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813-780-002(� Gity of Zephyrhills Permit Application Fax-813-780-Q021 <br /> Building Department <br /> r <br /> Date Received Phone Contaat for Permitting ��f� �(�f0 — � ��� <br /> Owner's Name C7 hJ iC/ � i° I� � /�G� e�/',f Owner Phone Number lD/ � " �����rj� <br /> Owner's Address � �, f �f� ��-° �l }'Nj�� dwner Ptione Number �� � <br /> Fee Slmple Titl�halder Name Owner Phone Number �Y � . <br /> Fee Simple Tltleholder Address ° <br /> J08 ADDRESS ��j L�,� " y^ I rc N �E�/�� �r��!j�✓ LOT# U7. '� <br /> suea�v�sioH ��,�,.-u 1� �a i.,��� ra�cE�.ia# oZ��-���'�l-v��r3� o a o 0 0 �-d('i..S�c� <br /> (OBTAINEd FROM PRBPERTY TAX NdTICEf <br /> WORlC RROFQSEQ NEW COHSTR ADDlALT � StGN Q Q DEMOLISH <br /> e INSTALL � REPAIR <br /> pROPOSED USE [�] SFR [� COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEE� Q <br /> DESCRIPTION OF WORK �U ��'1 !���{ � t� �i.,! <br /> BUlLQING StZE �:3� ��G � SQ FOC►TAGE .�I rv HEIGHT ��� <br /> Q BUILDING $ �� O a�.�� �ALUATtON OF TQTAL CONSTRUCTION �1���3 <br /> 1� <br /> QELECTRICAI. ($ i�� AMP SERVtCE Q PROGRESS ENERGY [� W.R.E.C. <br /> � <br /> QPLUMBING �^-� � <br /> QMECHANICAL $ VALUATlON QF MECHANICAL IN37ALLATION � r��S��� <br /> ��U <br /> [�GAS Q ROOFING Q SPECIALTY �� O7HER , <br /> FINISHED FLOCIR ELEVATIOh1S �� FLOOD ZONE AREA QYES NQ <br /> BUII.DER � � d �pMpqH�. <br /> SIGNATURE � �Yf/'CQ � ��� REC�ISTERED Y! N FEE GURRER Y 1 N <br /> Addre$s License# �— � � <br /> ELECTRICIAN J^' ` �� p � ��Jy�p�Y j�'�,7 Jy,j�'' '� <br /> SIGNATURE ��CJ��y'�?i(..2 ��C�-fJ""� REGISTERE4 Y! N FEE GURREP Y Yly <br /> Address License# I � <br /> � � <br /> PWMBER '' • COMPANY G� � hl�'"1� <br /> 31GNATURE / REGISTERED Y! N PEE CURRE� Y/N <br /> Address License# �! � <br /> MECHAIdICAL r:`_ <y��--� �,{ (� �" �p{y}ppHy <br /> SIGNATURE a�)i``' , �'"I� REGISTERED Y/ N FEE cUt�ttES� Y/N <br /> Address License# � �� <br /> OTHER COMPANY <br /> 81GNATURE REGISTEREb Y/ N FEE CURRE� Y/N <br /> Address --- -4 - License# � �� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permlt for new canstruction, <br /> Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> 5anitary FaciEities&1 dumpstee,S(te Work Permit for subdivislonsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Llfe Safety Page;(7}set af Energy Fotms.R-Q-W Permit Fo�new canstructian. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construc#ion Plans,Stormwater Plans w/Silt Fence InstaAed, <br /> 8an3tary Paciiities&1 dumpster.Site V{lork Permit for atl new projects.Aii commercial requirements must meet compliance <br /> SIGN PERMIT Attach{2)sets of Engineered Plans. <br /> ""PROPER7Y SURVEY required far all NEW construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractar sign back of application,natarized <br /> If over 52500,a Natice of Commencement is requlred. (RtC upgratdes over�T540} <br /> '" Agent(for the contra�tor)or Power of Attomey(for the owner)waold be sameone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTlNG (Front of Applicatian Qniy) <br /> Reroofs if shingles Sewers Service llpgrades A/C Fenoes(PIotJSurveylFootage) <br /> Rrtvaways-Not aver Gounter if on pubitc roadways.,needs ROW <br /> � <br />