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� <br /> - 4 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phana Contact for Pecmittln . <br /> Owner's Name � � U�-�� Owner Phone Number 4l� � 7 I 7,wU <br /> Owner's Addrass D� � U 1� c7 Owner Phona Number `._---. i ` <br /> � Fee Simple Titleholder Name r�-_ � Owner Phone Numher �-_ � <br /> � <br /> Fee Simple Titleholder Address <br /> 4 JOB ADDRESS �� � i� L07 H �� <br /> � a <br /> SUBpiVIS{ON � � PARCELlA# <br /> (OBSAINEO FROM PR�PERTY TAX NOTICE} <br /> WOftK PROP03ED � NSFALLsTR 8 REPAlR � SIGN Q Q DEMOLISH <br /> PROPOSED U5E Q SFR Q COMM � OTMER <br /> TYPE OF CONSTRUCTI4N Q BLOCK Q FRAME C� STEEL Q <br /> DESGRIPTION OF WORK �^' �jU �/vJ"d <br /> BUIIpING SIZE � � SQ FOOTAGE�� HEiGHT � <br /> Te-nrrrr-rrr-r�-mnTmTrrrrrrr�-rrrnrrr-mr-rrmrrrmrra-rr�-n-r•rrrti-rrr-�-r <br /> QBUILpING �6 � VALUATlON dF TOTAL CQNSTRUCTION ' <br /> , <br /> � QELECTRICAL �� AMP SERVICE Q PRQGRESS ENERGY Q W.R.E.G. <br /> QPLUMBlNG $ <br /> � �MECNAtJiCA� $ ' '�' VA�UATIQN OF MECNANlCAL iNSTALtATtpN � <br /> 36as <br /> QGAS Q RQOFING Q SPECIALTY 0 OTHER <br /> � F1NtSHED FLOpR EIEVATiONS �� FLOOD ZONE Af2EA QYES NO <br /> � -1-1-i-�i-i.6�C-r.-:-1-1-f-l-1-4-f-1-L-i-4.1-�'.-C�-6�+'�-''-7-�'.-�C-S�+i�:�•r-:-f-i-�i-1-4-f-�i-i-l-i-i-i�-1-i-{--F.i..S-i-G.-�'-'�-1-.1-hi-1- <br /> BUILDER � � COMPANY � � <br /> SIGNA7URE REGIS7ERED Y I N FEE CURf2EA Y/N <br /> i <br /> Address License# � � <br /> � ELEC7RlCIAN � � COMPANY � <br /> StGNATURE REGISTERED Y I N FEE GURRE� Y I R( <br /> Address License# � � <br /> PLUMBER � � COMPANY �--- � <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �� ' <br /> � MECHANICAL �`/+� � COMPANY !2-t 'Z.'Gf'I �LIiWIe� (J v""`-G'� . <br /> SIGNATURE � REGISTERED Y I N FEE CURRE� Y J N � <br /> � _ I <br /> Address � �K �laG _2`@ �t' ' r4 � ���� Lfcense# ((../T�l���`7 I� � <br /> OTHER COMPANY <br /> SIGNATURE REGI6TERED Y/ N FEE CUFtRE� Y I N <br /> Address Ucense# � I ' <br /> Illlllllllllllllllllllllllllllllllllllllllllllllllllllltlllllllllll <br /> RESiDENTtAL At1aCh(2}Ptot Pians;{2)sats of 8uiiding Plans;{1}set of Energy Forms;R-O-W Permit tor new oansicuctton, <br /> Minimum ten(10}working days atter submittak date. Required onsite,Canstruction Ptans,5#ormwater Pians w1 Siit Fence instailed, <br /> Sanitary FaciliUes S 1 dumpsler,Sile Work Permil for subdivisionsAarge projects j <br /> i COMMERCIAL Attach(2)complete sels of Building plans plus 8 Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new canstruclion. � <br /> Minimum ten{94)warking days afier submittat date. Required ansite,Construction Pians,Stormwater Pians wt Siit Fence installsd, <br /> Sanitary FaGiiiies&1 dumpster Site Work Permit for aii new projects.Aii commerciai requiremenks must meet compfiance � <br /> SIGN PERMIT Attach(2)sels of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> aa-.i-{-I-�-i-S-:-'rq-y�.�r: � ' .-....-...r� . j..�S-i�-i-,`-r.-+-.-',-'r^:-'r' <br /> � Directions: <br /> ;� Ffll out application completely <br /> pwner 8 Gontrador sign back of application,notarized <br /> � !f over$2540,a Notice of Gommencement is required. {AtC upgrades ovar$�506} <br /> •• Agenl(for the wntreclor)or Power of AtYamey(for the owner)would be someone wilh notarized letter from owner authorizing same <br /> I; OVER 7HE COUNTER PERMlTfING (copy of contract required) <br /> Reroofs tf shingles Sewers Service Upgrades AlC Fences{PIoUSurveytPootage} <br /> priveways-Not over Counter ii on pubiic roadways..needs ROW � <br /> C, <br /> i � <br /> m - <br />