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813-780-0020 City of Zephyrhills Permit Appl'tcatian Fax-813-i80-0021 <br /> Building Department <br /> Date Re"r�Pived !� � �� � Phone Contact for Permittin ��� �� -- `"l��lJ <br /> - ...�.> <br /> Ow�er's Name W 1 t 1\Cl � '�I Y�.`(1�'� �'��� Ow+ner Phone Mumber <br /> Oeivvner's Address c.�J�� 1�',,�,� \ 5 l..��. Owner Phone Number �i � <br /> Fee Simple Titleholder Mame �- -� Qwner Phone Number �� � <br /> Fee Simple Titiehalder Address <br /> JOB ADDRESS �J�J �CG�,� �� L�� Z�-� t� Y�t��S� �"�.. LOT# [�� <br /> suad�v�s�oN � � PARCEL 1D# �o� "p� `"O�t - C���—C7C�.X�C�� C�E OC� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> HtfORK FROPOSED � NEW COtdSTR 8 ADDIAI.T � SIGPI Q Q DEMO�ISN <br /> INSTALL REPAIR <br /> PROP"QSEp tlSE Q SFR Q COMM � {}THER ' <br /> TYPE OF GONSTRUCTIQId Q BLOCK Q FRAME � S7EEL Q <br /> DESCRIPTION OF WORK I����`, �r lOi�)'�� \�(,.�.1\�� <br /> BUt�DiNG SIZE �� � SQ FOOTAGEC� ttE1GNT ���� <br /> QSUILDiNG � � ���UATIqN OF TOTAL CON5TF2UCT10N <br /> QELECTRIGA� �> � AMP SERVIGE Q PFtOG32ESS ENERGY Q W.ft.E,C. <br /> PGUMBING $ t.y.� <br /> �-�l.J ���� -� <br /> QNIECHANICA� $ � VALUATICIN flF MECHANlCAI iNSTALlATION <br /> QGAS Q RQOFlNG Q SPEC(ALTY � OTHER Gf f� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES Np � �v <br /> SUt�DER COMPANY <br /> SIGMATURE REGISTERED Y/ N FE6 CURRE� Y/N <br /> Address l.icense# �- � � <br /> ELECTRtClA(d � COMPANY <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 4.9cense# � � <br /> PLUMBER ����'�-'�lr.-�C..�..� �,�'"'�,� Ct}MFANY Q.�1�fllS l��I��C��.S �. I{`'�.Cl <br /> SIGNATURE REGISTERED N FEE CURRE� Y N <br /> Address `.�[C�v 41�� ��� �2Q�`\,�-l�t'}11�S��C.. �J.�{o1. l.icense# ��.1t-�t�`J(,QC�ai�� <br /> MECHAN#CAL Ct}MPANY <br /> SIGMATU6tE REGISTEftED Y./ N FEE CURRE� Y/N <br /> Address LRcense# � 1 <br /> QTHER COMPANY <br /> SIGRIATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address L'scense# � � <br /> REStDEiVT1AL Attach{2)Ptot Plans;{2)sefs of Building P1ans;(1}set of Energy Forms;R-O-W Fetmit for new constnactian, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Pians,Stormwater Pians wJ Siit Fence instatted, <br /> Sanitary FaclliUes&1 dumpster,Site Work Permit for subdivisionsllarge projects - <br /> C{iMt�1EF2C1AL Attach(3}camplete sets of Build9ng F?lans ptus a Llfe Safety Page;(1}set of Energy Forms.R O-W Permtt for new construction. <br /> Minimumten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silf Fence instalied, <br /> 5anitary FaciNties 8�1 dumpster.Site Work PermiYfor a!I new projects.AII cammercial requirements must meet campliance <br /> StGN PERMtT Attach(2}sets af Engtneered Plans. <br /> "`"PROPERT'Y SURVEY requi[ed for all NEW construction. <br /> �irections: ' � <br /> Fill out application completely. <br /> C}wner&Contractor sign back of application,notarized <br /> if over 52500,a Notice of Commenaement is required. (A!C upgrades over�7500} <br /> "" Agenk{for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIT7'{RiG (Front af Apptication.Only} � . ---. . - . � ,- -. � -�-_ �t � , <br /> Reroofs if shingles Sewers� °"Service_Upg�ades�A/C ,�� ,Fences(PIoUSurvey/Footage) ;°.� � � ' f ' ' , <br /> Driveways-Not over Counter if�on public rdadways..needs ROW 't ' ' ' ' ' ", -, <br />