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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-Od21 <br /> Building Department <br /> Date Received •• �'- Phone Gonlact for Permitting - <br /> Owner's Name C�O I1 Owner Phone Number �0� "��9 -3,��•V <br /> Owner's Address �� !Z.� �•�� �`-'�Sr Owner Phone Number �� � <br /> Fee Simple Titlahotder Name � � � Owner Phone Numbar � � <br /> Fee Simple Titiehoider Address <br /> JOS AdDRESS 1 Z� �.ti;l �J�C. LOT# �,� <br /> SUBDEV{SION � � PARCEL ID# �z f �� ' '�`,• b01� ' Q��d <br /> (OBTAINED FROM PROPERTY TAX Np1'ICE) <br /> WQRK PROPQSED e NEW CONSTR 8 ADp1A�T � SiGN Q Q DEMO�ISH <br /> INSTALL REPAIR <br /> PRQPbSED USE Q SFR Q GQMM � QTtiER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRiPTiBN OF WORK ��G �� rR�� � 'rr'� �+^'ti"��• <br /> BUILDING SIZE � � SQ FOOTAGE�__� HEIGFIT [�`� <br /> QBUlLDING �u� ti/A�UATEON OF TOTAL CONS7RUCT10N <br /> ��ECTRICA[. $ AMP SERVICE ��t�. �~PROGREBS ENERGY Q W,R.E.C. <br /> „t65t�.�v� <br /> QPLtlMBlNG J�$ --� _i� <br /> L— �b`t/` <br /> OMECHANICAL $ VALUATlON QF MECNANfCA�INSTA�lATION 7�'► <br /> OGAS Q ROQFING Q SPECiALTY � OTHER <br /> FINISHED FLOOf2 ELEVATIONS �� FLdOD ZONE AREA QYES NO <br /> Bl1di.��t�� �. - - C�AtifTAPdI'- _ - -- - — <br /> - ---- --_ __. _`.__ ---- - -- <br /> SIGNATURE REGISTERED Y/ N FE�cuRa�n Y/N <br /> Address License# � � <br /> El.ECTRtClAA! r�t COMPANY �2.5�. ����'�'�1rGR,•� c�..L�t.G. <br /> SIGNATURE � V�""� REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrsss i"� � �... �J !33 License# �C- �f3t�l3'S 3 � <br /> PI.UI�]BER COl4�PATIY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# �� � <br /> MECHANICAL COMPANY <br /> SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> OTHER CQMPANY <br /> SIGNATURE RE�is7ERE� Y! N FEE CURREA Y/N <br /> Address License# �— u� <br /> REStDENT1AL Attaah{2)Piot Pians;{2)sets of Building Pians;{t)set of Energy Forms;R-Q-Vtt Perm�t for new canstrvction, <br /> Minimum ten(10}working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> C4MMERCIAL Attach(3}camplete sets of Buifdir►g Pians pEus a Life Safety Fage;('1}set of Energy Forms.R-Q-W Permit for new c.ansttuction. <br /> - - Minimum ten(10}warking�days after submiktal date. Reguired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> San(tary Facilities&1 dumpster.Sike Wa�k.,l?ermit for all new projects.All commercial requirements must�meet compliarice <br /> StGN PERMtT Attach{2}sets of Engineered Plans. ` . <br /> ""PROPERTY SURVEY required for all NEW conskruction. <br /> Dlrectians: , � - <br /> Fill out apptication campletely. �� ' . � <br /> Owner&Contractor sign back of application,nokarized �t f , f <br /> 1f aver$2Sd0,a Notice of Commancement is required. �{AlC upgrastes;ovef`:$T580)' , ; ! ' <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 COUNTEtt PERMI'f'1'ING {Pronf af Apptication Only}„, �- " °�-•° �_ - i...,, <br /> Reroofs if shingles Sewers Service Upgrades A/G�� = Fences:(Plat/Survey/Footage) , '� „ '`' ;� ` '° ' ,_ <br /> Driveways-Nat over Gounter if on publlc roadways..rteeds F2flW � - ? _� ' ` " ` ' ? ` { <br />