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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �d Building Department <br /> ,. i <br /> ' I <br /> �Aat�Rec�ivec9 Phone Contac4 fo�r Permittin d /� ��,� -- 5�p , Z , <br /> Ouvner's MaQne ��� ct' / � (f�/��i� Z j Owner�hone Idumber <br /> i <br /> Owner's Address g��� l/� I Ovvner 6'hone RlumbeP <br /> Fee Simple Titleholder Mame Owner Phone Rlumber ' <br /> I <br /> Fee Simple Titleholder Address <br /> � � <br /> JOB EIDDRIESS � LOT# � <br /> suBnidisio� �e►�tce�!i�� oL --�� -al -0 3i0 � o��o v -o��l� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lMOR4�P6tOPOSED B NEW CONSTR e ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> �FtOPOSED USE Q SFR Q COMM � OTHER � <br /> TV�E OF COMSTRUCTIOM Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIOM OF HlIOR6C G � �� vL �I �7 ll� G/�J� f~�J'1�G�(� <br /> � <br /> BUILDIf�G SIZE Sfd FOOTAGE �� HEIGHT <br /> �BUILDING $���, �e !,�� VALUATION IOF TOTAL CONSTRUCTION <br /> l/ <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY �] W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $ . VALUATION OF MECHANICAL INSTALLATION �l ��� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FIIVISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES tV0 <br /> sui�oER . _ co�nP�ebv SC� ��P✓�E� �O l',='-r�� <br /> /' � en <br /> SICfdE\TURE ��� REGISTERED Y/ M FEE CURRE� Y M <br /> /lddress I License# <br /> E0..ECTRICIAM COflAPAfdY <br /> SIGtdATUEtE REGISTERED Y/ N FEE CURRE� Y/(�l <br /> Address I License# <br /> PLUMBER COR11Pe4MY <br /> SIG7dATURE REGISTERED Y/ N FEE CURRE� Y/IV <br /> �4ddress I License# <br /> � <br /> iHIIECFiAfdICAL C IRAPAidY <br /> '�� SI�RIATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> I <br /> OTFEER COAAPAtdY <br /> ^~, SlGfdATURE REGISTEF2ED Y/ N FEE CURRE� Y/M , <br /> , _,y � <br /> �lddress ; License# <br /> RESIDEfdT1AL 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> - � Sanitary.Facllities^8;1 dumpster;Site Work�Permit,for subdivisions/large projects <br /> CORHRAERCIAL Attach(3)complete set"s•of Building Plans plus a Life;'Safety Page;,(1)set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required�onsite;Construction Plans,Stormwater Plans w/Silt Fence installed, ' <br /> Sanitary Facilities&1 dumpster.Site Work Perm(t for all new projects.All commerc(al requirements must meet compliance <br /> SIGM PERAAIT Attach(2)sets of Engineered Plans. � '� <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: • i <br /> Fill out application completely. -_ <br /> Owner 8 Contractor sign back of application,notarized i , <br /> If over�2500,a Motice of Commencement is required. (A/C upg'rades over§7500) , , <br /> I <br /> "° Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from'owner authorizing same <br /> = ONER THE COUNTER PERAAI'TTIMG (Front of Applfcation Only) � " <br /> Reroofs if shingles Sewers Service Upgrades A/C Fencei(Plot/Survey/Footage) " <br /> - \ Driveways-Not over Counter if on public roadways.:needs ROW ! � ,� <br /> I <br /> � - <br /> i , <br /> ' • i � <br /> • I r <br />