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813-780-Q020 City of Zephyrhills Permit Applicatian Fax 813-780-0021 <br />' Bultding Department <br /> Date Recelved �� phone Cantact#or Pacinittin � � ..7 Z -- c�Z l"'�l� <br /> Owner's Name //1�� 6��'�i l�..rT�� �''C qwner Phona Number �"�3 '"�� � ' 3 3� � <br /> Owner's Address �/ ���'� �Lli:6✓ Qwner Phone Number � � <br /> Fee Slmple Titleholder Name � � Oxrner Phone Number � � <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS l c�� �✓�LU ,�j�.J/G� LOT# C____� <br /> suea�v�siaH � � � �a�cE��Q# � � � I-- ��/� —f1�,Zd0—�1Q�11 <br /> � (097AINED FROM PRQPERTY TAX NQTICE) <br /> W0t2K PRQPOSED NEutt CONSTR ADDlALT Q S1GN Q Q DEMOUSH <br /> e INSTALL 8 REPAIR <br /> PRQPOSED U$E Q SFR Q COMM Q OTHER <br /> 1YPE OF CONSTRUCTION �~ BLOCK Q FRA,ME � STEEL Q ' <br /> DESCRiP710N OP WORK �L}O/J�i�i'/L� �) � � I�/l1GI-� I�& t�L��L��-.ZL 1 ,�. ' <br /> BUtLDINC,SIZE � � SQ FC}OTAGE�� HEIGHT ��� <br /> QBUILDING $ �Q� "' VALUATIOt�f OF TQTA�CONSTRUCTIOiV <br /> QELECTRICAL $ AMP SERVlCE Q PRQGR�SS ENERGY [� W.R.E.C. <br /> QPLUMBING �� ��51�� \�� <br /> v <br /> QMECHANlCAI. (;�—� YALUATION OF MECHANiCHI.iNSTAL.LATiON �1�` h��'�� <br /> I. ,�1 ;� <br /> QGAS �-''�ROOFING Q SPECIALTY � OTMER �,:,J ����`�r�� <br /> �`i/ y�fV <br /> FiNISHED FLOOR ELEVATiONS �� FLOOD ZONE AREA QYES NO �� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address �Icense# �� 1 <br /> E�EC7RICIAN COMPANY <br /> StGNATURE aecis7�rtEo Y J N FEE CURRE� Y/N <br /> At3drgss t�cense# r� � <br /> PLUMSER ' � `� COMPANY <br /> 81GNATttRE R��isrEaEo Y J N FEE CURREA Y/N <br /> Addrass t.Ecense# �� i� <br /> MECHANlGAL CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y J N <br /> Address lJc$nse# � 1 <br /> 47HER '� � � � COMPANY (/`".!�lll� ��O��r'�� <br /> SlGFIATURE � REGISTERED Y! N �E cuRREt+ Y/N <br /> Address f� �� �r� �.�" �-- ��'� license# r��Q�'6�.�1 �� <br /> FtE31DEN71AL Attach(2)Plot Plans;(2)sets of Buildtng Plans;(1)set of EnergyForms;R-O-W Parmlt far new construction, <br /> Mlnlmum ten(10}-working days after.snbmtttal date. Requlred onsite,ConsMzction Plans;Stormwa#er Pians w!Sitt Fenae lnstalled, <br /> Sanitary FaclllUes&1 dumpster Site Work Permit far subdivislonsAarge proJects <br /> COMMERCIAL Attach(3)�oomplete sets of Buildlrig Plans plus a Ufe Safety Page;{1)set of Energy Forms.R-O-W Perm4t toc rtew construction. <br /> . - -- - - f+�tintmum ten{14}wor#cing days after submiftat date. E2equired onsite,Constructlon Plans,5tormwater Pians wJ 8i1#Fence Instafled, <br /> Sanitary Facflides&1 dumpster.Site Work Permit for all new proJects.All cammercial requlrements must meet campliance <br /> SIGN PERMIT Attach(2j sets of Engineered Plans.� <br /> "`*PROPERiY StlRVEY required for atl NEW consWc�tton. <br /> bireatlons: <br /> Fili aut appllca�an camptetely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over�2500:a Nokiae of Commeaeement ia reqaired. (AtC upgrades aver�7500) <br /> '" f�qent(for the contractor)or Powet of Attomey(for the owner)would be someone with notarized lekter from owner authorixing same <br /> OVER THE GOUNTER P�RMI'tTING (Front of AppiEcaUon Qnfy) <br /> Reroafs tf shingles Sewers Service Upgrades AIC Fenaes(PIotlSurvey/Footage} <br /> Drlveways•Nat over Counter tf on pubitc roadways..needs ROW <br />