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fi13-780-0020 City of ZephyPhills Permit Application Fax-813-760-0021 <br /> Building Department . <br /> �a��6dec�eiv�d Phone Contact for Perml4ting -- <br /> � <br /> �? 1 � <br /> �w�ser°sii9�me Tf'�� ��C'b /°1�P �v �/-K `�G Owneo��honei�urrob�P ��3 "' ��� -'���� <br /> �weseP's�Ade9ress "1�3 �'i ne 11�1L5 �vw=~��•/IP�•���1 Ouun�a•Pnone Wumber <br /> 'T�.rro� � ����-33-71 <br /> ����im�l�Titleholder Name r Owner�hoese Pluersber <br /> I ����ianpl��itleholder R�dc�ress <br />� .�o�aa���r�ss 37q3� �a�'` U� � ' � LOT�B � <br /> �U��Y!/i:�if.Bf19 �- - ��1RC�L�D�C -- <br /> (09YAIPdED FROM P4�OPERYI(TAX P10TICE) <br />� ������t������ � �IiVSTALLSTR B �tP AR , � SIGN Q Q DEMOUSH <br />'I ��dO�OSfE�l9SE c� SFR Q COMM � OTHER � <br /> 'PY�I�OF CORlSYfftl3CY00P� � BLOCK Q FRAME � S"fEEL 0 - <br />� ���c�a��so�o��vo�a�c � G Ch�.v�� ��.-1- .� �o n l��cKoV� C�S'�r�,�;9��-C� I ' <br />' �us��a��soz� �- � �c��ooY�,��� o-��e��� <br /> � <br /> �BUILDING 3� VALUATIOfV OF TOTAL CONSI'RUCTIORI <br /> �ELECTRICAL $ AMP SERVICE [� PROGRESS EfVERGY Q W.R.E.C. <br /> �PLUMBING $ /( <br /> ��5 t� <br /> �MECHANICAL � VALUATION OF MECHANICAL INSTALLATION ,�` �' <br /> 3, f4d ��� <br /> �GAS Q f200FING Q SPECIALTY � O'fHER <br /> FINISHED FLOOR ELEVATIOMS FLOOD ZONE AREA QYES NO <br /> F�ii-t�' <br /> �&91LDI�� � COfUiPB1RIY � <br /> 56�4�9���1�� REGISTERED Y I nI FEE CURREfi r Y/N <br /> Ra¢�c9res� License# <br /> [�L�CVff29�CIA�9 � CO@li&�AIdV <br /> �IQ's1�t�T11R� REGISTERED Y/ P�I FEE CURREP Y/N <br /> �,c9do•ess �- License# <br /> ��UM��93 � COflflPP+NY <br /> �6C�xRN�a��91R� REGISTERED Y/ N FEE CURRE� Y/�I <br /> �ac9da�ss License# <br /> I flfdfEGH�,WUC/8L CO4Ui�.�PdY �I I_.�=G� /TL(� �t I1�f� (d� � �-'Ci <br /> �������(F$� _ l' REGISTERED N FEE CURRE� Y/N <br /> ��do•ess y�� � U� � 1�Qc� �-/ � License# C�/T��g / ; <br /> ��o-a�� co��a,n�v � <br /> �Q���y�ff$� REGISTERED Y/ N FEE CURRE� Y/I�I <br /> �,�gdo•��� Licens�# � <br /> 68��UD[EWTI�,L Attach(2)Plot I'lans;(2)sets of Building Plans;(1)set of Energy Forms;fi-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 Facllities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> �OflfllfllE�.Ci�,@. Attach(3)ccmplete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worl<ing 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 compiiance <br /> �9GP�.��fft6UiBY Attach(2)sets of Engineered Plans. <br /> "°°PROPERTY SUFtVEY required for all NEW construction. <br /> �ir�cklo�es: <br /> i Fill out applicaGon compl�etely_ �� ` �- � <br /> Owner�Contractor sign back`of'application,notarized <br /> iff ov�er$2500,a fdotice off Comiv�encemenQ(s requ0r�d. (AIC upgr�des ov�r$750m) , <br /> *" Agerut'(for the contrac4or)or Pmwer of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> p!lEf�YOi�COUtdYE�!PEB�AAITYIP�G (Front of Application Only) . <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> �Piva=.wa,ys-Not over Counter if on public roadways..needs ROW <br />