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,813-780-�020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � � � Building Department <br /> Date Received � .�e �'� � � — �p ��rj <br /> Phone ContacY for Permitting <br /> ' �j � <br /> Owner°s Rlame !1 i S c�Y'Q �e�1� S Ouvner Phone Number (,�- /� � 00 i o� <br /> /V. 3Z�� <br /> Owner's.dlddress �?�' � � i'rc; r Owner Phone Mumber <br /> Fee Simple Titleholder Mame Owner Phone(dumber <br /> Fee Simple Titleholder Address � <br /> JOBADDRESS SO �r �z� r �I(S -L 33��'a LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B . NEW CONSTR� ADDlALT � SIGN Q � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROP.OSED USE Q SFR Q COMM 0 OTFiER <br /> TYPE`OF COfdSTRUCTIOtd Q BLOCK - Q FRAME 0 STEEL Q <br /> DESCRIPTIORI OF WORK � : /�r. e : � �j��OCI --� <br /> ���1''�.y�� <br /> �UILDING SIZE .SQ FOOTAGE � ,S�.a HEIGHT <br /> k QBUILDING $,d''/'� � VALUATION°OF"TOTAL CONSTRUCTION <br /> � U <br /> QELECTRICAL $ AMP SERVICE �0 PROGRESS ENERGY Q W.R.E.C. <br /> � �v <br /> �PLUMBING $ ��� <br /> OMECHAiVICAL $ VALUATION OF MECHANICAL INSTALLATION � �' `� '� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER ���v <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA DYES NO C��IiL� � <br /> .-- .�� ; S <br /> BUILDER ,`%"�/f. ��: � �COflflPANY R f.2-N Cn/Yl Ri�iC- <br /> SIGi�ATURE /.�/���'''C� - li' � , � REGISTERED / N FEE CURRE� Y/N <br /> Address 1 License# <br /> SIGNAYUftE� �� �� � � .�V` COHflPANY <br /> REGISTERED Y/ N FEE CURREP Y/N <br /> Ql 5`�s" <br /> � ddress Cicense# � <br /> PCUM�ER; � COMI'ANY IC��A ��� ��� � f.� /0 <br /> SIGNATURE � -REGISTERED / N FEE CURRE� Y <br /> , Address '-1�Z/.t I�fA2 L �� �, �, ( Licerl�e# � �/�Z(,�j/ S <br /> iYiECHANICAL �4Q ;� � COflflP/�iPdY <br /> SIGN.47URE' ��� REGISTERED Y/ fV FEE CURRE� Y/N <br /> Add�ess• " License# <br /> �st;; � .. <br /> OTFIER �"��- CO�APAPIY <br /> SIGNQ,TURE..; REGISTERED Y/ N FEE CURRE� Y/N <br /> Ac9dress <, - - License# <br /> RESIDEPITIAL ;, AttactS`(2)'.PIoE'Plans;'.-(2):'sets of'BuildingPlans;(1)set�ofEnergy Fomis;R-O-W Permit for new.construction, <br /> -; ,;�:;y�,,t.;_-�;Minimum,ten;..(90)workingicJays after.submittal.date. Required"onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, <br /> � San(tary.,Facilities.&-1:_dumpster;Site:Work Permit for,subdivisions/large.projecfs; - <br /> ,COMiIfiERCIAL Attach`(2)`complet'e`'sets of�Building�Plens plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. I <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> ' Sanitary Facilities 8�1 dumpster.Site Work Permit fo�all new proJects.All commercial requirements must meet compliance <br /> °-SIGN PERMIT AttacFi(2)sets of.-Engineer�d Rlans:' <br /> . "'*'PROPERTY SURVEY required for_aII.NEW construction. <br /> �,DirecQions:- - , . , , � <br /> Fill��out application completely. <br /> Ovirner&Contractor sign back of application,notarized <br /> If oyer$250Q a.Notice of Commenceenent is required. (A/C upgrac9es over$7500) <br /> " Agent(for fhe•cont�actor)or Power of Attomey(for.tlie owner)would be someone with notarized letter from owner authorizing same <br /> ._. ... .,..,. <br /> 'OVER THE.COUIdTER.F?Et2M1]'TING: +. ' i(copy of-contract-required) <br /> Reroofs if"shingles ;Sewers Service Upgrades;A/C-�; Fences(Plot/Survey/Footage) <br /> Drlveways-YVot over Counter if on public rdad'ways..n'eeds ROW <br />