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'813-780-0020 City of Zephyrhills Permit Application Fax-893-780-0021 <br /> • , � .' Building Department <br /> , <br /> Date Recelved �� � �� _ ����� <br /> Phone Contact for Permlttin <br /> Owrner's Name � �Y� ������g���� pWner Phone Number . �j' .-�.���.�Q�,� <br /> `� ` , 1 4 <br /> Owner's Address �p�f��°.��� �'��o��' I� ��'gc f�� pvvner Phone.Number ,,, .. � ` . <br /> Fee Simple Titleholder.Name ["�_ .f�i� �f�Q� (L`,,e�..�E�(i� p�yner Rhona Number� ` � � <br /> Fee Stmple Tltleholder Address ��3 S2-S� � �� '�- _ h 2Y7� 1 S �'{ ' � �s C.4� - <br /> JOB ADDRESS �-- �5.���D C((Ze`e �-Z� (7 ��j��( � LOT# � � <br /> SUBDIVISION ��'�"C"CJ�Gl� PARCELID# bZ�`�.(� •.2l �0�6 --OO�dO -�ca <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE [�SFR [� COMM �: OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME [� STEEL [� <br /> DESCRIPTION OF WORK F �� �� �„ <br /> BUILDING SIZE O�� '��X S� SQ FOOTA E , , HEIGNT � <br /> OBUILDING $�5.. OD G VAL TALCONSTRUCTION�' <br /> QELECTRICAL $ C � AMP SERVICE I�7� �pROGRESS ENERGY Q W.R.E.C. <br /> :� <br /> QPLUMBING $ ,�Dp <br /> �]MECHANICAL $ VALUATION OF MECHANICAC INSTALLATION����� ��� / l�J <br /> ��� <br /> [�GAS �/ ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS• FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � I�'!a� �����{„��"�� ���, <br /> SIGNATURE REGISTERED Y N FEE CURRE� N <br /> Addre � �� a� � Y1 R�1 Lfcense# � - ,�� <br /> ELECTRICI COMP..ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �U (� <br /> PLUMBER �� � COMPANIf � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL �ee � � COMPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> S`Address License# <br /> OTHER ' COMPANY M�� ���N �1� <br /> SIGNATU REGISTERED Y N: . FEE CURREA /N <br /> ddre�s 1 �•�°� � '�� �$ e � License#• C CC I 3ZSS~�� <br /> RESIDENTIAL Attach(2)Plot Plans;.(2)sets o�Building`P.lans;(1)set of Energy�Forms;R-O-W Pertnit for new construcUon, <br /> Minimum�ten.(1.0)�working,days after.submittal date: Required.onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary Fadlides.8�-1:.dumpster Slte'Work:P.ermit for subdivislonsAarge projects <br /> COMMERCIAL Attach(3)complete sets of 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 submittal date. Required ansite,ConsWcUon Plans,Stortnwater Plans w/Silt Fenco insfalled, <br /> Sanitary FaciliGes&1 dumpster.Site Work Perm(t for all new projects.All commercial requlrements must meet compllance <br /> SIGN PERMIT Attach(2)sets of EngJneered�Plans. <br /> ""PROPERI'1'SURVEY required for all NEW constructlon. <br /> Dlrections: � <br /> FIII out applicaUon completely. <br /> Owner 8 Contractor sign back of appltcatlon,nota8zed <br /> If over 52500,a NoSlce of Commencement Is requlred. (AIC upgrades over 57500) <br /> " Agent(for the contraotor)or Power of Attomey(for the'own8r)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appllcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />