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813-780-0020 City of Zephyrhills Permit Applicatian Fax-813-T80-0621 <br /> Building Department <br /> , • a <br /> Date Received phone Contaat for Permitting - <br /> Owner's Name �n� ����'"� �e.���-' Owner Phone Number a�3��3�'6$`�g <br /> Owner's Address S��Z 26�" -�j`�Y"t"'t'k Owner Phone Number � � <br /> Fee Simple Titleholder Name �- � Owner Phone Number �- � <br /> Fee Simple Titleholder Address <br /> JOB ApDRESS 'Jr���• �,d`�% �-�'. � ��pht�✓�'ii{ta l �Z- 33 J`�'�Z L,OT# ��� <br /> SUBDiVIS10N �� ��� � PARCELID# �Z"y��'� 2t-' �iZ �°b- ap� �a � a�Z�} <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WQR1C PROPOSED e NEW CONSTR e ADDIALT � StGh! Q Q DEMOLISH <br /> INSTALL REPAIR �^' �-�b�n� <br /> PROPOSED USE Q SFR Q COMM 0 QTHER <br /> TYPE OF CONS7RUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION dF WORK �� v-�'� �"`�' �'�'rda.� {ft' S�• �i�+'"'�v ��r�`��c 30 <br /> BUILDING SIZE �— � SQ FOOTAGE[__� HEfGHT [�� <br /> QBUILDING ��' ��-- � VALUATION OF TOTAL CONSTRUC710N <br /> QELECTRICAI. � AMP SERtltCE � PRQGf2ESS ENERGY [� W.F2.E.C. <br /> OPLUMBING � � <br /> �NIECHANIGAL. $ VAWATtON OF MECHANICA�INSTAL[ATIQN j �� <br /> 1 � <br /> [�GAS � RC?OFtNG � SFECIALTY � OTHER <br /> FINISHED FLOCIR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# � � <br /> ELECTR1CfAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# � � <br /> PLUMBER COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> _,,.—_—,......,,.—_,,._ <br /> Address License# �— u � <br /> MECHANICAL. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUFtFtE� Y/N <br /> Address License# �_ � <br /> OTHER � � � (� � COMPANY � �� �`}`��'� , ��' <br /> SIGNATURE �I _� REGISTERED Y N FEE CURI2E� /N <br /> l..X.x--- <br /> . -- Address�_�4?��3 5�'r-��(-�'-�rhiits� �'L.. 335�( --_ _ . - - -- ---- C��-{32550 --� --- <br /> License# - �" <br /> RESIDENTIAL Attach t2)Plat Plans;(2)se#s of Suitding P1ans;(9}set of Energy Forms;R-O-W Permit far new construotion, <br /> Minimum ten(10)warking days after submittal date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faci(ities&1 dumpster,Slte Work Permit far subdivisionsliarge projects <br /> COMMERCIAL Attach(3)complete sets of Buitding Plans ptus a�ife Safety Page;(1)set of Energy Farms.R-O-W Permit for new construction. - -- <br /> _ Minimum ten(10)�working days afier submittal-date:-Required onsi4e,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> � Sanitary Facitities&i dumpster.Site Work Permit for al(new projects.ASI commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contraetor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A!G upgrades over$750p) <br /> "* Agent{for the cantractor}or Power of Attamey{for the owner}wouid be someone with notarized letter ftom owner authariz+ng same <br /> OVER THE COUNTER PERMI7TING (Front of Application Only) <br /> Reroofs tf shingles Sewers Senrice Upgrades A/C Fences(Plot/Survey/Footage) , <br /> Driveways-Not over Counter if on public roadways..needs ROW � <br />