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813-780-0020 City of Zephyrhills Permit Applica4ion Fax-813-780-0021 <br /> Building Department <br /> ID�te Receivedt Phone Contact for Permitting Q 1,3 a -- 3( { <br /> Owner's R1ame y-�C. — I'L �� �" L< < ,OQU�� 1y�5�i OvHner Phone Mumber p �l — ���'��0 5 <br /> Oxuner's e4ddress �p� � G C �o ba c 1�-- a'�� S l�"f3� � 0 Owner F'hone Number <br /> Scaffs < � <br /> Eee Simple Titleholder Mame Owner Phone tdumber <br /> Fee Simple Titleholder Address <br /> JO�ADDRESS � SS Cc !�P/�C't � ��1,. Chi ��S • 3 3 �y i �OT# �a <br /> SUBDINISIOR! GZ�� 1'G �4 K S PARCEL ID# o��(�-(o-�( —Q C7l�v - �d� d jj — �l� -�J l� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT �� SIGN [� 0 DEMOLISH <br /> INSTALL REPAIR <br /> �6tOPOSED USE Q SFR Q COMM � OTHER <br /> �YPE OF CONSTRUCTIOfd Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTIOfd OF WORK l��r a[,�'� � Ga�C(`�"� '6 lQ}�I3 5 <br /> BUILDIMG 51ZE D�C 13 ShC� SQ FOOTAGE f 0 HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �o odo.oa <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ` �2/�� <br /> � J <br /> � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �Q� <br /> � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER _ � <br /> FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> sU1LDER /��6� � ��� 1 COIWPANY (.(�,�$ '�t' L j'� L n(,�(,t.L <br /> SIGfdATURE G��� v REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �K��o d <br /> IEILECTRICIAM_ COMPANY <br /> SIGRIATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> a4ddress License# <br /> PLUAABER COAAPAMX <br /> SIGfdl1TURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL - COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPAMY <br /> SeGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDEMTIAL Attach(2)Plot 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 Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site VVork Permlt for subdivisionsAarge projects <br /> COMIMERCIAL 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 8 1 dumpster.Site Work Permit for all new projects.All commercfal requirements must meet compliance <br /> SIGM PERAlIIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SUftVEY required for all NEW constructlon. � <br /> Directions: - � <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,nota�fzed <br /> If over 52500,a Notice of Commencement Is required. (A!C upgrades over�7500) <br /> °• Agent(for the contractor)orPowerof Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> Ol/ER THE COUMTER PERMITTIRlG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(Plot/Sunrey/Footage) <br /> ,._._,v._..�..............._.__..._.. _.._. , .. <br /> �riveways-Not over Counte�°if on°public roadways..needs ROW �`�� ` � " "`- "'�"`°' �""""�°T�� -� --- - <br /> . . .�� .= .e .. . , :r -,`�� ' � - :.� : ,_ , �-... . '� <br /> � �'. ' � .., .�� , .. - ' - ' •• , , � <br /> . , . . '! , �« , :. . , . . � . � .. „ ., , _ " '; <br /> � .._.'..'_.,:.._,...__....._'__.�:..._ .� _.:_.'.:,_�_._._..:�__, ..__.__.:.._..__._._.:.. .__:r. ..� __ .__.._....._......��..._.., <br />