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893-7 0-0020 City of Zephyrhills Permit Appiication Fax-813-780-Od21 <br /> �. Building Department <br /> Date Received phane Contact fa�Permitting L�l� ��� -��� <br /> �Owner's Name d � /'7�11� /E�-°L� Owner Phone Number /�r ��/ ""/d�� <br /> Owner's Addr ss [.�o�� �7�1UZ"�/� 7"d/� � Owner Phone Number � � <br /> Fee Simple 7it eholder Name �— � Owner Phane Number �— � <br /> Fee Simple Tf eholder Address <br /> J88 ADDRES cLG�-�� GlN"L�IV ��'�+ �� !, � -��LL�.a� LOT# �—� <br /> suBo�v�sEo� �'i1��rz �.�j-�.S PARCEl.ID# �� �l� I l.�l� �faC�C��} 1��5L� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORIC PROP�SED e FlEW CON57R� ADDIALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> Pl20FOSED USE Q SFR Q CONiM � OTHER <br /> TYPE OF CO STRUCTION Q BLOCK - Q FRAME � STEEL [� <br /> .. � <br /> DESGRIPT(O OF WORK <br /> BUtlt}1NG SI �E �� � SQ FOOTAGE�.� NEIGHT [� � <br /> ���lj"�R�� L � VALUATtON�OFTOTALCONSTRUCTtON <br /> �1 <br /> DEi. ICTRICAL $ � ANiP SERVtCE � PROGREBS ENEFtGY Q W.R.E.C. <br /> QPL MBIfVG � � <br /> QMEGNANtCAL $ � VAIUATl4N QF M�CNANICAl.1NSTALLATION <br /> ����i �� <br /> OGA Q ROOFlNG Q SPEGtALTY [� (}TFfER <br /> FINISHED FL OR EI.EVATIONS � FLOOD ZONE AREA QYES NO <br /> BUt�DER Ct3MPAtdY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> EtECTRICI COMPA[�IY <br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address, License# �— � � <br /> FLUMBER COMPANY <br /> SIGNATURE ReGISTEReo Y/.N FEE CURRE� Y/N <br /> Address License# �- � <br /> .._ f....., ,......,, <br /> sicNAru E ��,'�-2, ��';���-�it,eh_� conn�aur ��i� f31tJP��-5 9`f�.-'atl�, <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess �1}�'j t�'1!� � /G�$ License.# �)7�?,,,�7.?'O � <br /> OTHER` "" GOMPANY <br /> SIGNATURE�� �� REGISTERED Y/ N FEE CURRE� Y/N <br /> - Address ticense# �^ � <br /> " RESIDEN7`t!. Attach{2).P[ot Plans;`{2}.sets of Building�Plans;{1)set of Energy Forms;R,O-V1t,Permit for new canstruc6an, <br /> � Minimum ten'(,10)working'days after submittal date. Required onsite,CanstnicUan Plans,Stormwater Plans w/Silt Fence inskalled, <br /> Sanita.ry.,Facilities.&�1,.dumpster;Stta Woc1c Permft for subdivis�ons/large projects ., <br /> COII�MERG1 A#tach{2}cbmptete,sets isf Buitciing Plans plus a�ife 8afety Page;(1}set of Energy Forms.R-Q-W Permit for new construction. <br /> � Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/8ilt Fence installed, <br /> Sanitary Facilitaes&7 dumpster.Site Work Permi#for alf new proJeats.Ait commetcial requirements must meet comptiance <br /> S(GN PERMi ;4ttach{2}sets of,Engineered Pians. <br /> *•*`PROPERTY SURVEY required for all NEW construction. <br /> Diiectioas: � <br /> Fill out a�plication completely. <br /> Owner 8��Coniractor sign back of appiPca#ion,nota�3zed <br /> lf over$�50d,a Notice af Commencement is required. (AiC upgrades over$7500) <br /> `" Agent(forth`e'contractor)or Power of Attomey(far the awner)wduld be sameone with notarized letter from owner authorizing same <br /> OVER TNE C UNTER PERMi'RiNG (copy of contract required) <br /> Reroofs if shi gles Sewers Service Upgrades A1C Fences(Plot/Survey/Footage) <br /> DNvewa s-Not over Counter if on pubiic roadways..needs ROW <br />