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813-780-0020 City of Zephyrhills Permit Application Fax 813-78U-0021 <br /> Building Department <br /> .'" <br /> Date Racei�3d phane Contact for Permittfn <br /> - - - - . -•--- - -- - <br /> ,�1 -- - - --- -- - - -- ... �.._ <br /> Owner'�Name �L�-! _��� � Gwner Phone Number ���i ._ �J.S'� �jz// <br /> _ � �— � <br /> Owner's Address ��'� ��r���f ��� �` jp�_ ..� Owner Phone Number <br /> Fee Simple Titleholdsr Name Owner Phone Number �� � <br /> Fes Simple Tttlehalder Address <br /> JOB 14DDRESS c''T_�'''� � LOT# � <br /> T.:�-- <br /> SUBDIVISION .t3 1C4t��iOaC �y�I4� PARCEL ID# / "` o� lo'� �l ~ � J� ` v �j�`-<(�� <br /> (dBtAENED FROM PROPERTY 7AX NOTICEj <br /> WORK FRQPOSED NEw CONStR ADDlAIi' � SIGN [� [� DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PRQPOSED USE Q SFR Q COfUIM � OTHER * <br /> TYPE QF CONSTRUCTlON Q BLOCK Q FRAME � STEEI. [� ' <br /> DESCRIPTION OF WORK (/ � 1. f'7 <br /> BUlLDING SIZE �� � SQ FOOTAGE HEIGHT ._ <br /> D�u���}�G � � VALUATION OF TOTAL CONSTRUCTION <br /> �! <br /> QELECTRIGAG �� AMP SERVIGE Q PROGFtESS ENEFZGY Q W.R.E.C. <br /> QPLUMBING $ �� <br /> C_,_,_„.� � ��x <br /> MECHANICAL $ • o � VALUATION QF MECHANICAL INSTRLLATlQh <br /> (� . <br /> [�GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS r�.—� FLOOQ Zt?NE AREA QYE3 NO <br /> L <br /> �uie.a�� _ __ _ _ ._ _---- -- co�n�Aen - --- _ _ _ __ . � - -- - - - <br /> SIGNATURE REGISTERED Y! N FfE CURF2ER Y t N <br /> Address License# � ^� <br /> ELEG7RfC1AN COMPANY <br /> SI4NATURE REGISTERED Y/ (V FEE CURRER Y/(+I <br /> Address License# � � <br /> PLUMB�R CQNtPANY <br /> SIGNATURE � REGIS7ERED Y/ N F�Cut�R� Y/N <br /> Address License# � _� <br /> MECHANICA! - �9 ,` COMPAt+tY / (�,- <br /> SIGNATURE � REGlS7ERED Y/ N FeE CUt�REt+ Y N <br /> • ', .. <br /> � �'��� <br /> Address / lti.� �, � � License# >v� � � � <br /> OTHER COMPANY <br /> SI(3NA7URE REGISTERED Y/ N . FEE CURRE� Y!N. <br /> Address Cicense# � � 1 <br /> RE81DEN71AL Aktaoh(2)Plot Plans;(2�sets of.Building Plans.{1)set of EnergyFortns;R-O-W Permit far new construation, <br /> Minimum ten(10).worktng days.after submlttal date. Required onsite,Constnuc8on Plans,Starmwater Plans w/Silt Fence installed, <br /> Sanitary Factli�es&1 dumpster,Site Work�Fermit for subdivisionslfarge projects <br /> COMl1AERCIAL- Attach{3�domplete sets of Bulldlrig Plans pfus a l.ife Safety Page;(1}set of Energy Forms.Ft-O-W Permit Eor new construction. <br /> Minimum ten(10)wo�lcing days'after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/5ilt Fence installed, <br /> Sanitary Facii�tles 81 dumpster.Site Work Permit for atl neriv projects.All commercial requirements must meet compUance <br /> SlGM PERMIT Attach{2)sets of Engineered Plans. <br /> ""`PROPERTY SURVEY required for all NEW constructlon. <br /> Directtons: <br /> Fill out application completely. <br /> Owner 8 Contractar slgn back of applicaHon,notarized <br /> IE over 52500,a Nalice of Commencemerrt ls required. tAIC upgrades aver 57500) <br /> " Agent(for the contractar)or Powar of Attomsy(far the owner)woutd be someane with notarized tetfer from awner authorizing same <br /> � OVER THE CdUNTER P.ERMI'fTiNG (Front a#Apptica6on Only) <br /> � Reroofs if shingles Sewers 3ervice Upgrades A!C Fences(PloU3urveylFootage) <br /> driveways-Not over Counter if on public roadways..needs ROW <br />