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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-qp21 <br /> Building Departmeni <br /> •; Date Received —� phone Contact for Permiltinp 1 O� �7�� ���l� _ <br /> -rT,.�,,.i_��.,_ '�Ti [_ri_'I'�., T.T.C..�__. ,.�5+ <br /> Owner's Namo f 1 �1 �C,." Owner Phone Number Q�3-�C:JJ 1�U <br /> Owner's Address �'t t t� t`l��[����t�� Owner Phone Number 'C3-7�0-�i-� <br /> Fee Simple Titleholder Name Owner Phone Number �— � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �J"I�{� � �OC1�OUCS ��d �OT# �;�� <br /> SUBDIV1StON �— � PARCELlD# ��"��`"C�'O��O "`-'�-�R✓�^� <br /> (08TNNED FROM PROPERTY TAX NOSfCEj <br /> WORK PROPCISED e NEW CONSTR 8 ADD/A�T � SIGN Q � DEMC7I.ISH <br /> ItSSTALL FtEPAtR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCF2IPTION OF WORK ��I Ze ��1^ S(Z-� � �- �l� �uT `� r �+� <br /> St3[LOtNG S(ZE � � S4 FOOTAGE� HEIGHT � <br /> QBUILDING I$--! � VALUATION OF TOTAL CONSTRUCTION <br /> �� <br /> QELECTRICAL �� AMP SERVIGE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��� <br /> �MECHANtCAL $^�Q�_�d VA�UATtON OF MECHANICAL INSTALLATtON �' �� <br /> tJ�t E� <br /> QGAS Q ROOFING Q SPECIAL7Y � OTHER <br /> F1NISNED FLddR ELEVATIONS �� FLOOD ZONE AREA DYES t3� <br /> BUILpER � � COMPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y 1 N <br /> Address LiCense# �—� <br /> ELECTRiC12W GOMPANY � <br /> SIGNATURE � � REGISTERED Y 1 N FEE CURREh Y 1 M <br /> Address License# [— � <br /> PLUMBER � � COMPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �T--� <br /> MECHANI '� ' COMPANY l � \„�r��,�,,.a' r1,1 Y" �d�1�,��:11'1tf\t:.� 4 I <br /> StGNATURE REGiSTERED ----�_n� FEE CURREn N i <br /> Address q���CVC'�L�V�'; u,�� license# y"'��\C'�lJ I � <br /> OTHER � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ' <br /> Address license# I-- I ' <br /> Illlllltllltll-IIIIIIIIi1111111111111t11111t111I1I11illllt1111111111 �, <br /> RESiDENTlAC. Attach(2}Ptot Pians;{2}sets of Sufiding Pians;{1 j set of Ensrgy Fortns;R-O-W Partnit for new consWction. <br /> Minimum ten(10)working days aRer submittal date. Reqaired onsite,Construction Pians,Stormwater Ptens wt Siit Pence instalted, <br /> Sanitary Facilities&'I dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Atfach{2)complete sets pf Building Plans plus a Life 5efety Page;(1)set of Energy Forms.R-O-W Permit for new cOnstruction. <br /> Mi�imum ten{90}working days after submittal date. Required onsite,Construc#ion P3ans,Stormwater Pla�s wt Sitt Fence instaited, <br /> Sanitary Facilities&Z dumpster.Site Work Perrnit foe alI new projects.AII oammerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURYEY required for al!NEW construction. <br /> Directions:� <br /> Fill out application completely. <br /> Owner&Cantractor sigrr hack o(application,notarized <br /> If over§2500,a NoHce of Commancemenf is required. {AIC npgrades aver 37566} <br /> " AgenY(for the contraotor)or power of Attomey(for the owner)would be someone with notarized letter from awner authorizing same <br /> OVER THE COiSNTER PERMl3"t'tNG {copy of can#ract required} <br /> Reroofs if shingtes Sewars Service Upgrades A/C Fences(PtoVSutvey/Foatage) <br /> Driveways-Not over Counter if on public roadways..needs F20W <br />