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813-780-0020 City of Zephyrhills Permit Application Fax-s��-�saooz� <br /> ' Building Department <br /> • Date Recelvad phone Contad for Pertnittin <br /> OwnersName ���I�L� `5�n��� N<<"�v��'1C� OwnerPhoneNumber U��`O^fJ-�OS� <br /> Owners Address J���`"7 ����� 7��i Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Slmple TlUeholder Address <br /> JOB ADDRESS ���T' N�U K�� �v�' LOT# �SS <br /> SUBDIVISION ��`�� �K-���'� PARCEL ID►F ,7�'1�2 S�C (+. D� D-(� O <br /> (OBTAINED FRON PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �vl��' ��k U�L- G�✓�'vlTV�VT <br /> BUILDING SIZE SQ OOTAGE I J5?j HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMPSERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> QPLUMBING $ �^ r7 � <br /> fL/ <br /> �MECHANICAI $��j/ �-,_ VALUATION OF MECHANICAL INSTALLATION �, <br /> O l.!/J <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N �e cuwtEn Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE �tEelsi�o Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE aecls�en Y/ N F�cuarsen Y/N <br /> Address License# <br /> MECHANICAL COMPANY � (��hlT�f��)I�I ��G . <br /> SIGNATURE � rtEGiSrer�o / N �Curu�n Y N <br /> Address �2 �. 12 ���� STe�E ✓ �� License# Ci�2 PJ�Q� <br /> OTHER COMPANY <br /> SIGNATURE Re�IST�o Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIt1111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consUuction, <br /> Minimum ten(10)working days after submittal date. Required onstte,CansWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit far subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Li(e Satety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)xrortcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets af Engineered Plans. <br /> "'•PROPERTY SURVEY required for all NEW construction. <br /> Directlons:• <br /> Flll out application completely. <br /> Owner 8 Conhactor sign back ot application,notar¢ed <br /> If over 5z500,a Notice of Commeneement is required. (AIC upgradas over E7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarfzed letter from owner authoriang same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A1C Fences(Plaf/Survay/Footage) <br /> Drlveways-Not over Counter ff on public roadways..needs ROW <br />