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813-78�0-0020 City of Zephyrhills Permit Application <br /> Fax-813-780-002� <br /> Building Department • �t <br /> - 4 j�S/-�(�P�2<��17��r�tc'�� �r,f<j Earn ` <br /> Date Received ��� phane Contact for Permitting l 2� J`r�s __ ��{2-- �� � <br /> Owner's Name U�/G�9 C��✓ � �� Owner Phone Number <br /> Owner's Address ����v ��� �12y� Owner Phane Number �� � <br /> Fee Simple Titl�holder Name �- � Owner Phane Number � � <br /> Fee Simple Titl�holder Address <br /> 30B ADDRESS ���!� ���r�� / LOT# �� <br /> suBa�visiort �— � PARCEI.ID# ��`2 S�� 2 l • �?�•t-�� � �c�l� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PFtOPOSED e NEW CONSTR 8 ADDIALT � S1GN � � DEtdIO�ISH <br /> I INSTALL REPAIR <br /> RROPOSED U E 0 SFR Q COM(�11 C� OTHER <br /> TYPE OF CON�I�TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION IOF WORK ����[ C�(�SC'� �UOY� <br /> BUILDING SIZ� �� � SQ FOOTAGE �+�� HEIGHT �_---__� <br /> �$u��"���� ��C'`�� G��J�� VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> �ELE ITR3GAC. $ r� ��� AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> � <br /> �PLUMBIN� $ .-� � '��J�� j <br /> ,I � �. ����� �.' � <br /> �MECHANIGAL $ ,r/1���,� VAlUAT1aN OF MECFlAE�1GA���1STA�LATION �.�-� <br /> rtt� /� �iy ` �!?�C`/ '",�� <br /> �v(,v '�y� <br /> 0 GAS I Q RQOFING Q SpECIA�n � aTI�Ea ,3 {� C�`' �y 1� <br /> �� <br /> FINISHED FLO� R ELEVATIONS FLQOD ZC1NE AREA DYES ���("}0� r�° <br /> ( �� �.1�[, �1 <br /> BUI�DER ' ' ��t � COMPANY `�ir/,�i/f/'�,G° G�y��UC//C?✓ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �a 3� ���� �/ - �Z/�r/��p� License# ��/ � ����'r�a�� �/ <br /> EIECTRtGtAN �j>� � i�COMPANY � ^ � �� - <br /> SIGNATURE � �� REGISTERED Y/ N FEE CURRE� Y/N �. <br /> Address �, License# �'��" <br /> � ��^ <br /> MBER � COMPANY r��a� <br /> $IGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Addres 6��� <br /> License# <br /> MECHANtCA� ��i COMPANY <br /> SIGNA7URE I REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address , License# <br /> QTHER i CdMPARlY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# � � <br /> RES1DEidTlAL � Attach{2}Plat Plans;(2)sefs of Building Plans;{1)set of Energy Forms;Ft-O-W Permit fpr new eonstruction, <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 subdiuisions(large projects <br /> COMMERGI,4� Atfach{2}cqmplete sets of 8uiiding P1ans pEus a Life Safe#y Page;{1}set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Canstruction Plans,Stormwater Plans w/5ilt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for aii new projects.AI!commerciai requirements must meet comp[iance <br /> SIGN PERMIT Attach(2}sets af Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> �, Directions: <br /> Fill out app ication completely. <br /> � Owner&Contractor sign back of application,notarized <br /> � if over$25�00,a Natice of Commencement is required. (AlC upgrades over$7500) <br /> ** Agent(for t�he contractor)or Power of Attorney(far the owner}would be someone with notarizec!letter from owner authorizing same <br /> VER THE C011NTER PERMITTING (copy of contract required) <br /> oofs if shingl�es Sewers Service Upgrades A/C Fenoes(PIoUSurvey/Footage) <br /> riveways�Not over Counter if on public,raadways..needs ROW � <br /> ----I ------__-- j" <br />