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{ <br /> 813-760-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> � Buiiding Depa�krnent _ <br /> Date Received ��- ` Pltone-Cantact for Permtttin .J T V� — iJ. <br /> Owner's Name G G � Owner Phane Number .�` � � �� �. <br /> Owner's Address �J . ; r' 'ld.� � - - . .^ Owner Phone Num6er �l� � ����°'�(JC/(� J " <br /> Fee Simple Titleholder Name � � Owner Phone Number � � <br /> Fee Slmple Titleholder Address <br /> JdB ADDRESS �� /` / � LOT# �_�-� <br /> SUBD1ViS10F1 �� � PARCELIR# ;� �� -�(/V/V.�',1 il,il�°'V.��V • : , <br /> (OBTAINED FROM PROPER7Y TAX NOTICE) <br /> W4RK PROPOSED � � NEw CONSTR 8 ADQIALT Q SIGN� Q Q ,. DEMOLISN° <br /> INSTALL REPAIR <br /> PROPQSED USE Q SFR [� GOMM � OTHER � <br /> TYPE OF CONSTRUCTION [� BLOCK " Q FRAME � STEEL � <br />� pE3CRIPfi�ON OF WORK � '� �t�. � <br />� BUILDINC,S1ZE �C7 I f� }C '' �f t 8Q FOOTAGE�_������ HEtGHT [_��L�..,� <br /> BllILD1NG ��____�� VALUATION t3F TOTAL CONBTRUCTION <br />� ��i <br /> QELECTR1GAl. � � AMP SERVICE � PRO�RESS ENERGY Q W.R.E,C. <br /> � tbb �( � <br /> OPLUMBING $ . j f . � ) J <br /> /'S,�a�� „ A� <br /> � QMECFlANICAL $ V,ALUATION OF MECNANICAL IIVSTAL�ATI!?N ���� ��U�� <br /> h��.- <br /> C]GAS Q ROQFII+lG [� SPEClAt.'FY � OTHER ���r" <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA C]YES NO <br /> . � c..d <br /> BUI�DER * ( � COMPANY ,C.� � <br /> SIGNA7URE \I REGISTERED Y/ N FEE CURRE� Y/N <br /> �►dd�e8� Cicense# r— � <br /> E�ECTRICIAN CdMPANY <br /> SIGNATURE �' REGI57ERED Y/ N FEE CURRE� Y/N <br /> I Address License# �— � � <br /> I SIG AT URE � R�Is E� Y/ N FEE CURRE� Y/N <br /> AdBress License# � � <br /> MECHANIGAL CflMPANY <br /> Sl(iNA7URE REGI37ERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> QTHER COMPANY <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address license# � � . ____ . <br /> RESIDENTIAi: Atta�ch(2)Piot Plans;{2}sets of Bullding'P1ans,{1}se#of Energy��arms;R-O-W Permit for nsw cons6vction, <br /> Minlmum ten(10)working days after..submtttal date. Requlred onsite,Constructian Pians;Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1.dumpster,Site Work•Permit for subdivisionsAarge pro)ects <br /> COMMERCFAL Attach{3}comptete sets of Bulld3rig Plans plus a t3fe Safe#y Page;{1}set of Enargy Far�ns.R O-W Pecmit for new construction. <br /> Minimum ten(10)working days'afker submittal date. Required onslte,Canstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides 8 1 dumpster.Site Work Permlt for all new proJects.All commercial requlrements must meet campllance <br /> SIGN PERMIT Attacti{2)sets of Englneered Plans. <br /> ""PROPERIY SURVEY required for all NEW canstructlan. s - <br /> Directions: <br /> �, Fiil out applicatlon completely. <br /> Owner 8 Contractor sign back of appltcaUon,notarized ' <br /> tE over 32500,a Notice of Commeneeme�tJs requir�d,.,.4{�atC upgrades over�7so0) <br /> i Y. , i . .... a..a.., a.*,..,,_--w:, <br /> Agent(for ttie contractor)or Power of Attomey(far ttie owner),wauld be someone�with notarized letter ftom owner authorizi�g.sameA•"`",.•., <br /> . ,• - - = .. <br /> � DVERTHECOUFITER.PERM{TTiNG {FrontofJ#pplicatiqriOnlY}.. . � ' ° . .�. ' � ' �� � , ' � . . <br /> Reroofs if shingles Sewers Service Upgredes.A/C,:,� Fences(PIoUSuniey/Faotage) , , "'`; - , -• � � , <br /> Drivaways-Not avet Gounter tf on publlc roadways..naeds ROW��_� �,<LL���ry µ. ..� ~ - � ..'` " �--~, .. <,.„.v ' <br /> E <br />