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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin -- <br /> Ouvner's Idame CQ j � L S Ouvner 6'hone Idumber �(3 - 7�y-�,� <br /> Oevner's Address ���3 W'E'� ��P� � p�'• � �ner Phone Nurnber <br /> Fee Simple Titieholder Mame Owner Phone tdumber <br /> Fee Simpie Titleholder Address <br /> JO�d1DDRESS T �� I I vl �� S'� I � � �%L. `�3 J � � �OT# �� <br /> su��ieisio� P Fi rs-� I�c�� PARCEL ID# i y-� �-�. I -00! 0 —��3 QU Ovg l� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MfORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> �ROPOSED U5E Q SFR Q COMM � OTHER <br /> '�YPE OF CONSTRUCTIO(d Q BLOCK Q FRAME 0 STEEL 0 <br /> D�SCRIPTIOM OF WORe( �rZ°z°�Tu✓�C� i V! S Yl L'� T- � �' �',- <br /> BUIILDING SIZE C � �C L �U SQ FOOTAGE � � � HEIGHT <br /> 0'�UILDING $ ii )v VALUATIOfV OF TOTAL CONSTRUCTION <br /> (�t/ <br /> QELECTRICAL $ :� _ . AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> �PLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � �" �� <br /> � <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO <br /> C <br /> BUI�.DER COMPAMY <br /> SBGfd�,TURE / REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��0 {"t�1 f` �r� Z�t ��S �L � ��� License# <br /> �&�ECTRICIAR! COMIPAfdY <br /> SIGfdATURE REGISTERED Y/ IV FEE CURRE� Y/N <br /> e9ddress License# <br /> PLUI!lIBER COMPAIdV <br /> SIGIdATURE REGISTERED Y/ I�I FEE CURRE� � Y/M <br /> �4ddress Lfcense# <br /> MIECHAMICAL COMPAIMY <br /> , SIGtdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> ' Address License# <br /> �4yE� COMPAIdY <br /> SIGRIATURE REGISTERED Y I I�I FEE CURRE� Y/I� <br /> Address License# <br /> RESIDERITIAL Attach(2)Plat Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facllities 8�1 dumpster;Site Work Permit for subdivisions/large projects <br /> CORAMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new proJects.All commercfal requirements must meet compliance <br /> SIGfd PERMIT Attach(2)sets of Engineered Plans. <br /> •"•PROPERTY SURVEY required for all NEW constructfon. <br /> Directlons: <br /> Fitl out application completely. <br /> Owner 8 Contractor sign back of appiication,notar(zed <br /> If over 52500,a Notice of Comrflencement(s required. (A,1C upgrades over�7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUMTER PERAAITTI(dG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> _.,�..._.. .._�. -.--..._.� - -•-. _,-_ ... <br /> Driveways-Not overCounter ifon public roadways..needs ROW � _ , <br /> , �` ., ,. , ,_ _ <br /> fi" _ . . . .,, . , _ . „ <br /> . • � . <br /> , � , • •- . _ ' ___-.: _:_ .._ __- -- ._ .-; <br />