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i . ' 813-780-0020 City of Zephyrhills Permit Application Fax-8�3-780-0021 I <br /> Bulding Departmenl <br /> Date Recelved Phone Contact for Permfttin ��3 7�� — ��"Jot 17 <br /> OwneY's Name � /V/�� h-7 Owner Phone Number 3,5 d-' �.�7��D��' <br /> Owner's Address ��• � sa'S�— Owner Phone Numtier <br /> Fee Simple Titlehoider Name /�/� Owner Phone Number <br /> F¢e Simple TlUeholder Address <br /> JOB ADDRESS � � YJ� " 1 CJL �:� 'L�Y� 7✓-� � <br /> SUBDIVISION 1 ,� PARCEL ID# <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �Q �GLI�.- � � � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING S �/ ^ VALUATION OF TOTAL CONSTRUCTION <br /> `V <br /> QELECTRICAI $ - AMP SERVICE Q PROGRESS ENERGY q W.R.E.C. <br /> �PLUMBING $ �� r� <br /> � l <br /> I QMECHANICAL $ VAIUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVA710NS FLOOD ZONE P,REA QYES NO <br /> ' BUILDER � COMPANY �� S G�Q�R/� CQt�� . , <br /> SIGNATURE aE�IS7�D Y/ N � ��CUa n Y/N <br /> Address � p/� � � 3�� Llcense# L— � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTFRED Y/ N �cuttrtEn Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N �e cuw�n Y/N <br /> Address License� <br /> MECHANICAL COMPANY <br /> SIGNATURE r�cisrEaEO Y/ N �CURr�n Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTFRED Y/ N �cuwtEn Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 t 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 . <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)sel of Energy Forms;R-O-W Pertnit for new consVuction, <br /> Minimum ten(10)working days after submftlal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Sift Fence installed, <br /> * Sanitary Facilities&1 dumpster,Site Work Permit Tor subdivisionsAarge praJeds <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fomu.R-O-W Pertnit for new construction. <br /> Minimum len(10)working days after submittal date. Required onsile,Construdion Plans,Storrmvater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster.Site Work Pertnit for all new projeds.All commercial requirements must meet compiiance <br /> SiGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPER7Y SURVEY required for all NEW construction. <br /> Dtrectlons:• <br /> F�I out application completety. <br /> Owner&Contractor sign 6ack of appiication,natarized <br /> • If over 5z500,a Notice of Commencement Is required. (A/C upgredes over 57500) <br /> " Agerri(far the contrdctor)or Povrer of Attomey(for the ovmer)woWd be someone with notarized letter from ovmer authorizing same <br /> OVER THE,COUNTER PERMI7l1NG (Front of Applicalian Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />