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s�s-�eaooao City of Zephyrhills Permit Application Fax-813-780-Do21 <br /> Building Depactment <br /> ' * Date Received ' •7j l• !�-- phone Contact for Permitting ��7 — �0� ��!� <br /> Owners Name tl. � Owner Phone Number ����t��� <br /> Ownets Address � t,,,e.v� �vGi 4wner Phone Flamber �—� <br /> Feo Simple Titleholder Name �— � Owner Phone N�umber �- � <br /> Fee Simple 1'Itleholder Address ' ' ' ' " ' � <br /> 30BADDRESS VL.c'��.J v �OT#' �� <br /> SUB�MSION (�Qh`"��t��'M���CEI.ID#l���`a�-,��'����� ' ��0�� �� <br /> {08TAINED FROM PROPERTY TAX NOTtCE} <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPdSED USE Q SFR Q COMM � O7I-!ER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRtPTION OF WORK �� � L V 51 G S j} � ��J� e t� �� � 5 u' Q�j r B� <br /> BUILDIRtG S12E � � SGl FOOTAGE� HEIGHT �� <br /> QBUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ ��a� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBIN� ��� �� �, j <br /> � <br /> QMECHANICAL $ O�O VALUATION OF MECHANlCAL INSTALLP;TION� : v <br /> . .� - - - ` ., ��'7 <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � (�� <br /> - -- ._,. ._. _._ .l _ , <br /> FINISNED Fl.QOR E�EVATfONS �� FLOOD ZONE ARFA.- F M QYES��'f�'5�10'�•�%: .. .__ �^+_`, ' , <br /> �. <br /> C i i �i i i i i i l i 8 11 i i'6 i Q i l i f i i i ay i�6 5 i C 0,•,6 i L� <br /> BUtLDER COMPANY •w;�:���,•,.� �.����.- � � <br /> SIGNATURE � ftEGISTERED Y/ N FEE CURRE�' rv Y/N <br /> Address � � License# � � <br /> ELECTRICIAN COMPANY �� v'V`C� ��^'� - <br /> SIGi�[ATURE REGlSTERED 1 M FEE CURRER ' Y 1 N �" <br /> Address p f� � ' � License t� �G I3 op �4� <br /> PI.UMBER � • � COMPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� , Y/N <br /> Address ! � �icense# �— � <br /> MECHANICAL �t�.�,r ,,a�� „' `}-i"a'�r''"'.._�_,.._.._�.GOMPANY a���Gi7 f <br /> SI{�aAIATUk2E t 1 REGISTERED Y N FEE GURREh Y 1 N <br /> Address , � , • License# �1,,.���� 1 J / � <br /> OTHER � � COMPANY � � <br /> SIGNATURE REGISTEREO Y/ N FEE CURREA Y/N <br /> Address license# �� � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building PJans;(7)set of Energy Fo¢ns;R-O-W Permit for new constcuction, _ <br /> Minimum ten(10)working days after su6mittal date. Requiced onsite,CansWction P2ans,Sto�mwater Plans wl Silt Fence insYalied, <br /> Sanitary Faalities&1 dumpster,Site Work Pertnit for subdivisionsllarge projeds <br /> COMMERCIAI. Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new conshudion. <br /> Minimum ten(10)workSng days after subm3ttai date. Required oosife,Constructioa Pia�s,Stormwater Pia�s w!Silt Fence instailed, <br /> Sanitary FaalKies&�dumpster.Site WorK Persait fot aII new projecfs.A!I commeraat requirements must meeY compiiance <br /> SIGN PERMI7 Attach(2)sets of Engineered Plans. <br /> "`""PROPERTY SURVEY required for atl NEW constmction. <br /> Directions:� <br /> Fill out application completely. <br /> Owner&ConVactor sign back of application,notarized <br /> If aver$2500,a Mo6ce of Commencemeat is required. (AtC npgrades over$7500} <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER 7HE COUNTER PERMITf1NG (eopy of contract required) <br /> Reroo(s if shingtes Sewars Sarvice Upgrades FVC Fences(PloUSurveylFoofage} <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />