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i <br /> 813-780-0020 M1 City of Zephyrhills Permit P+pplication Fax-813-780-0021 ; <br /> , Building Department � <br /> Date Received �-� � �a�"� v Phone Contact for Permitting ��J �� -�u�� <br /> Owner's tdame ��� ��� Owner Phon�Rlumber � �3 =y�`� -8 7a� <br /> Owner's Address �/�P� � � � V� �� �����S Owrner Phone�umber <br /> Pee Simple Titleholder idam� Owner Phone ft�umber <br /> Fee Simple Titleholder Addcess <br /> JOB ADDRESS (,)��� ��� 11�. ��I.�I 5 I 33 5 y a LOT# � <br /> SUBDIVISIOPJ PARCEL ID# <br /> (OBTAIfdED FROPA PROPERTY TAX NOTICE) � <br /> WORK PROPOSED ivEW CONSTR ADD/ALT � SIGN Q Q = DEMOLISH I <br /> e INSTALL e �REPAIR 4 <br /> PROPOSED USE Q SFR Q COMM [� OTHER <br /> TYPE'"OF CONSTRUCTIOR! Q BLOCK - Q FRAiUIE 0 STEEL Q � <br /> DESCRIPTIOiV OF 1!1lORFC 1 ��D� 'v S V�� ► '`m►J�II�lQ �h�l� IC , S L.C�1'T"T� � U�' <br /> BUIL'DIPIG SIZE SQ FOOTAGE � �� HEIGHY <br /> �BUILDING $ r] p O h��O VALUATION'OF TOTAL CONSTRUCTION , <br /> � ! -� V <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q �W.R.E.C. I <br /> I <br /> QPLUMBING $ ' i <br /> QMECHANICAL $ VALUATION OF MECHANICAC INSTALLATION ��' <br /> 3�� <br /> QGAS Q ROOFING Q SPEGIALTY 0 OTHER i <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> i <br /> i <br /> i <br /> BUILDER COMPAPIY <br /> SIGtdATURE REGISTERED Y I N FEE CURRE� Y/N <br /> AddPess �License# <br /> ELECTRI.CIAN COMP�4WY <br /> SIGIdATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# µ � <br /> 1 <br /> I <br /> PLUMBER. COi�1PAP1Y- I <br /> SIGMATURE 'REGISTERED Y•/ N- FEE'CURRE� Y/N 1 <br /> i <br /> AcEdress - License# <br /> MECHi4NICAL � COiViPAP1Y <br /> SIGV�ATURE REGISTERED Y/ IV FEE CURRE� Y/N ' <br /> Address=� � - - — License:# <br /> -.,,yc ._ � <br /> OTHER• ` � � ' ���f COMI?AR1Y ��� UQ � �' <br /> SIGNATURE-.� ' REGISTERED Y N FEE CURR Y/N � <br /> Address l0 I S �y �'lrrl�S�� I 3 35�) �icense# C�.��3 a s so s ; <br /> � <br /> RESIDENTIpd:<<;' Qttach�;(2)"-PIoY Rlans;+(2)�sets�of<Building'Plans,:(1)'seYof Energy FoYms;R-,O-VV Permit.for new.construction,. <br /> , ; Minimum:,,ten?;(;1U)_w.orking!days aftecsubinittal-date. Requiretl onsite;'Constr�ction Plans,Stormwater.Plans w/Silt Fence installed, <br /> ��� Sanitary;Facilities,&T1;.dumpster;S,,,i#ei .W,ork�Rermitfor:'subdi`visions/large.pr'ojects�� <br /> _-__COflAAflERCIAL Attach(2)coriiplete'�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 onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fo��all new projects.All commercial requirements must meet compliance <br /> �.SIGtd PERNlIY Attaoli(2)sets of;Engineered Plans: , <br /> **""PROPERTY SURVEY required for.all.NEW.construction. - ` <br /> _ _.. . __ I <br /> ,Di�ections: .. . � <br /> Fill out application completely. <br /> Owner&Contractor sign.back of application,notarized ' <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades ov�r$7500) ' <br /> `* Agent(for th'e conf�actor)�or Power of'Attorney(for'the owner)would be someone with notarized letter from owner authorizing same <br /> �.OVER THE COUNTER PERIVi1TtIY�G (copy of-contract required) ' , <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public_roadvuays:needs ROW . , ,, , • .. .• " � <br /> ' , ,.� ,,,. , . fi �.r: . .., ' �. . , . <br /> � , z: .. �.. � r _.; , ... _.- . , ' •,., " _. ' <br />