minimum ten(1p)working days'after submittal date. Required onsite,CanstrucUon Plens,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes 8�1 dumpster.Site Wortc Permtt for aA new proJects.AI!commercial requirements must meet compliance <br /> SIGN PERMIT Attach'{2)`sets af Etigineer,ed=P..lans..: -. - <br /> "'"`PROPERTY SURVEY reguired for aII NEW construaUon. <br /> Dlre�tlons: ' <br /> Fill out applicaUan completely. <br /> Owner 8�Contractar sign back af appltcaUon,notarizad <br /> if over$2500,a Notice of Commencement is required. (AJC upgrades over 57500j � <br /> �. � <br /> Agent(for ttia contractor)or`Pouver of Attomey(1`or the awner)wauld be someane with notarized letter from owner authorizing same i <br /> DVER THE COUNTER PERMiTTING (Front of AppHcation Only} � <br /> Reraofs if shingles Sewers Service.Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not aver Counter if an pubtic roadways..need`s ROW <br /> i <br />