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813-780-0020 City of Zephyrhills Permit App(ication Fax-8i3-780-0021 <br /> ;r • Buitding department <br /> ., , <br /> Date i2eceived Phone Con#act for Permitting �� �� � -���� <br /> , .��350(� �`�' �er Phone Number ��`�I�^�c�! �,[ <br /> Owne�'s Name �G. � ��,,Qw <br /> Owner's Address ���� � � y c�'� +- �/'�7wner Phone Number <br /> Fee Simple Titleholder Name � � Owner Phone Number � �� <br /> I <br /> , <br /> Fee Simple Titlehalder Address <br /> ���Aao��ss ��� �6 �c:. �� �.� � � f j ��- �oT# �� <br /> SUBDlVIStON �i � PARCEL ID# <br /> ! (09tA1NED FRQM PROPERTY TAX N07tCE) <br /> , <br /> WbRK PROPOSED NEw CONSTR ADDlALT �] S(GN Q � DEMOLtSFt <br /> � e INSTALL � REPAIR <br /> PROPOSED�U8E Q SFR � COMM � OTHER <br /> TYPE dF GONSTRUCTION BL.00K Q FRAME [� STEEL Q <br /> ' /^�� a.. (�'v- �'c�ov�- <br /> DESCR{PTiOFi OF WQRK LSE) tl` �� <br /> Bt11LD]NG SIZE L�V /l��C.� � SQ FOOTAGE I �� HEIGHT �P� <br /> °�BUILDING $ �"? �{��Q� VALUATION OP TOTA�CONSTRUCTION <br /> C3L ���+ _ <br /> [�/ ELECTRICAL $ / " •� AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. <br /> r � <br /> QPLUMBING � � ��`1 ��`JI� <br /> �� l <br /> �MECHANICAL $ I j �/1 VALUATION OF MECHANICAL INSTALLATIQN �� � �r� <br /> t� � _ � ..� <br /> OGAS Q RQOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA C]YES NO �lJ (�� <br /> � � <br /> BUILDER T ,� ,{ ��COMPi4NY lt.x�l!^ I�.�rc,� �O✓� •5 U(� l� � <br /> SiGNATURE �v REGISTERED Y/ N FEE CURf2E� Y!N <br /> Address ��?/�-� � Y ��`s-1 L • License# ��J-�- �����T/ � <br /> � \ . ��'�. <br /> ELECTRICIAN � Q�COMP�4f+tY � � � � �b �� <br /> � <br /> SIGNATURE � ` REGISTEREQ Y/ N FEE CURRE� Y!N <br /> Address License# � ��� <br /> PLUMBER � � CONIPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � `—T.�� <br /> "�'��,�c,-� -� <br /> SIGNATtlRE °'r'�`�. ��� " �i �O ' �CQMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrgss l.ieense# � `� <br /> OTHER ' COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �^ �� <br /> RESIDENTIAL Attach(2)Plot Plans;(2�sets af Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimutn ten(10}working days after submittal date. Required onsite,Construction Plans,Starmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisianstiarge proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-Q-W Permit for new constru�ttan. - <br /> Minimum ten(10}working days'after submitta�date. Required onsite,Constnrction Plans,Stormwater Plans w!Silt Fence installed, <br /> San3tary Faciiltiss&1 dumpster.Site Vitork Permit for ali new projacts.AtI cammerciai requirements must meet comptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> «•"PROPERTY SURVEY required for all NEW construction. <br /> Directians: <br /> Fitl out apptication completely.. <br /> Owner&Canttactar sign back of appl3catEon,notarized <br /> If over�2500,a�lotice of Gommencement is requfred. (AtC upgrades over$7500) <br /> '• !{qent(for the contractor)or Power of Attomey(fot the awner)woutd be someane with no#arized letter from awrier auttioriiing same°-`'` " " `� ` ;==•4 <br /> OVER THE COUNTER PERMITTING (Front of Appiication Oniy) ✓ � ' • _ . °_ . .. , ' � <br /> Reroofs if shingles Sewers Senrice Upgrades AfC+;� Fences(PfobSurvey/Footage) " t - ` ... . . . � _ . <br /> Driveways-Not aver Caunter if an pubt}c roadways..needs ROW F `..°._. _....�.° .._ <.... ... .......�,, .r;�,,.h <br />