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893-780-0020 City af Zephyrhills Permit Appiication Fax-813-780-0021 <br /> i Building Department <br /> ; � . <br /> Date Received � �•-���"�/�7 Phone Contactfor Permitting - <br /> ' (�` i'YIO r�C� � 13 `7Lc.�2-�`f� � <br /> Owner's Name i � � � Owner Phane Number <br /> � <br /> � ` .,��,� 7 ��� Z !�% CC 315 -g `fZ -aS �G <br /> Owner s Address p e �� S �1- Owner Phane Number <br /> Fee Simple Titlehoider Name � � Owner Phone Number g� �'��R I ��'T d�� <br /> Fee Sim le Titl�holder Address <br /> P <br /> JOB ADDRESS C����� LOT# �� <br /> SUBDiVtSlON �— � PARGEL!D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 0 f NEW CONSTR 8 ADDIALT [� S1GN � 0 DEMO�lSti <br /> �"� INSTALL REPAIR <br /> PROPOSEd U3E � SFR Q Ct7MfV1 � OTHER ur L. PaN �j' � <br /> TYPE OF CONSTRUCTION 0 6LOCK Q FRAME �v.- STEEL Q <br /> DESCRIPTION 4F WQRK p ��Z � �'"t� �.% J\�S �/ � <br /> BUI�DING SIZ� � �� � j � � SC!FOOTAGE ��� NEICHT �f ^� <br /> �BUI�DiNG � �J�,(t,�e t)�,� VALUATION OF TOTAL CONSTRUCTION <br /> (X YJU <br /> �ELECTRICA� �� AN1P SERVICE 0 PROGRESS ENEF2GY Q W.R.E.G. <br /> �PLUMBING � � <br /> OMECNANfCAL $ � VA�UATION OF NIECHANECAI,INSTA�LATIC}N L�� ��� <br /> �....... <br /> OGAS � ROt?FING 0 SPEC(ALTY �� OTHEF{ <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA DYES NO <br /> BUtCDER �,�-��� � �..�e�� COMPANY �t31�'I`L' �VJ lfI e� <br /> SIGMATURE �� ��y�'�'�� REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> EIECTE2tGtAN � COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# C^ � <br /> PLU11ttBER COMPANY <br /> �SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> IVt1ECHANICAC � C4MPANY <br /> $IGNATI,.IRE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> {?THER � COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> RESIDENTIAI..� Attach{2)Plot Plans;{2}sets of Building Plans;{1}set of Energy Porms;E2-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permii far subdivisions/large projects <br /> � COIVI14f1Ef2CtAL! Attach(2}corr�ptete seEs of Building Plans plus a�ife Safety Page;(9}set qf Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 d.umpster.Site Work Permit for all new projects.Aii commercia!requirements must meet compiiance <br /> SIGN PERMIT Attach{2}sets o#Engineered Plans. <br /> ***"PROPERTY SURVEY required for all NEW constructian. <br /> Direc#ions: <br /> Fill out ap�lication completely. <br /> Owner&Contractor sign back of application,notarized <br /> lf aver$2504,a Notice of Commencement is required. (A/C upgrades over$7500} <br /> '* Agent(for'the contractor)or Power af Attorney(for the owner)would be sameone with natarized letter from owner authorizing same <br /> OVER 7HE COUNTER PERMITTtNG (copy of cantract required} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) ,_. „ t= <br /> Driveways-Not over Counter if on public rpadyyays..needs;ROW , <br /> i - . „ <br /> E <br /> � ` . - - -� <br /> � • <br /> .�..� wi ._.._ ._ _. . <br />