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813-780-0020 City af Zephyrhills Permit Application Fax-813-780-0021 <br /> , Bu3lding Departrttent <br /> �� <br /> Qate Received r�� ��{ ��0 S Phone Contaat far Permitting �5`'{�1 — �� 3 <br /> pwner's Name �Q�'dt�s+� (,�ritS Owner Phone Number o{� '� � 2{3°( <br /> Owner's Address � � Q,n 2. 1-. Owner Phone Numbsr y <br /> Fee Stmple Titlaholder Name Owner Phone.Number � � <br />, Fee Simple Titleholder Address <br /> JOBACIDRESS J$��`� II¢HV2 r I.OT# � <br />� $UBDIVISIOtd r � PARCEL ID# (� "' ��IJ"' �� '-� �l7 � Q�QC7 �' U <br /> (OBTAINEd FROM PROPERTY TAX NOTICE) <br /> I W4RK PROPOSEd � NEW CONSTR 8 ADD/AlT C� 81GN Q Q DEMOLIBH <br /> INSTALL REPAIR <br /> i <br /> PROPOSED USE Q SFR � GOMM C� Ql'HER a�ih int� <br /> TYPE OF CONSTRUC710N Q BLQCK Q FRAME � $TEEL Q <br /> DESCRIPTION OF WORK ��sl� b� Cinctlh �hk • E'yl[c, u�' � K L �0� ��h cs�2 � k.���rtl an �{� X D <br />' BUtLDtNG SttE �� � SQ FOOTAGE C__� HEIGHT t � <br /> �����'���� $ �}nU�'� VAIUATION OF TOTAL CONS7RUCTtON <br /> �v �., <br /> �E�EGTRICA� � � � AMP SERVtCE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING � � <br /> OMECNAMCAL $ VA�UATION OF MECHANICAl.IN3TA��ATION � t � <br /> OGAS Q RQOFING Q SPECIAITY � OTHER <br /> FINISHED FLQOR ELEVATIONS � FLOOD ZONE AREA [�YES NO <br /> BU[�DER � � COMPANS' VCt�Q�— <br /> SIGNATURE f{I �r _ REGISTERED Y/ N FEE CURRE� Y/N <br /> � ... <br /> Address License# �� � <br /> EIECi'RICIAN COMPANY <br /> ', SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> � Address License# �— � <br /> �,....,_ .., <br /> ( P�t!l1IIBER � COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> MECHANICAL CQMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � �� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> RESIDENT}A!. Attach(2}Ptat Pla»s;(2}se#s�of Bailding Plans;(1}set of Energy�Forms;R-Q-W Permit far new constrvction, <br /> Minimum ten(10)worlcing days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faci�ities&1 dumpster;Site Work Permit for subdivisfonsAarge projects <br /> CQMMERCIAL. Attach{3)t�mplete sets of Su3tding Plans plus a E.ife Safety Page;{1}se#of Energy Famts.R-Q-W Permit far new conshuction. <br /> Minimum ten(10)wa�lcing days�after submittal date. Required onsite,Construction Plans,Stormwater Plans w/8ilt Fenae installed, <br /> Sanitary Facilities&1 dumpster.Sits Work Pertntt far all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach{2}sets of Englneered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dlrectla»s: <br /> Fill out applicaUon complekely. <br /> Owner&Cantractor sign back of appltcatlon,notarized <br /> If aver�2500,a Nattce af Cammencement is required. (AIC apgrades avar 3T540) <br /> '" Agent(for the contractor)or Power of Attamey(for the owner)would be sameone with notarized letter from owner authorizing same , <br /> dVER 7HE COUNTER PERMI`fTiNG (Fmnt of ApplECatian Only} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foo#age) <br /> Driveways-Not over Counter if on publtc roadways..needs RdW <br />