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� <br /> �- -- - - � <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building DePartment <br /> Date Received 5-a�p-` � Phone Contact for Permitting � �� �v -- "'0�,.� <br /> Owrter's.Naine C:(C�°4 ara� �nca� Owner Phone Number ��-�8a �a�.�. <br /> O,,wner's Address;�., �u� . �� �� � ��( �� S Owner Phone Number <br /> Fee Simple Titleholder hlame Owner Phone Number <br /> Fee Simple Titleholder Address ' <br /> JOB;ADDRESS'� �l>I v� I�� V�- V�fT' '`i����IS I 3���� LOT# � <br /> SUBDIVISION, ��n � f) 1 fli�C 5 ;PARCEL'ID# I I �a 6 -a I - �D�� -b S�r bd ���,� <br /> - • (OBTAINED FROM PROPERTY TAX NOTICE) <br /> W,ORK PROPOSED- B NEW CONSTR e ADD/ALT �] SIGN Q MOVE � DEMOLISH <br /> ��� INSTALL REPAIR J <br /> PROPOSED USE , Q SFR Q COMM � OTHER -(v <br /> TYPE OF CONSTRUCTION Q BLOCK � Q FRAME [� STEEL Q OTHER <br /> D�SGRIPTION OFsWORK; � C'Ce�� 6� �e-�o�' c? 5 U��'�S l.ls �'Lf�T h�!1 I�5 �`' �b+.d�;n . -�'.fa� deck-� <br /> BUILDING SIZE, I �, ;SQ:FOOTAGE� �I�� HEIGHT � <br /> ., <br /> .j(.�� <br /> Q BUILDING, $; ��� VALUATION OF,TOTAL CONSTRUCTION ' � <br /> ._ `�d�0'D sd�d' , . - . <br /> �-� <br /> 0 ELECTRICAL $ � AMP SERVICE � PROGRESS ENERGY Q W.R.E.G. <br />' LUMBING � <br /> � P $ 2��S <br /> Q . MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION `� " <br /> � , %'v v <br /> Q GAS Q ROOFING 0 SPECIALTY Q OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO � <br /> � <br /> BUILDER ' COi1fl�ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address ' License# <br /> ELECTRICIAN � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREtJT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SICxNATURE ' REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL ' COiNPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N I <br /> Address � License# <br /> OTHER'�._._..._. �`�` COMPANY /han r� �c�� � <br /> SIGNATURE,4 � � �U� REGISTEf2�D N FE URRENT Y I N <br /> �daa�ess I3 S R S 1 ( hi (�5 � 3 5 j '`License# ���Z:S�C:� <br /> . ,... � . <br /> RESIDENTIAL Attach.(2)Plot Plans;(2}sets of Buiiding Plans;('E)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 iristalled, <br /> Sanitary Facilities&1 dumpster;Site V11ork Permit for subdivisions/large proJects - . <br /> COMMERCIAL ��Attach(3)sets of�Building Plans;(1)set of Ene�gy Forms.R-O-W Permit for new wnstrubtion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storm�vater Plans w/Silt Fence installed, <br /> Sanitary FaciliBes&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 /> Directions: ` , . <br /> Ffll out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> ' If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <br /> °* Agent(for the contractor)or Powerof Attomey(for the owner)would be someone with notarized letter from owner authorizing same , <br /> 'OVER THE COUNTER PERMITTING��, (Front of ApplicaUon Only) � � , , <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)' ,` <br /> Driveways-Not over Counter if on public roadways..needs ROW � ' ' <br />