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813-780-0020 City af Zephyrhills Permit Applica#ion Fax 813-780-0021 <br /> Buiiding Depattment <br /> Date Recefved : Phone Cantaet far Permittin <br /> Owner's Name U� �^ �. t" � Owner Phone Namber U ( � "( {� - t � '" <br /> Owner's Address � / � � / U 'e Owner Phone Number � � <br /> Fee Simple Tltleholdar.N�me � � Owner Phane Number � � <br /> :, <br /> Fee Simple Titleholder Address ` <br /> JOB ADDRES3 � ( /� U�- LOT# �'� <br /> � <br /> sueoivisio� Z r �C'�7�� PARCEL iQ# � � - l-�t�3t'-�p.S�l�- l.� 1�,.� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK pROROSED •NEw tONSTR ADD/ALT [w� StGN Q Q DEMOl,ISH <br /> INSTALL 8 REPAIR <br /> PROPOSEDrUSE Q SFR Q COMM C� QTHEi2 <br /> TYPE OF CONSTRUG'f10N Q BI.00K ' �] FRAME [_] STEEI. �] <br /> DESGItIPTION OF WORK � <br /> BUILDING SIZE SQ FOOTAGf[_� HEIGHT ��� <br /> QBUiLDING � � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL � r�� AMP SEFtVICE Q PROGRESS EtVEF2GY [� W.R,E.C. <br /> QPlU BING � � j p,�C� <br /> ,_.._..,, ,,,_ � � ��� <br /> ECFtANICA� $ f}, VALUAT{ON OF MECHAHlICAI INSTALLATION � t���/ <br /> �/ ' �f r <br /> QGAS � ROOFING. Q SPECIALTY � t�THER �� <br /> FINISHED FLOOR ELEVATIQNS � FLOOD ZONE AFiEA QYES NO <br /> BUILDER �BMpp�( <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Addreas License# �� � <br /> ELECTRtC1AN COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CUFtRE� Y/N <br /> Addre�s � License# �� � <br /> PLUMBER � COMFANY <br /> SIGPIATURE REGISTERED Y/. N FEE CUFtRE� Y/N <br /> Address License# �— �1 <br /> MECNANIGA[. �� CQNIPANY 1J /�lt��Gtt� itft�n 1�t��jz ��! QM rr <br /> SIGNATURE REGISTERED Y�./ N FEE CURRE� Y/IV � <br /> Address License# t�j� ��Cj � � � � <br /> O'fHEit CQM.PAHY <br /> SIGNIoO,TURE REGISTERED Y/ N . FEE CURRE� Y•/�N. . <br /> Address license# �� � <br /> RES1DENi'IA1s Attach(2},Ptot Plans;{2}sets_of:Btiililing'Plans;(1}set af�Energy Faim§;`R-Q-W Permit fo;new constnscUon, . <br /> Minimum.ten_(1.0).working;days after:submittal date.�Requfred�ansite,.ConstrucUon�Plans;�Stormwater Plans w/Silt Fence installed, <br /> Santtary Facilities�&t,dumpste,r,Site��Work=Pertnit for subdiVislpns/large projects �� . _---- - <br /> COMMERClAI. Attach(3}campiete sefs of Btiiidlrig Pla�s ptus a Life Safety Page;{1}set of Energy Forms.R-O-W Pecmit for new canstruotion. <br /> Minimum ten{10)working days�after submittal date. Required onsite,Canstructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Factlides&1 dumpster.Site Work Permit for all neuv projects.AI!commercial requtrements must meet compAance <br /> SIGN PERMIT Attach'{2}.se#s af Engineered=P(ans.._ �, - , <br /> "'•PROPERTY SURyEY required for all NEW conshuctian. <br /> Directions: ` <br /> Fill out applicatlon completely. _ <br /> Ow�er&Contractor sign back a#appticadon,notarized <br /> If ovar$2500,a Notice of Commencement is required. (A!C upgrades over 57500) <br /> '" Agent(far the ccynVactor)or Power of Attomey(fo�the awner)would be someane with notarized letter ftom owner authorizing same <br /> DVER'THE GOUNTER PERMITiiNG (Front of Apptication Only) <br /> Reroafs if shingles Sewers Servlce Upgrades AIC �Fences(PIoUSurvey/Footage) <br /> Driveways-Not aver Caunter if on pubiic roadways..needs ROW <br />