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i <br /> �' a�sasa-ao2o City of Zephyrhills Permit Applicatian Fax-813.�80-002� ; <br /> r Buiiding Department , k' <br /> r• " <br /> Qate Received ` Phone Contact for Permitting - <br /> Owner's Name f �1� �� f6�� Own�r Phone Number <br /> Owner'`s Address .J�� ! �f-� �� Owner Phone Number �- � <br /> Fee Simple Titleholder Name �- � Owner Phone Number � � <br /> Fee Slmple Titleholder Address <br /> '� JQB ADDRESS � � /�� -aS /� LOT# C� <br /> �� � <br /> l�! SUBDIVISION C � PAitCEL ID# ! ril�"uZf""'O� �'� /�� '"' ��� <br /> �; (dBTA1NEp FROM PROPERTY TAX NOTICE) <br /> j� , <br /> �� WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN [� Q DEMOLtSH <br /> ,� : INSTALL REPAIR <br /> � PI20PdjSED USE Q SFR . Q C{�MM � OTFlER <br /> �� TYPE O,F CONS'1'RUCTION �r BLOCK Q FRAME � STEEL Q <br /> � � ` � I <br /> �� DESCRIPTION OF WORFC " LDO� � �.�"a�� (� � //v�yG � <br /> . ' <br /> C � <br /> i <br /> # BUILDIMG SIZE � � SQ F40TAGE C� HEIGHT ��� <br /> �# <br /> �� ; Bt11LDING $ 0� ' VALUATION OF 70TAL CONSTRUCTtON <br /> � ! <br /> �; QELECTRICAL $ AMP SERVtCE [� PROGRESS ENERGY [� W.R.E.C.- ; <br /> � � <br /> � • QPLUMBtNG (S6 � , � <br /> �` o � ��l��Z c� <br /> 3 MECHANICAL $ VALUATI4N OF MECHANIGAL IRISTA�tATiQN <br /> P fi <br /> < <br /> j QGAS Q ROQFING Q SPEGALTY � OTHER '• <br /> � FINISHED FLOOR ELEVA710NS �� � FLOOD ZONE AREA QYES NQ I <br /> � � <br /> i � -- � <br /> � <br /> � BUILDER COMPANY � <br /> f SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> � . i <br /> � Address License# r I! <br /> , <br /> i <br /> � ELECTRICIAfV COMPANY � � <br /> StGNATURE REGISTERED Y/ N FEE CURREn Y/N' � <br /> � �''"� � <br /> Address ticense# I � �; <br /> � ' } , 3� i <br /> � PLUMBER COMPANY ' i <br /> } SIGNATURE � REGISTERED � Y�/`N . F�E�CURRE� Y/•N ` '� i <br /> � _ ; <br /> ; Address - L-icense# � �I <br /> � - � , <br /> � M�CHAWIGAL•_ - COMRANY�, - , - _ j <br /> , SIfaNATURE REGlSTERED Y/�N. , - F��cuwzE� �,.Y./N .�; � <br /> � _ ,., , <br /> Address � ,License#,I ��(�l���y.�� �I <br /> -. <br /> OTHERa� G�"� COMPANY ���/'� /����//"�"� j <br /> `` SIGNATURE Re��srEtxEo Y/ N FEE CURRE� Y/N � <br /> � �. � fJ/ � <br /> � Address � '�X l ��.7 Q�' Z` �"'�-. License# a ���%/ i <br /> '��. • - <br /> �,< RESIDENTIAL�' `�Attacli.,(2)Plot Plans;'(2)set"s of Building Plans;(1)set of E'nergyFFarms;:R=O;Vjl.Permit'far new canstructian,. � <br /> �= ,Minimum�-ten�(.1.0)�working'days'aftec'su6mitta4date,�Required onsite�Construction�Plans,Stormwater Plans w/Silt Fence'installed, <br /> �,�� - . <br /> Sanitary Fa�ilities&1 dumpster,Site Work Permit for subdivisianstlarge projects <br /> '''� GOMMERCIAL Attach(2)camplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> �Minimum ten_(14)working•days at#er submittaFdate. Required onsite,Construction,Plans,Stom►water Plans w/Silt.Fence installed,; <br /> �;- Sanitary Facilities&'I"dumpster.Site Work Permit for a1!'new prajects.All cammeccial requirements must meet complisnce � <br /> *4_ - SIGN PERAAIT Attach.(2),sets�of Engineered Plans. , ,. � ; <br /> � ****PRQPERTY.SURVEY required for aEl NEW construction. <br /> Directions: ' <br /> FiH out appllcation cprnpletety. � <br /> Owner;&Contractor sign back of appticafion,nofarized , <br /> If over$250t1.a Notice of Commencement is required. (A/C upgrades over$7500) � <br /> ** Agent(for.fhe contractor-)or Power-of Attomey{far the owner}would be someane wlth natarized letter fram awner authorizing same <br /> OVER'THE COUNTER P6RMITTING (copy of conVact required) <br /> Rer.oafs_'ifshingtes 5ewers Service Upgrades-AlC - Fences{PIntlSurveyiFootage} <br /> Driveways-Not over Counter if on public roadways..needs ROW ' <br />