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• 813-780-0020 �^ ��� City of Zephyrhills Permit Application Fax-813-78D-0021 <br /> U.� Building Department <br /> Date Recelved /S ` �j� /� <br /> Phone Contact for Permittin v� �/ _/o�V � <br /> � � � i r i � r - - ---e-r��'� <br /> Owner's Neme �-�T�� y'�Ki Q. Owner Phone Number <br /> Owner's Address � ��ry,��i�JSt-����,(�i���/7�%Ag LJ f Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J06 ADORESS J ��lC� L LJ�✓�� LOT ri � <br /> SUBDIVISION PARCELIDp �;" ��K/ ���� �S ,a� �� � <br /> (OB7AINE0 FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW coNSTa ADD/ALT � SIGN Q Q DEMOLISH <br /> B INSTAIL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � ODI Uj F1�C�SC/�il J�S�U.'V � �eW�-i 4Ji 1 1 �C�`fe1! -j . <br /> BUILDINO SIZE SQ FOOTAGE� HEIOHT � <br /> �BUILDING $ ' UATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � . <br /> �PLUMBING $ � ��,�� <br /> - ��.� s�� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER `��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � <br /> BUILDER � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY • <br /> SIONATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address License# <br /> PLUM6ER COMPANY <br /> SIONATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess License# <br /> MECHANICAL COMPANY � <br /> SIONATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ��� J � <br /> OTHER COMPANY �� ,�1������ ����,�� �` ,�I.���_�yc <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N �� CY'�'" <br /> ` Addresa <br /> Q C !�¢'� C.tS r License# � ��lJ�}}(7��L� <br /> Illllllllslllllllllllllllllllllllllllllllllllllllllllliltllllllllll <br /> RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new conslruclion, <br /> Minimum ten(10)working days after submittal date. Required onsite;Construction Plans,Stormwaler Plans w/Silt Fence installed, <br /> Sanitary FaciliGes&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Altach(2)complete sels of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> >Ainimum len(10)working days after submitlal date. Required onsite,Construction Plans,Stortrr�vater Plans w/Silt Fence installed, <br /> Sanilary Facilities&1 dumpster Site Work Permit for all new projects.All wmmercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sels of Engineered Plans. <br /> ""PROPERi'Y SURVEY required!or all NEW construction. <br /> Directions:' <br /> Fill out application completely <br /> Owne�&Conlractor sign back of application,notarized <br /> If over 32500,a Notice of Commencement is required. (,NC upgredes over S7500) <br /> " Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letler from owner authorizing same <br /> OVER THE COUNTER PERMIT1lN0 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PlotlSurvey/Footage) <br /> Drlveweys-Not over Counter if on public roadways..needs ROW <br /> J� <br />