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813-780-0020 � ' Fax-$13-780-0021 <br /> City of Zephyrhills Permit Application <br /> B Itding Depattment <br /> Date Received .- �2.-' � 'Phone�Conta for Permittin <br /> owner's Name +�v��.,��-�!�W1. �'��.�SS I Owner Phane Nomber ��7 `Z�����`'1' <br /> Owner's Address ���� ��a��y�`-'L'� �J � Owner Phone Number ��� ��' / "�53�� <br /> Fee Simple Titleholder Name r - I � Owner Phone Number � � <br /> � <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �VDZ� �+''�-Si�y'� �7� LOT# C� <br /> SUBDIViS10N �7��,iLtf"ti �.�"f_t� PAR IEL ID# ^Z-�°2-�-tX`��`''�"C��'"�''Ltti- ``p(`'`' <br /> .4 <br /> (OBTAINED FRdM PROPERTY TAX NOTICE� . <br /> WBRK PROP08ED , e NEW CONSTR� ADD/�LT Q SIGN [� Q DEMOf.ISH <br /> INSTALL REPqIR <br /> PROP{}SED USE Q SF12 Q CflM� 0 oT�E� <br /> TYPE OF CONSTRUCTION Q BLOCK [� FRAfu�E [� STEEL Q <br /> DE3CRIPTIdN OF WORK f� X.2-� ���R-�'� �'��� - <br /> �.c {�'T <br /> BUILq1NG SIZE � � SQ FOOTAGE �``f" HEIGHT �_�____ � <br /> i <br /> S�'���fi' • � "��� ��' VALUATIO' OF TOTAL COWSTRUCTiON <br /> � <br /> QEl.ECTRIGAL $ ��� AMP SER CE Q PROGRESS ENEFtGY Q W.R.E.C. <br /> QPLUMB�NG � ._, j �� � ; l �o�[� <br /> QMECHANICAL $ VA�UATIQN t�F MECHANICA�INSTA�tAT10N � <br /> , - � � � <br /> Qc�as � Roa�i�tG Q SPECI�t�nr � o�H�r� . <br /> FIIVISHED FLOOR ELEVATIONS FLOOD ZONE Af2EA QYES NO <br /> � _ <br /> BUI�DER � �� � C�MPANY C�%�1���` <br /> SIGNATURE RE�ISTERED Y/ N FEE CURRE� ,Y/N <br /> Address � Llcense# � � <br /> El.ECTRICIRN ' C �MPANY <br /> SIGNATURE RE�ISTERED Y/ N FEE CURRE� Y/N <br /> Address � Ltcense# �— � � <br /> P�UNlBER C MPANY � <br /> SIGNATURE ReGISTeRED Y/ N FEE CURRE� Y/N <br /> i <br /> Address I - License# �� � � <br /> � - <br /> i MECIfANICAI. COIMPANY <br /> SIGNATURE RE I$TERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address. ' � License# � � <br /> I <br /> OTHER COMFANY <br /> SI(3NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address � Ucense# �— � <br /> RESIpENTiAL. Attach(2)Pbt Plans;(2}sets.ofBullding Plans;{1}set of Energy Farms;R-O-W Permit for new canstruction, <br /> Minimum,ten(10),working days after submittal dake. Required anslte,ConstrucBon Plans;Stormwate�Plans w!Silt Fence installed, <br /> Sanitary Fadlides,&r1,dumpste_r,Site_Work:P.ermit for s�bdlvislans/large proJects . <br /> COMMERCIAI. Attach{3}c�mplete se#`s of Bultil3rig Plans plus a l.ife Safety Page;{1)set of Energy Forms.R Q-W Petmit#or new constsuctlan. <br /> Minimum ten(10)working days afker submlttal date. R�`qulred onsite,Gonstrucdon Plan&,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facil[Ues&7 dumpster.Site Wark Permlt for all new proJects.All commercial requlrements must meet camplfance <br /> SIGN PERMIT Attach{2)sets of Eisgineered Plans.._. ° <br /> . . •`•'PROPERTY SURVEY required for all NEW conshu tlon. <br /> dlreatlans: ,, <br /> Fill out applicatian completely. <br /> Owner&Contractar stgn back of appiica8on,naWrized <br /> If over S25d0,a Natice af Gommencement Is required. {A/C upg des over;�3o0) ..,.,.�_-.:..:,�.,..�..�.:.,._�,R..�..�..:.. ,,....,. _, <br /> '• Agent(for the cantractor)or Power of Attomey(for the owner)would be someone with notarized letker.from owner aufhorizing�same' . '� <br /> DVER THE Ct3tlNTER PERMITTING (Front of Apptication flnly} . ' . . , ,: r ' , ' <br /> Reroofs If shingles Sewers Service Upgrades AIC Fences �PIoUSurvey/Footage) � � ' � <br /> Drivsways-Not aver Caunter if on public roadways..needs ROW <br />