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r � — � -- -- ----� � <br /> ' ' 813-780-0020 City of Zephyrhills Permit Application � Fax-813-786�0021 i <br /> • ` = Bttitding Department <br /> �'/3-���--09a[7 <br /> Date Received phone Contact for Permittirt <br /> Ownar's Name \C. r C Owner Phone Number 3 �S(D!%'�d+r"7 <br /> —. ... "7 <br /> (�',�. ...... ... <br /> pwner's Addrass �(�'�`a" O - �y(j�� � 4wner Phona Number �— � <br /> Fee Simple Titleholder Name A1�� � Owner Phone Number � � <br /> Fee Simple TitieholderAddress <br /> J48 ADDRESS S} �, � ��/LfGd/� LOT# I / i' a-(l <br /> suaaiv�sior� �� � �n�zcEc.i� /t— 3!� t? ' 9!� <br /> (OBTW NEp FROM PROPERTY TAX NOTICE7 <br /> WORK PROPOSED e NEW CONSTRB ADD/ALT � SIGN � a DEM�LISH <br /> tNSTALL 12EPAIR <br /> PROPOSED USE � S�R � COMM � i7THER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL �] <br /> DESCRIPTIQN OF WORK � � �1 ' � <br /> BUI1.QlNG S1ZE �� � gC�pOOTAGE� HE1Gtl7 �� <br /> QBUILDING $ ��`�D VAlUATI4N OF TOTAL CONSTRUCTtpN <br /> QELECTRICAL �� AMPSERVICE Q PROGRESSENERGY Q W.R.E•C. <br /> QPl�iJMBtNG �� <br /> QM�CHANlCAL ($ ������� VRLUATfCINOFMC-CHANfCALlNSTAIt.,ATlQN <br /> �_ <br /> QGAS Q ROOFINC� Q SPECIALTY � OTHER <br /> FINISHED Fl.00R ELEVATIONS FLOOB ZONE ARF1t QYES NO <br /> BUILDER CQMPANY � ,S�pr' (�L,,,,� ��' <br /> SIGNATURE REc31sT�o Y/ N FEECU Y!N <br /> Address � p License# �C- �56 f.T�� <br /> ELECTRIqAN � � CQMPANY —� � <br /> SIGNATURE REGt$TEREp Y J N FEE WRREt+ Y I N <br /> Address License#� �� <br /> PLUNiBER � � CQMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRET Y/N " <br /> Address License#�— � <br /> MECHANICFU. � � CpNlPANY �� <br /> StGNA7URE REGIStERED Y j N FEE CURREA Y I N <br /> Address License# �—� � <br /> OTHER � � COflqPANY � <br /> SIGNATURE RffGISTERED Y/ N FEECURREf� Y/N <br /> Address License#�`� � <br /> IIIIIIIIIi11111L1t111111L11111111i1111111111t1111A1111Blllllllt1111 <br /> RESiDENTiAt� Atiach{2}Plot Flans;(2)sets of Buitding Plans;{�)set of Enerc�y Forms;R-O-W Permit tor newcoostruc8an, <br /> Minimum ten{10}urorking days afier su6mittat date. ftequired onsite,Consiruction Plans,Stottrrwater Plans w/Sdt Fence insialted, <br /> � Sanitery Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERLYAI. Attach(2)complete sets of Building Plans plus a Lite Safery Page;(1 J set of Energy Forms.R-O-W Permit far new construction. <br /> Mtnimum ten{10)wortcing days after svbmitta!date. Requ(r�onsRe,Gonshucfion Ptans,Stormwater Ptans wJ S�7f Fence instatted, <br /> , Sanitary Facilities&�dumpster.Site Work Perrnit for ail new projects.Ati commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets o(Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> directtons: <br /> Fill out app�ication completely. <br /> awner&Contractor sign back o(application,notarized <br /> IE aver$2500,a Notice af Commencement is required. {A/G vpgrades over$T500} <br /> " Agent(for the contractor)or Power of Aktprney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE CQUNTER PERMITTiNCa (cflpy of contraci req�ir�d) <br /> Reroofs if shingtes Sewers Service Upgrades A!C Fences(PiottSurvaylFoatage} <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />