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813-�8�20 City of Zephyrhills Permit Application Fax-£t13-78Q0021 <br /> Building Deparlment <br /> �R��� Pha�e Contaet tor Permittln — <br /> �rr - <br /> Owners Name Owner Phone Number �� � � � � <br /> Owners Address �v f Q Owner Phone Number � <br /> Fee Simple Titleholder Name �'�t ek -L L G 0 G 0 Owner Phone Number � <br /> Fee Simple T7flehokler Address <br /> JOB ADDRESS 3 S Ci LOT� C� <br /> SUBDIVISION �' � � PARCEL IDA� -- � `' S .r� Q <br /> ( Al1�ED FROM PROPERiY TAX N0710E) <br /> WORK PROPOSED NEW CANSTR ADDlALT � SIGN � Q DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � r S� <br /> BUILdNG S12E � SQ FOOTAGE[s=•l--' HEIGHT L_Y_ld�.� <br /> i � � � � � � � �� � � � � i � � f � � � � � i � � � � � � � � � �+� � � � r � � � � � � � � � � i � � � � � � � � ir� r7�-e-r-r- <br /> �BUILDING a �G+�O�� VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� � 1 �' <br /> _` /� V <br /> �_J <br /> OMECHANICAL S VALUATION OF MECHANICAL INSTALLATION I / <br /> QGAS Q ROOFING Q SPECIALN � OTHER <br /> � � <br /> FINISHED F�OOR ELEVATIONS FLOOD 20NE AREA QYES NO � / <br /> BUILDER COMPANY � <br /> SIGNATURE r�c�s��o Y/ N Fff cura�n Y/N <br /> Address ��* —� <br /> ELECTRtCIAN � COMPANY —� <br /> SIGNATURE REc�si EpEn Y/N F�cuRa�n Y!N <br /> l0.ddress License� � <br /> PLUMBER � COMPANY � <br /> SIGNATURE aec�s�r�o Y/ N F�cua�n Y/N <br /> Address License# �--� <br /> MECHANICAL � Cp�pqNy <br /> StGNATURE REps�D Y/ N FEE CURRE� Y/N <br /> Address License i � � <br /> OTHER COMPANY �/� r OY �y� LI'L�C o � <br /> SIGNATURE r�Gis��o Y N � cura�n Y!N <br /> Address ���4 C�!'�,'s K �(i10e% �13 �.l License i —� <br /> 1111111111111111111111111`�Il��rlllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Pbt Plans;(2)sets of Build"mg Plans;(1)set of Energy Forms;R-O-W Pertnit for new construcfan, <br /> Minimum ten(10)working days after submiMal date. Required onsite,Constru�xion Plans,Stortnwater Plans w!Silt Fence inatalled, <br /> Sanifary FaciNfies 8 1 dumpster;Si[e WoAt Permit for subdivisions/large prpjec[s <br /> COMMERCIAL Attach(3)complete sets of Building Pla�plus a Life Safety Pape;t1)set�Enerpy Fortns.R-O-W Pem�it Tw new construdion. <br /> Minimum ten(10)working days after submjttel date. Required onsite,Construc0on Pl�s,StormMrater Plans w!Sitt Fence installed, <br /> Sanitary Fadlities$1 dumpster.Sne Work Permfl for aN rrew projects.All commer�cial requiremeMs must meet compliance <br /> SIGN PERMIT Attach(2)seffi of Engineered Plans, <br /> ""'PROPERTY SURVEY required for all NEW constniction. <br /> Directbns.• <br /> Fill out applicadon completely. <br /> Owner�Contradw sign back of application,notarized <br /> If over SZb00,a Notice of Commencement is required. (NC upgndes over j7500) <br /> " Agent(for the oontrador)or Paver of Attomey(for the ovaner)woWd be someone with notarized letter finm owner authoirzing same <br /> OVER THE COUNTER PERMITTING (Front M Application Ony) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Foolage) <br /> Drlveways-Not over Counter'rf on public roaduvays..needs ROW <br />