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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br />� Bntlding Department <br /> � , . <br /> iDate Recelved ���� phone Contact far Permittin — <br /> Owner'�Name f 11�5 Q Owner Phone Number �� -"fC� b `���4,.J <br /> ,. „ , J��`.,�f <br /> Qwner's Address f �U��/Q �!/V �'`� Qwner Phone Number <br /> ,_,. ,,.._... <br /> Fee Stmple Tltleholder Name � —� Owner Phane Number � � <br />� <br /> Fee Simple Titleholder Address • � <br /> i JOB AbDRESB � /cs I�L f� lf � /( LOT# a`` l v <br /> SUBDIVISION � �� PARCEL ID# ` <br /> (OBTA4NED FROM PROPERTY TAX tiQTICE) <br /> WORK FR8P4SED NEW CONSTR ADD/ALT �� 51GN Q Q pEMOLISH <br /> e INSTALL 8� R�PAIR <br /> PR4POSED USE � Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION . Q BLOCK � Q FRAME � TEEL Q <br /> 1 <br /> DESCRIPTION OF WQRK 'hJ.t�/1� G,� /(�1j,r'i` ,Q ��i /.2, e %, S'O"/J ib /�/{ �Cl",� <br /> BUiLDING SIZE � � SQ FOOYAGE�� HEIGHT . <br /> -�cv,�-rdvt� <br /> .�'�_� s �� <br /> QBUII.DihtG $ / VALUATION QF�TOTAL CONSTRUCTION <br /> �.� 1 � /��— <br /> [�]EIECTRiCAI. ($ � AMP SERVICE Q PRQGRESS ERGY ��"R.C. ^ <br /> �� <br /> OPLUMBING $ ���. � � � �Zt� �!'�r�/��. <br /> � /,1r ZG,'Ih%7v , <br /> QMECMANICA! . $ VAIUATlON OF MECHANICAI.INSTALLATIt.1N �, �� ��,,�� <br /> Q�� Q' ROOFING, Q SPECIALTY �� qTHER / /�I7 <br /> FINISHHD FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NQ <br /> �e �r.�.�' <br /> BUIIDER COMpANY / '��''J'�'j �`G�JIS/�'/� <br /> 31GNATURE e""�i ��/L�a REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> ElEC7RtCtAN �a COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ticense# � � <br /> PLUMBER � COMP.ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAt. COMPANY <br /> SIGNATURE REGISTERED Y/ N F�e cuwtEn Y/-N ` <br /> Address License# r� � <br /> OTHER COMPANY <br /> SIGNATURE ' REGISTERED Y/ N . FEE CURFtE� Y/N <br /> Addre�s License# r� � <br /> RE3tQE1+1"1'1AL Attach(2�Plot Pia�s;(2)sets.of.Bullding Plans;{1)se#of Energy�Farms;R-O W Permit for naw canstruction, <br /> Minimum ten(10)worliing days,after,.subrtilttal date. Requlrecl onslte,Construction Plans,Stormwate��Plans w/Sflt Fenae instailed, <br /> Sanitary FaciltUes&�1.clumpster Site Wodc-Permit for subdivisfonsltarge proJeats <br /> COMMERCIAl. Attach{3)cample#e sets of Buildirig Plans ptus a Zife Safety Page;(1}set of Energy Forms.R-O-W Permit for new canstruc8on. � <br /> Minimum ten(10)warlcing days after submittal date. Required onsite,Constructlan Plans,Stormwater Plans wl Silt Fence Installed, <br /> SaMtary FactliUes&7 dumpster.Site Work Fermtt for afl new projects.Ali commetciat requlrerrsents rszust meet comptlance <br /> SIGN PERMiT Attach{2)sets of Engineered Plans. ° � <br /> '*""PROPERTY SURVEY required for all NEW conshuction. <br /> Dlreetlons: . <br /> Fill out appUcatlon completely. <br /> 4wner�Contraatar sign back of appt(catlon,notarized <br /> lf ovar 52500,a Nottce af Commencement is required. (A!C upgrades over$7500) ` _ _._ 4 ,Y .. , <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner sutharizing satne � � � <br /> OVER THE CQUNTER AERMI1TiF1G (Fronfof AppiloatiorrOniy) '"': ` , � „ ' , � <br /> Reroofs if shingles Sewers ',; Service Upgrades A/C'. Fences(Plot/Survey/Footage) � <br /> Driveways-Not over Counter if on pubiic roedways..need's;ROW , <br /> , � <br />