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813-760-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> '` T Building Depattment <br /> � q �„ G <br /> Data Received � �' Phone Contact for Permit8ng� i �b:J - �+ e � <br /> T-�-r-i-s-c- nY� -i' 1 <br /> Owners Name � �(\ � 1 e�, ,, � Owner Phone Number � � ' �� `�✓1 � <br /> ��t ��'.. <br /> .. _ ....... + �.�` <br /> Ownet's Address t" ' `L Owner Phone Number y t� �� �' �.l <br /> Fee Simple Titleholder Name r � Owner Phone Number �- I <br /> Fee Simple Titleholder Address <br /> JOB ADORESS �J��t� � G i t ��-� �OT# �� <br /> SUBDIVlStON �- � PARCE�IQ# �''r�SD���� ��,'� �U Lr V� C,f�/ / <br /> {08TA7NED FROM PR�P6RTY TAX NOTICE} <br /> WORKPROPOSED e NEwcaNSTR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUC7IQN BLOCK Q FRAME � S7EEL Q <br /> DESCRiPTION OF WORK �,C�l Q� ��., i � ,Z� �) �`'Q- � C�� � <br /> BUti.DtNG SIZE � � SQ POOTAGE� FiEtGHT �� <br /> Trrrrri-rrmrrrr-rrrrmrrrrr7rr�-e-ermrr�t-r�re�m�-rrrrr-rrn-rrrmrrr�-rr <br /> �BUILDING �i � !.�� VALUATION OF TOTAL CONSTRUCTION <br /> v <br /> QELECTRICAL �� AMP SERVIGE Q PROGRESS ENERGY Q W.R.E.C. <br /> �P�UMBING $ ��� <br /> � �� �� ���--,�i��....�- <br /> OMECHANlCAL $ VALUATION OF MECHANICAL INSTALLA7IQN � <br /> �V� <br /> QGAS Q ROOFING Q SPECIALTY � O7NER <br /> FINISHEDF�OORELEVATIQtYS FLdODZONEAREA QYES h!O t.�-V'l�� � <br /> .�.�-:-i-:-i-L�' S�-FC-i-_e..:..:-i�.i-:..r.- ' 7�' ���W.-:�.i•'.�i-:-Fi�.i.�'.-:-i-.:.��-���5.'rFC-'r•.-i-:�- <br /> 6UILDER � COMP NY ��t�� �.. '� 1� .��� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address C`�.� ��1 U� � � license# �.� ����b '� <br /> ELECTRICIAN � � COMPANY � <br /> SIGNATURE REGtSisREo Y t N �E cuRRsn Y 1 N <br /> Address License# C-_ � <br /> PLUMBER � � COMPANY �- � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ��� <br /> MECHANICAL � � CdMPANY � � <br /> SIGNATURE REGISTERED Y I N FEE CURREh Y J N <br /> Address License# r � <br /> OTHER � � COMPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2}Plot Plans;(2)sets of Building Plans;{7)set of Energy�ortns;R-O-W Permit for new construction, <br /> Minimum ten{10}working days after submitta2 date. Required onsite,Consfructian Plans,Stortnvrater Plans wt Silt Fence instalfed, , <br /> Sanitary Facilities&1 dumpster,Site Work permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets af Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten{10}working days after suhmittal date. Required onsite,Gonstruc#ian Ptans,Starmwater Pians wt Si(t Fence installed, <br /> Sanitary Faalities&1 durnpster.Site Work Permit for aIl new projects.AIt cammercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'PROPERTY SURVEY required for all NEW constructian. <br /> �-.{-i.t-�-i-'+-0�-'r�:-I..t-.Fl.�..l.-4.1-{-�-3-i-i-t-�I.-1-i-�..i-i.l.i-I..FF{-i-t.-i-b-I-i-I-i-F-t-�Fi-i�p-`rr:-:-:�5-:-f.T.E-i..F <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of applica0on,notarized <br /> tf over$25�Q a NoBce af Commencemenf is required. {R!G upgrades over$7500} <br /> " Agent(for khe contractor)or Power of Attomey(for the owner)would he someone with notarized letter from owner authorizing same <br /> OVER TNE COUNTER PERMlTTlNG (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades NC Fences(PIOUSurrreylFootage} <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />