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_� . <br /> s�saeo-oazo City of Zephyrhills Permit Application Fax 813-780-0021 <br /> ;,. , Buitding department <br /> Date Recelved Phane�Contact�for.�Pennittin � <br /> Owrner"s Name � _ � Ourner Phane Number <br /> Owner's Address - � ` (.sa � �... Ovvner Phane'Number <br /> � *� 1 <br /> Fee Simpie TltteholderName � ' � Owner Phone Number �i � � , <br /> Fee Blmple Titleholder Address � <br /> J08 AdDRESS LOT# �� <br /> SUBDIV6SION �� � PARCEL ID# � <br /> (OBTAINED FRdM.PROPERTYTAX NOTICE) � <br /> WQRK PROFOSED - NEw COAJSZR ADDtA1.T � SIGN CI C� DEMOL.ISH � <br /> e INSTALI. 8 REPAIR I <br /> PROPOSED�RISE Q BFR. Q CQMM Q OTHER ' ' � <br /> TYPE QF CONSTRUCTION � Q BLOCK ' C] FRAME [� STEEC Q <br /> DESCRIPTION OF WORK • f - . ' S <br /> BUIF.DtHG SlZE SQ FOCi7'AGE�y� HEIGHT ���� <br /> QBUI�DING $ ^ <br /> � VALUATION`OF`TO`TAL CONSl`RUG'1'IOiV n ' ' <br /> . �,�J <br /> QE�EGTR1CAl. $ AMP SERVICE Q PRQGRESS EtVEFtGY Q W.R.E.C. � <br /> � .� ' <br /> QPLUMBtNG - :$ � ��1 � � ' ;,- � � ��} �7 I <br /> G�-� t � <br /> OMECHANICAI $ � VALUATlON OF MECNANiCA�INS7ALLATION � <br /> I <br /> QGAS [� Rt?QFING .Q SPEGIAI.TI �] OTHER � <br /> FINISHED FLOOR ELEVATIQNS �� F1.00D Z4NE AREA [�]YES. ,WO ; <br /> { <br /> BUI�D�Et C06I9PA�Y - - , <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N . <br /> Address � Llcense# �� I <br /> ELECTRtClAN� -COMPANY - <br /> SIGNATURE � REGISTERED Y/ N FEE�CURRE�-' =Y/N <br /> f j'� �`'� <br /> Address ' llcense# ( - I <br /> PLUMBER ``" COMPANY � { <br /> $IGNATURE` , ,.REGISTERED Y,L-N-: . FEE,CURRE� Y/N <br /> At�dr888 UC8RS8# �- • � � <br /> � <br /> MECFlANICAI:" � COMPANY ` <br /> SIGNATURE ' ' REGISTERED.� Y./ N . FEECURRE� Y/N' •� <br /> �:. <br /> Addre�s', ' �f _ , � , - ° license# �— � <br /> OTFlEEt . � " _ , � ��CQMPANY � , � . � <br /> SIGNATURE'� �<�'•"- � � ` � REGIS7ERED Y/ N,... FEE CURRE� Y/N <br /> Addre� :.'r` � -° ' � l.ioeittse#��� " � " ! � � <br /> ,�...;:,.. � ..�k ' <br /> RESlDENTiA1:w': Attacti'{2)�Plof Plaiis;:{2)sets�of�BiiEti!ingSPlaiis;(9}sefiof Energy�Forii�'s;RA�1lV�Perinit far neuv construc�on, � <br /> x.: .... . .. <br /> -� ;,w ,,:Mlnimum,tem(�10);working;days;aftersubmlEtai"iiate:>�R�qulred onsite;�Constructlan�Pians;<Stomiwater"Plans w!511t Fence installed, <br /> ""� �8anitary'Facilitles;&:-1<dumpster~81te•Wark�P.,ermitfor_subdivisions/large.prajects,- _ .'�..�, ' ' ' <br /> C4MMERCIAI. Attach(3)�complete sefs�of8uitcSiiig Ptans�plas a�ife Saf�iiy Page;(1}set a#Energ}t fomts.R O-W Pennit far nev�r consttucUon. � <br /> Minimum ken(10)working days after submfttal date. Required onsite,ConsUuctioa Plans,Stortnwater P1ans w/Silt Fence installed, <br /> Sanitary FaclliUes&1 dumpster.Site WQrk Permit for ail new;projects._All commerGal requlrements must meat compllance � <br /> SIGN PERN!!T Attacfi{2}'sefs-of'Eiigineer.ed,P...lans... �� � �.. , � - <br /> ••*"PROPERTY SURVEY required for_all NEW construcUon. a <br /> ., <br /> Olrectlons: , _ � <br /> Ftll out applicatlon completely. <br /> Owner&Cantractor sign back of appltcatian,notarized '� <br /> if over�504,a Natice of Commencement is requiced. {ac u��aae8 oVar$Tsao� <br /> �,-,,,�:;: <br /> '• Agent(for the conVacto�)or Power of"Attoiney(1'or the ownar)would be someone with�nota�ized letter from owner authorizing same <br /> QVERTHECCiUNTER.FERMtTTING ---.-(Fron#af-AppltcationOnly} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> DNvewayss-Not aver Counter if on public roaduvays..needs RdW <br /> % <br /> t' � <br />