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� - _ <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building DePartment <br /> � + " • <br /> Date Received � �f �� Phone Cootact for Permitting <br /> i3 ��� -- �o�y <br /> �,we�ee's'Name lJ�� i. U� I ��� ��'e� ��n—�I��"Cz-�-��1(�.ur L(,(�Dwner Phone Number I,.J— l 1 /��5�� ,� <br /> ,. • I � yy�3 eed Rd c� C�� .3Sa� OwnerPhonefdumber <br /> Owner:s�Addre.ss�;,. , <br /> Fee Sim le Titleholder Name <br /> Owner Phone�fdumber <br /> P <br /> Fee Simple Titleholder Address � , <br /> J�s,��oREs��,. SSo�d o�� 5f S-kezt h �hi I�5 �l 33sy�- �o�# C� <br /> S�Bo���s�o�'., P�����:�D� l a�-a�-a� -a�a A - ov�oo - ooa a <br /> � <br /> I � (O B T A I N E D F R O M PROPEftTY TAX NOT I C E) <br /> V1[ORK;P..ROROSED � NEW CONSTR � ADD/ALT Q SIGN Q MOVE [� DEMOLISH <br /> � � `" � INSTALL REPAIR J <br /> PROPOSED USE , Q SFR Q COMM Q OTHER 0 � � <br /> TVPE OF CONSTRUCTION [� BLOCK � FRAME 0 STEEL Q OTHER <br />' � � � -�eC�s 0-�' ��e-�a�-� c?� S ��s �A T m ;��� �I'�,I� Sh�� �les 1�►a�o I <br /> �IESGRIP,,7'I.OM O�xW,ORK� , <br /> : „ , • .Y•.,. % <br /> BUILDING SIZE; :SQ;FOOTAGE o��D � � HEIGHT <br /> BUILDING $• ',`i^;':�� (�"'-+-:=�,,,;-� - ;=.UALUATION`:OF'TCITAL'.,CONS]`RUCTION . <br /> '�,�:: - _ • . <br /> '�'-C . - _- ,. :� . <br /> I 0 ELECTRICAL �$ �I AMP SERVICE 0 PROGRESS ENERGY [� W.R.E.G. <br /> � � <br /> � PLUMBING $ /J���� <br /> . . . . `�� � � <br /> C C L VALUATION OF MECHANICAL INSTALLATION ` <br /> � ME. HANI A � _ <br /> Q GAS Q ROOFING 0 SPECIALTY Q OTHER I j��Z� <br /> FINISIiED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO <br /> BUI��ER ' COflflPQ.�dY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � License# ' <br /> EL.ECTRICIAN � COMPAMY � <br /> SIGRlA'TURE REG[STERED Y/ N �FEE CURRENT Y/N <br /> . <br /> Address , � ' License# <br /> PLUMBEIi COiNi'ANY <br /> $IGMA iTURE ' REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ME�FiANiCAL COMPP,fi�Y • <br /> SIGNATURE REGISTERED Y I N FEE CURRENT Y/N <br /> Address � License# <br /> OTIiEF�r;,---:-_. �1 COMPAWY. ��' L1� n� �—r7C� � . <br /> SlG9!lA'�URE:�� _ �� ` ' ��� REGISTEt2�D Y N FEE CU ENT /N <br /> Acidress �(�7�-3 �J� 5Y � ( h����.5 �� 33 S`% �`License# ����=5�� <br />� R�SID�W"fiAL Attach;(2)Plot Plans;(2)sets of�uilding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> I ; -Minimum ten(10)working days after submittal date. RequirecJ onsBte,Construction Plans,Stotmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities�&'1 dumpster;Sife VVork Permit fbr subdivisions/large projects <br /> COMMERClAL Attach(3)sets of Building Plans;(1)set of Ene�gy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)�working days after submittal date. Required onsite,Constiubtion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial�requirements must ineet compliance � - <br /> SIGPI PERMI�' Attach(2)sets of Engineereil Plans. , • � <br /> `"**PRC�PERTY SURVEY'required for alf NEW.construction. . . , � <br /> Directions: � ' - � <br /> Fill out application completely. � <br /> i Owner&Contractor sign back of application,nofarized <br /> If over$2500,a Motice of Commencernent is required. (A/C upgrades oveP$5000) <br /> ** Agent(for the contractor)or Power`of Attorney(for the oViine�)would he someone with notarized letter from owner authorizing same <br /> 'OVER tHE COUPITER PERMITTOP96's (Front of Application Only,) � . � - <br /> Reroofs Sewers Service Upgrades A/C' : � Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..n�eeds ROW , _ � <br />