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813-780-0020 City af Zephyrhills Permit Application Fax-813-780-0021 <br /> � <br /> Building Department <br /> , <br /> Date Received �'�! — ,��j --��(��� phone Contact for Permttting ��� ��� - � ��� B��'4��' <br /> Owner's Name �kY DIU E CirY jIJ�� Owner Phone Number ���° 7g�r����l q <br /> Owner's Address �Zy� '������� �`��" Owner Phone Number � � <br /> Fee Simp e Titleholder Name Ct� d�������'�"j�� ���pa ) Owner Phone Number � � <br /> FeeSim IeTitleholderAddress ���� Cl� S�. Z�QF�Y�-�'�'ICL�' �.- .�.�.5��. <br /> JOB ADDRE58 �'ZtI I SK i b�V� ���• �Z���I�JZ.�1CLcS �FU 335�l Z LOT# �_� <br /> SUBDtVIS10N ��_ � PARCEL ID# ��°����p���~p�������� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK Pi20POSED NEW CONSTR ADDIAIT � SIGN Q � DEMOZISH <br /> INSTALL REPAIR <br /> PROPOSEd USE � SFR � CC}MM � OTHER <br /> TYPE QF CONSTRUCTION 0 BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WQRK ��mDi�� �£j��f1� FX/S7"/�� (.,f����J'�.�'' cSl�� �O t�C/�j ICn�,5'�''N�- <br /> BU(LDiNG SIZE l� X Z�r � SQ FOOTAGE ��� HEIGH7 r�r�r <br /> BUI�D3NG $l1 �,L� VALUA710N OF TOTAL CONSTRUC �N <br /> 7 <br /> .L��'1.... <br /> �E�ECTRICAL $ ����p�„_� AMP SERVICE d�jj PROGRESS EhlERGY Q W.R.E.C. <br /> �.�t�sr��� <br /> ���u�B�N� � <br /> �� ��',E�is�r��'� o�t� �i��1 sr��' i^eTV ��riL�tf�'� �X,00�� <br /> �MECHANICA� � � VALt1AT10N C?F MECHANICA�tNSTA��AT10N ���,� <br /> �Rljt/��� <br /> �GAS 0 ROOFIt�1G Q SPECIA�TY �� tJTHER ,-''� � �� ` �G� <br /> ��� <br /> FINISWED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES NO C,./ �"" ,.� � <br /> �/.e.E.�E/�`',.. � �/�� <br /> •,(„� f <br /> BUILDER �G%" � � � l..✓•°�''�„' COMPANY �A�'ilK '�!/tfi3�.�C:'7Jl7+L�1, //if�:p <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address -3/� �'1�"� t%1JZs .Z�Y�ZS�. 33�`f"Z License# C�G G►�/�d�j � <br /> ELECTRICIAN �� xf G `�COMPANY �C.��✓�-<�- �I IZ L,jr�%j J�' <br /> SIGNATURE !�� � REGI$7ERED Y/ N FEE CUFtF2E� Y/N <br /> Address License# �� � <br /> PLUMBER � CBMPANY <br /> SIGNATURE p � " REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �_ �� <br /> MECNANICAL _- '/�� COMPAi�tY <br /> 51GNATURE �° REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# � � <br /> C}THER � � COMPAFIY <br /> SIGNATURE _ REGISTERED Y/ N pEE CURRE� Y/N <br /> Address License# �� � <br /> F2ESID�NTIA� 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,Cpnstruction Plans,Stormwater Plans w/Silt Fence installed, I <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsHarge projects <br /> COMMERCtAt.. Attach{3}complete sets of Building Ptans plus a Life Safety Page;(1}set of Energy Forms.R-O-W Permit for new consttvction. <br /> Mintmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilifies&1 dumpster.Site Work Permit for all new projec#s.All cammercial requirements must meet compiiance <br /> StGN PERMIT Aftach(2)sefs of Engineered Plans. <br /> '•'«PROPERTY SURVEY required for all NEW construction. <br /> Directiqns: <br /> Fill aut application campletely. <br /> Owner&Contractor sign 6ack af application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> '* Agent(for the conttactor)or Power of Attorney.(for.the owr�er}would be someone with natarized letter from owner authorizing same <br /> OVER 7HE COUNTER PERMI'1?ING ,(Frant of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurveylFootage� <br /> Driveways-Not over Counter if on pubiic roadways.,needs ROW <br />