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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Departtrtant <br /> � , - <br /> Date Recetved Phane-Carrtact fcr Permltting – <br /> Owner's Name t �1. Y�L Owner Phone Number � 1 •����� <br /> Qwne�'s Address v�"G"! ! �� l�/� � Owner Phone Number �–f'd Cb� � <br /> Fee Simple Titleholder Name � � Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �� {�'� �?�I�CJ� L.OT# �� <br /> SUBDiVISION � � PARCEL ID# <br /> (OBTAINEQ FROM PROPER7Y TAX NOTICE) <br /> WORK PROPOSED , e NEW COHSTR�^ ADDJALT � 81GN Q Q DEMOLISH <br /> INSTALL �;}� REPAIR <br /> PROPOSED USE Q SFf2 Q COMM C� OTHER - <br /> TYPE OF CONSTRUC'TION �J BLOCK Q FRAME � STEEL Q <br /> DESCRIP710N OF WQRK ' � <br /> BUILDING S1ZB � � SQ F007AGE t �� HEiGHT � � � � <br />� 08U1�{�� � �'����� VALUATION OF TOTAL CONSTRUCTION <br />( QELECTRICAE. $ AMP SERVICE � PROGRESS ENfiRGY [� W.R.E.C. <br /> QPLUMBING <br /> � � <br /> OMECHANICAL �— '� VA�UATIQN OF MECHANICAl,.INSTA�LATIC}N <br /> QGAS Q ROOFIhIG Q SPECIAI.IY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZQNE AREA QYES NO <br /> BUIIDER �`b� �i{Op�� COMPANY t tJb�t'�` t�✓��- <br /> SIGNATURE `�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> E�ECTRi�IAN CBMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r— � <br /> PIUMBER � CBMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> tV1ECHAN1CAt. COMPAMY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> C}THEFt ��r�1�rx ��J COMPANY t � <br /> SIGNATURE �`{��' REGISTERED Y/ N FEE CURRE� Y/N <br /> Acldress � � t11�� � ��""�'�" License# �— � <br /> RESlD�NTiAt: Attactf(2)Plot Plans;{2)sets of�Bullding'Plans;{1}set af Energy Forms;R-O-W Permlt for new constructiart, <br /> Minimum ten(10)worlcing days after.submlttal date. Requfred onsfte,Construc�an Plans,Stortnwater Plans w/Silt Fenae installed, <br /> Sanitsry FaGlitles&1 dumpster,Site Work�Pertnit for subdivisions/larga proJects <br /> C4MMERCIAL __Attach{3)c:timplete sets of Bu3tditig Plans plus a I.ife Safety Pege;{1}set of Enargy Focros.R-O-W Permit for new canstruct�an. <br /> Minimum ten(10)warkfng days after submittal date. Required onsite,Constructian Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site Work Parmit for all new projects.All commeraial requirements must meet compltance <br /> S1GN PERMIT Attacti{2)sets of Engineered Plans.,, <br /> ""PROPERTY SURVEY required for all NEW construcBan. <br /> Directians: <br /> Ffli out applicaUon complskety. <br /> Owner 8�Contrackor stgn back of applfca�on,nota�ized <br /> If ovsr 52500,a Nottce of Cammencement i�reqaired. {AlG upgrades over 57500j <br /> " Agent(for the contractor)or Pouier of Attomey(for the owner)would be someone with notarized letter fram owner autho�izing same <br /> C1VER 1HE CQUNTER PERM11TfNG {Front of Application Only) <br /> Reroofs if shingles Sewers 5ervice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways•Not over Counter if on pubiic roadways..needs ROW <br />