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a��-7so-oozo Gity of Zephyrhills Permit Applicatian Fax-813-T80-0021 <br /> � , Buiidang Department � <br /> w <br /> Date Recelved " Phane Contact for Permitting - <br /> � T��n�y�� <br /> 4wner's Name NI�' ��� Owner Phane Number ' �.1 <br /> ' 7 �� .j � .��d - Qwrner Phone Number �� � <br /> Owner's Address <br /> Fee Simple Titleholder Name Owner Phone Number �T � <br /> c <br /> Fee Simple Titleholder Address <br /> JOB ADDF2ESS LOT# <br /> � <br /> (; SUBDIVISIOM � - � PARGEL ID# <br /> �] � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> �� WORK PROPOSED NEW CONSTR e ADD/ALT � SIGN Q C] DEMOLISH <br /> f t INSTALL REPAIR <br /> f' PROPOSED USE SFR „ Q GOMM � QTHER <br /> �� <br /> �� NPE OF CONSTRUCTION BLdCK Q FRAME STEEL [� <br /> �� i - u �,l ��,�.,, �c�! /�. C' a r- � <br /> DESCRIPTION OF WORK <br /> �j , <br /> � <br /> }f BUILDING SIZE � � SQ FOOTAGE�� HEIGHT <br /> � � � <br /> �ti QBUILDING $ VALUATION OF 70TAL CONSTRUCTION <br /> i ; <br /> QELECTRICAL ri � AMP SERVICE � PROGRESS ENEE2GY Q W.R.E.C.• <br /> ! L <br /> � QPLUMBING $ . )� ��A��� <br /> � ( �� � <br /> � QMECHANICAL $���--�� <� VALUAl"!QN QF MECNANICAL lNSTAt,tATiQN <br /> . t <br /> ' QGAS Q ROOFING Q SPECIALTY Q OTNEF2 <br /> � <br /> ; FlIVISHED FL4QR ELEV/�TIONS r�� FLOOD ZONE AREA QYES NO <br /> ; , L <br /> � � <br /> � BUILDER COMPAPIY <br /> � StGNATilRE REGISTERED Y/ N F��cutt�n Y/N <br /> � Address License# � � <br /> S <br /> € <br /> EI:ECTRICIAN COMPANY <br /> SIGNATURE REGISTEftED Y/ N FEE CURRE� Y/N' <br /> t : - � --- <br /> Address � -� License# � ' � ' � <br /> PLUMBER COMPANY ' � � <br /> SIGNATURE REGISTERED ' • Y�/ N . F��cuR�zEn Y./�N ': <br /> ( �.Address - - 6icense# . <br /> • MECHANICAL. ` < COMPANY, ��3= �-~'-''� r <br /> SIGNATURE ftEG►STEftED Y! - ,- F��cut�� �::Y./•N� r.. <br /> � . _ . <br /> ` Address ,License# � [ ��—� � <br /> � OTHER , GOMPANY <br /> � SlGNA'TURE - R���sTe�tEo Y! N Fe�cuwzEn Y/N. <br /> � ' (` <br /> ��� Address License# I � <br /> �.. �;.., -. <br /> ,.., � . . , .- �- - <br /> i?`. r.:.. '. `. - ,.. ` ., a, . . , .. ' . ,. ..,.. , , s � � . .. <br /> 2`�< RESIDENTIi4L � �f�=Attacti,(2)'Plot Plans;(2)sets of Building Plans;_(1)set of.Energy�Facros;°R=O=W:Permit'for new canstructian, . <br /> ;�� ,Miniinum:ten;(10)'.working'ilays af'ter'sutimittal-date. Requi�eii onsite;�ConstcucdomPlans;Stormwater Plans uv/Silt Fenc'e installed, <br /> __ Sanitary Facilities&1 dumpster,Site Wark Permit fbr subdivis'sonsllarge projects <br /> COMMERCIAL AttacM(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. - <br /> Minimum ten.{10)-wartcing,days after submittat date. Required onsite,Construction,P{ans,Stormwater Plans w!Silt Fence tnstalled, <br /> ;;�� . ' Sanitary Facilibes&�'1'`dumpster.Site Work Perri�it for all'iiew'p�ojects.Al!commerc'ial requirements must meet compliance � <br /> � - SIGN PERMIT Attach(2),sets:of Engineered Plans. . ,.,, , , <br /> ` •"**PRC)PER7;Y,..St1RVEY�required far a!!NEUV consNuction. ,, <br /> Directions: � <br /> Filt out application corrtpletely. <br /> Owner;8�Contractor sign back of appiication,notarized <br /> If over$2500.a Notice of Cammencement is required. (A!C upgrades aver$7500) <br /> '* Agen#(for the.contractor-}.or-'Power�of-Aftarrisy(fo�fhe awner}•wauld be someane with notarized letter from owner autt�oriz�ng sar►ze <br /> OVER'THE COUN1'ER PERMIITING (copy of con#ract required) <br /> Reroafs if shir�gles ' Sewers Service Upgrades�AtG Fences{PlatlSurvaylFootage} " , - <br /> Driveways-Nat over Gounter if on public roadways..needs ROW <br />