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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ' <br /> , � Building D'epartment <br /> Date Received <br /> Phone Contact for Permitting -- <br /> Owner's Name ��S 12�TPcll. S'to1�S Owner Phone Number �32"�'Sb "���0 <br /> � <br /> Owner'sAddress � �SS �'I.ArZA,WOa�BQZDd`� ,NS OTO�S I Owner Phone Number <br />� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br />� i <br /> Fee Simple Titleholder Address I <br /> JOBADDRESS a'�✓��" C•jA�I�I. PlLVb� Z'ePNY[ZHi�t,S, FL LOT# Od�O <br /> SUBDIVISION PARCEL ID# ��Z-��2�'0000�fl03oG � �O°�O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT �0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTIONOFWORK ������ I���V CS�EEDWAy f� (�gS�� <br /> BUILDINGSIZE � S�U�"Y SQFOOTAGE 3�ODZ HEIGHT �1 <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION� p�Sdi 6Qd <br /> DELECTRICAL $ AMP SERVICE � 0 PROGRESS ENERGY Q W.R.E.C. <br /> i <br /> OPLUMBING $ ���A <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � J�� <br /> I 5 5��� <br /> QGAS � ROOFING Q SPECIALTY � OTHER � /��>�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � � <br /> I <br /> L� �� n <br /> BUILDER T� ` COOMPANY t3�Y(,'3A1�E �l us��z NG� CO M�PtNY <br /> SIGNATURE �,���� U ����m�� � REGISTERED Y/ N FEE CURRE� Y/N <br /> � (9''S( M,wNlo ST,�IUI�SktiASuCk,�t. 3�i2310 I License# CG C OS R 5 7 g <br /> Zs;� <br /> ELECTRICIAN ��pj��� �.`���{���� COMP I Y <br /> SIGN TUF�E ��Z'` REGISTERED Y/ N FEE CURRE� Y/N <br /> ������ � <br /> Address � � License# <br /> PLUMBER � I � <br /> T YJ n �� ��q,,�,�p � COMPANY `�� <br /> SIGNATURE , �, (J� �V v•►x-°V REGISTERED Y/ N FEE CURRE� Y/N S' <br /> i �k <br /> Address � License# <br /> '�� � I <br /> MECHANICAL �' J�� COMPANY <br /> SIGNATURE <� REGISTE IRED Y/ N FEE CURRE� Y/N <br /> ��� ` Add�ress I License# <br /> I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL 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 /> — - - Sanita,y Facilities&1 d�mpster;Sit�Wcrk Pz^n�.�o�subdivisions/large projects - - - <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life SafetylPage;(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 Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '***PROPERTY SURVEY required for all NEW construction. <br /> _. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> '* Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br />� Driveways-Not over Counter if on public roadways..needs ROW I <br /> I <br />