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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Y <br /> Date Receivad Phone Contact for Permitting — <br /> " ,/�� / <br /> Owner's Name 1 e e�/ � � � cA t} Owner Phcne Number �3'";.c1�1L '� '�� <br /> Owner's Addre�s J� � r G � Owner Phone Number �� � <br /> � � � <br /> Fea Simple Titleholder Name � j � fj Qwne�Phone Number <br /> Fea Simple TitiehoSder Address �J�d i�� �!- <br /> JOB,a,DDRESS i T�' /� zOT# ��� <br /> SUBDIVISION �i°�� �� /N/Q�—_�_l�!�� PARCELlD# � �' 'e�O'P�1� a' QDOP1�" <br /> (OBTAINED FROM PROPERTY 7AX NOTICE} <br /> WORK PROPOSED , e NEW CONSTR 8 ADD/ALT L'� SIGN C] Q DEMQLISN <br /> INSTALL REPAIR <br /> PROPQSED USE Q SFR Q COMM � OTHER f dYG�(„ �_ <br /> TYPE OF CONS'fRUCTiON Q BLOCK Q FRAME Q STEEL Q <br /> DESGRIP710N QF WURK �� ' ��-'r- � �''�J�- S"��1�' � <br /> BUILDING SIZE �'� '�`7���1 SQ FOOTAGE ��Sf•�T HElGHT �� F�� <br /> �BUtLD1NG $ �� � VAl.UATION OF TOTA�CONSTRUGT40N <br /> QELECTRICAL ($ ~ -� AMP SERVICE Q PROGRESS ENERGY C] W.R.E.C. <br /> �.._. <br /> [,�PIUMBING $ .1 ��� <br /> ���� <br /> �� �J <br /> QMECHANtCRL $ VALUATION OF MECHANiCAt iNSTALLATiON O�✓ <br /> ��� �,� <br /> [�cas [� Roo�i�v� Q SPEGIALTY � o-r�e� �`{p <br /> FINISHED F140R EIEVATIONS PLOOD ZONE AREA [�YES NO <br /> BUiLDER - ��COM pANY I�d i�r� p Cd vca N B✓ <br /> StGNATUltE REGIS'i'ERED Y J iV FEE CURRE� Y/N <br /> .r� r- � <br /> Address � o"1C .�t, . Ucense# <br /> ELECTRiCIAN �� .� . COMPANY ����` �����y <br /> S{GNIATURE REGiSTERED Y J N FEE CURRE� Y I N <br /> Address L,Icense# �� � <br /> C hrDnr ES Q�a,�cJl�'C'y' <br /> FLUMBER COMPANY <br /> SIGNA'TURE � REGtSTERED Y J N FEE CllRRE� Y/N <br /> �lddress License# �� �� � <br /> 11RECFfANICAL Ct3MPANY <br /> SIGNATUEtE RE�lSTERED Y I IV FEE GtlRREF Y J RI <br /> Address License# � � <br /> OTMER � COMPANY <br /> SIC�NA�I'URE REGISTfftEQ Y J N FEE Ct1RREP Y/N <br /> -- - Address � _ License# � �� -� <br /> RESIDENTIAL Attach(2}Ptot Plat�s;{2}sets of Buitding Plans;(1}set af Energy Forms;R-O-W Pe�rnit far new construatlan, <br /> Minimum teo(10)working days after submttkal date. Requfred onsite,ConsVucBan Plans,Stormwater Plans w!Stlt Fenca installed, <br /> Sanitary Faoilities&1 dumpster,Stte Work Permit for subdivisionsAarge projects <br /> GOM[dlERCIAL Attach{3)campiete sets of Buitdirrg P1ans ptus a l.ife Safety Page;{1}set af Energy Fottns.R O-W Pertnit far new construction. <br /> Mlnimum ten(10)working days after submittal date. Reguired onsite,Constructian Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Faclli8es&1 dumpster.Site Work Permft for all new projects.All commerciai requlrements must meet compilance <br /> SIGN PERMIT Attach(2)sets af Engineered Plans. <br /> "'"PROPERTY SURVEY required for a{I NEW construcUon. <br /> Directions: � I �" <br /> Fill out applicatlon completely, i <br /> Owner&Contractor sign back of appNcadon,notarized .� � ,, ; � ;,� <br /> If over�2500,a Notlae of Commencement is required. (l4lC upgrades over 3T500) �" ''�' <br /> '* Agent(for the contractor}or Power of Attamey(for the owner}wauld be someone with notarized ietter from owner authorizing same - �, ° <br /> DVER THE COUN7ER PERMITTING (Front of Apptication Onty) � �_ � . , <br /> Reroafs!f shingles Sewets Service Upgrades AIC Fences(PIoUSunreylFoatage} � - � <br /> Driveways-Not over Counter if on public roadways..needs ROW . .. � • - " <br />