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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �• Building Department ' <br /> Date Received Phone Contact for Permitting �� "1 !'1- ��Q� <br /> �Owner's Name " i .�` �� Z�°N Y�1���� Owner Phone Number � 3 / U�^� <br /> Owner's Address � � �� U�� S��2��� Owner Phone Number <br /> Fee Simple Titl holder ldame (i l� �� � ��LIi..J Owner Phone Number <br /> Fee Simple Titl holder Address 5 3 3� ��� ��!'�j� <br /> JOBADDRESS �S9'1 � Ca�"` � VF • Z F,�pN-�12�t(,GS FC. LOT# � <br /> SUBDIVISIOfd PARCEL ID# ` "'�� � Z� —�(D— � ���Q — Q Z <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B , NEW CONSTR 8 ADD/ALT �] SIGN Q Q DEMOLISH ' <br /> INSTALL REPAIR <br /> I PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK - Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK A(� U N�C WI " <br /> BUILDING SIZE 3�� S� SQ FOOTAGE� HEIGHT <br /> I <br /> OBUILbING $ �� � �� , � VALUATIOIV�OF TOTAL CONSTRUCTION <br /> QELE�TRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> -� <br /> OPLU BING $ <br /> , ( 'r/��2i <br /> OMEOHANICAL $ VALUATION OF M�CHANICAL INSTALLATION � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FL OR ELEVATIONS FLOOD ZONE AREA DYES NO (O1`�� <br /> . rlls b'� -o,�`� <br /> Bl3iLDER �1 COMPAPIY ZIZ �/v S�UG�] • / G �' <br /> SIGP14\TURE 0� REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address '� ` ���� � L UT� Z 33 �y� License# G�J �i Q� ���� � <br /> 4 <br /> ELIECTRICIAN &�I��V�-� �\�OM PAPIY ^�I�'� <br /> SIGNATURE ��� ' �� EGISTERED Y/ N FEE CURRE� Y/N 6 S� . <br /> Address License# � �T'�t� <br /> ��� <br /> I PLUMBER COINPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ECHANIC � �'(I��� � MPANY ��+ <br /> IGMATURE J REGISTERED Y/ N FEE CURRE� Y/N ��I <br /> Address License# �� <br /> � � <br /> OTHER COM PAPIY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ��.��,,. ������ .�. . ... : ..... .. ........... . <br /> RESIDENTI �� Attach(2)Plot Plans;(2)sets of Building�Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten�(10)working days after submittal date. Required onsite,Construction Plans,Stbrmwater Plans w/Silt Fence installed, <br /> Sanitary,Facilities:&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIA Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of 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 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMI Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fill out adplication completely. <br /> Owner&iContractor sign back of application,notarized <br />�, If over$2I500,a Notice of Commencement ts required. (A/C upgrades over$7500) <br /> " Agent(fot the cont�actor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> I <br /> OVER TFIE COUN7ER PERMITTING (copy of contract required) <br />� Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivewa s-Not over Counter if on ublic roadwa s..needs ROW <br /> P , Y <br />