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„ 813-7�0-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> � � <br /> Date Received Phone Contact for Permlttin D�� �� – ��4� <br /> Owner's Name /7��/� C�i'T�a�' Owner Phone Number ���” % Q '��� <br /> Owner's Addrsss �'��� � ��� '�-�L� Owner Rhone Number <br /> Fee Simple Titleholder Name � � Owner Phone Number �� � <br /> Fee Simple 7ttleholder Address <br /> JOB ADDRES� ��J � I �Jr -�/2. LOT# �_� <br /> SUBDIVISION r/���G��jAS�dl�'J/ii��ii�7 PARCEL tD# ��+•d o�� o� �f�� �L4��G� ��� <br /> {OSTa1HED FROM PRQPERTY TAX NOTtCE) <br /> WQ[2K PROPQSED NEW C4NSTR RDDJA�T Q SIGiV Q Q DEMC}LISH <br /> e INSTALL � REPAIR <br /> PROPOSED USE Q • SFR Q COMM � OTHER <br /> TYPE OF CQNSTRUCTION Q BLQCK " �,] FRAME �� STEEL Q <br /> DESCRIPTiON OF WORK L'',�✓DBNL'�aly�'I �� �i'$�1'L1 �aCSj,�" �/a, �Jt� �o-r�);,7�i�/Uc/� <br /> BUIl.DltVG SIZE �� � SQ FOOTAGE C� HEIGHT �,_,i� <br /> QBUILDING � � VA�UATtON OF TOTAI.CONSTRUCTION <br /> QELECTRICAL � � AMP SERVIGE � PFtOGRESS ENERGY Q W.Fi.E.C. <br /> QPLUMBING $ � <br /> OMECHANICAI. $ �t�pf"�F""�lj , VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �. � FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> ��r��$ Cicense# �� ^i� <br /> ELEGTRICIAN GQMPANY <br /> SIGNATURE � REGISTEREp Y/ IV FEE CURREt� Y/N <br /> Address License# � � <br /> PLUMBER GOMPANY <br /> SIGNATURE Re�is�Rea Y/ N FEE cu�aEn Y/N <br /> Address License# � ^�i—� <br /> MECH�0.NICAL �,.fj `" � COMPANIf /fx`ftc�S� t^p' � S� G'' �G, <br /> SiGF1ATlJRE ," " fr�" G���A//t_2-'�..,.� REGISTERED Y/ N FEE CURREn Y/N <br /> Address �T��"/ /� � ��/�ft L.L,,�"� ��5r}/' license# ���/z--d��g'��� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ltc�nse# �� ���� <br /> RESidENTIAL Attaah(2)Plot Plans;(2)sets.of Building"Plans;(1)sef of EnergyFartns;R-0=W Permik for new.canstruotion, <br /> Minimum,ten(1.0)swortcing days after submittai date. Requlred ansl#e,Construction Ptans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fac(IIUss&1.dumpster,Sfte Wa�ic�Permit#or subdivislonsitarge pmJects <br /> COMMERCIAL _ Attaah(3)complete se4s of Bulliling Plans plus a Life Safety Page;{1)set of Energy Forms.R-Q-W Permit for new canslruc8on. - <br /> ` Minimum ten(10)worfcing days affer submt#tat date. Required onsite,ConsUucdon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Factilties&1 dumpster.Site Work Perm(t for atl new projec#s.AI!cammeraial requirements must meet compltance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans.. � - - ,, <br /> '""PROPERTY SURVEY repuired for ail NEW construcUon. <br /> Directlons: <br /> Pii�out appiicaUon completely. � <br /> Owner&Cantractor slgn back of applicaUon,notarized <br /> If ovsr$250Q,a Notics of Commea�cesnan4tts-r@quirsd., �tAfG upgradss over Sr7500) <br /> kM Agent(for the contiactor)�or�Power of Attomey(foF tti�s oti+ner)would:be sortteone with notarized lette�from owner author3zing same <br /> dYER THE COUN7ER.PERMIT=ING ::i �:(Front,of Applicat�on Onfy}�.�:_ ^� . �- <br /> Reroafs if shingles Sewers � 'Service Upgrades A/C; �Fe�ces.(PlodSurvey/Footage� <br /> Qriveways-Nat over Gounter if on pubila roadways..�eeds ROW` <br />