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���-,�w���� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buiiding Department , <br /> Date Recelved Phone Contact for P�rmittin �` �U � — ��/ <br /> Owner's Name ��,E7 � p� D� Owner Phone Number ��� d �/ / '� /�� � <br /> Owner's Addreas GP�!� OS �'eI��L[��0� .�/2� 3�$ Owner Phone I�umber I <br /> I <br /> Fee Slmple Tltleholder Mame Avuner Phone Number � <br /> Fee Simple Titleholder Address <br /> j <br /> JOB ADDRE3S (P�(�o�- p� � LOT# � <br /> SUBDIVISION / L'e�" �j I <br /> � ��S PARCEL Id# O� �� oC� ���� ����D � � � <br /> (OBTAINED FROM PROPERTYTdX NOTICE) � <br /> WORK PROPOSE,D NEw CONSTR • ADD/ALT Q SIGN Q Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK " Q FRAME � STEEL Q <br /> DESCRIP'PION OF WORK ��5� �C �/�"'v�yq-�� '" � �a ��/� � (� O r ; <br /> � <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> QBUILDIfVG $ VALUATIOM OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ ` AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ - <br /> QflflECHANICAL $ " VALUATION OF MECHANICAL INSTALLATION. � <br /> o?��19'� oD � , <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER � <br /> FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I <br /> _ ' � <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N , <br /> Addr�s$ License# <br /> ELECTRICIAPI COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURREP Y/N <br /> Addr�ss License# <br /> PLUMBER COMPARfY i <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHAIdICAL /� �- = COMPANY �v/�//Q S 9-/✓� �'�'�/�-�/1�°L <br /> SIGNATURE U� REGISTERED Y./ N FEE CURRE� Y/N <br /> Addreas License# �i�-�� ������ <br /> OTHER � ,COMPANY <br /> SiGNATURE REGISTERED Y/ M . FEE CURRE� Y/N <br /> I <br /> Addre�s License# � <br /> RESIDENTIAL_ �Athach' 2.Plot Plans; 2 sef§.of�Buiidin'`Plans; 1 set of Ene Forms;R-O-W Permlt for new construction, <br /> � ) � ) 9 � ) r9Y`, <br /> Mfnimum:ten,(�10):working;days.after.submittal date. RequireiJ on,site,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FacUfti,es.&:_1;.dumpster-3(te Wor1c;P.ermit for subdiVislonsAarge projects <br /> COMMERCIAL Attach(3)complete sefs of Buildfng Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for neuv canstruction. --- -- <br /> , _ Minimum.ten(10)working days after submitNal date. Required onsite,ConstrucUan Plans,Stortnwater Plans w/Silt Fence installed, <br /> San(tary Facilides&1 dumpster.Site Work Pertnit for all new projects.Ali commerclal requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Erigineered�Plans: <br /> ""PROPERTY SURVEY required for all NEW construcUon. <br /> Dlractions: • <br /> Fill out applicadon completely. <br /> Owner&Contractor sign back of appl(catlon,notarized <br /> If over g2500,a Notice of Commencement t�requlred. (�UC upgrades over sT500) <br /> " Agent(for the contractor)or Power of Attomey�(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Application Only) -...... . -••,___ -..-_ ,,,_. � _L. � <br /> Reroofs if shtngles Sewers "` Seioiaa•Upgrades�A/�...�,.,,���e�(Plot/Survey/Footage) •' . ' . , <br /> Driveways-Not over Counter if on public roadinrays:.needsROW,, � ; . - <br /> ; _ � , ., , . ; �t. � ' „ � �, '_ ; <br /> - ! r.. -..rs...rv ^ ', .. .. .. ':!u^'Rre� .,. _: - .�-�... ,. . ... . - ., .. � . <br /> � �'' <br /> . 4 = <br /> � r <br /> .__�....._.__...___�.____:...__...A,.,_=fti_._�.��-�•:��--_----..____.,_._._._._.�..._. ..._r_,.=.._,.�_�....__._..____.,.� ...s....._.r.__a- _ - <br />