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813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> pate Eteeeieed Phone ConQact for Permitting /3 ��g -- ���'7 <br /> Owner's fdame � � �. (�h i l�,s ` f d nj S• Owner Phone Mumber <br /> Ouvner's Address 3 � k �� ` ( ��- �vvvner 6'hone idumber <br /> �ee Simple Titleholder R1ame Ouvner Phone Rlumber <br /> IFee Simple Titleholder Ad�ress <br /> .�o�a�o�oR�ss 3 9Y S� � ��F� �v�e . �Z �,i �S � 3 �k 1-- Lo�# � <br /> SUBDIl�I�IOfd �AARCEL!D� <br /> (OBTAIfdED FROAA PROPERTY TAX IdOTICE) <br /> l�4�EtGC PROPOSED B NSTALLSTR 8 REPAIR � SIGfV Q Q DENIOLISH <br /> �6iOPOS�D USE Q SFR Q COf1AM � OTHER <br /> �1f�E OF COIdSTFtUC'TIOM Q BLOCK Q FRAME [� STEEL �] <br /> ��scrai��so�oF�rora� 0 UP dlr� <br /> �UI0..�IR1G SIZE S� X �o S(d FOOTe�GE 3.3� Ii�IGHT <br /> OBUILDIMG $ a �G �Q VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY 0 W.R.E.C. <br /> QPLUMBING $ � ; I ��� <br /> � C� ����l�, <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOfV � �,� ,+,,,,,,� <br /> Iv�xL� <br /> FIiVISH�ED FLOOR ELEVATION� ROOFING Q FPECIALTY 0 OTHER � �p�,�`�� <br /> LOOD ZONE AREA QYES NO a CCi� <br /> 19UILD�R rr Y�� CORflPAfdY �l I•G��t�TZ° �GLCl�2/�'lU6w <br /> SIGMATURE /��%�� � REGISTERED Y/ IV FEE CURRE� Y/N <br /> �4ddress License# �d � 7 � <br /> �LECTRICIAfd OI�IPAfdY iG <br /> SIGtd�1TURE REGISTERED Y/ IV FEE CURRE� Y/IV <br /> �lddress License# -°� - <br /> �LUAfl�EFt CORAPo4fdV <br /> SIGid41TURE REGISTERED Y/ N FEE CURRE� Y/N <br /> e4ddress License# <br /> RAIECHAtdICAL COIYiP�lidY <br /> �IGWATU6tE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> O�'HER CO{lAPAMY <br /> �IGRIATUR� REGISTERED Y/ M FEE CURRE� Y/I� <br /> �ddress Ucense# <br /> R�SID�R�TI41L 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 Work Permit for subdivisions/large projects <br /> CORAiViERCIAL Attach(3)complete sets of Building Plans plus a L(fe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construc8on. <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 commercial requirements must meet compliance <br /> SIGfd PERMIIT Attach(2)sets of Engineered Plans. <br /> °'""PROPERTY SURVEY required for all IVEW construction. <br /> Direct(ons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,nota�ized , <br /> If oeer$�500,a fdotice of Commencement is required. (�UC upgr�des over�7300) <br /> •" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OdER THE COUR!'PER PERMIITTIfdG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counte�if on public"roadways::needs RO,W _ � " �`-�'"- �� -— �• - <br /> ' • . � . _ .. , , ,:: � � _ <br />� <br />