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, .:�, stsaso-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' .. - Building Department <br /> Date Recelved � �r'1'' � ` � <br /> � � Phone ContacL far Perm3tting {X���~ <br /> T-iTC_�. C �,..:1::: <br /> Owners Name 1 i Owner Phone Number �� �' <br /> Owner's Addtess ��}�-y';'�' I°1{�����t�'L � Owner Phone Number � � <br /> Fee Simple 7itleholder Name � Owner Phone Number <br /> Fee Simple Titlehalder Address <br /> JOSADORESS � �; � :_./I , �} � ��,,.���" LOT# E� " I t <br /> SUBDIVlSlON �- � PAftCEIld# �� °�� '(,�t/f t„r ' t�( UQ� �t�V <br /> (OBTAINED FROM PROPERTY TAX NOTICE} <br /> WORK PROPOSED e NEW CONSTRe ADD/AL7 �� SIGN 0 Q DEMOLISH <br /> lNSTAL,L REPAIR <br /> PROPOSEp USE 0 SFR Q COMM �„_� pTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FR.4ME �� STEEL � <br /> DESCR�PTfON OF WORK �C� Y�I 1+1�O�.c� ° �i�� -�D�S ti�P_ �� I`�,".�'J�� FP,�7'�,:�:3� �l. i`I�3`-{. 1 <br /> BUlI.D]NG SIZE � � SQ FOOTAGE� NEIGHT C� <br /> �BUILDING � /� `� VALUATION OF TOTAL CONSTRUCTION <br /> r <br /> DELECTRICAL �� AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBIN� � � � � � ` �� <br /> 1 <br /> OMECHANICAI $ VALURTION OP MECHANICAL INSTALLATION <br /> OGAS 0 ROOFING Q SPECIALTY � OTHER <br /> FINISHED Fl.00R E�EVATIONS r—� FLOOD ZONE AREA �YES Nd <br /> L <br /> BUILDER ��s a� t.� COMPANY �((7�d�Y1 1��"15'}fLd.G�'7�c1r'1 �(2,t�, <br /> SIGNATURE l REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ����y � {1_�}Z�pi."��(,. �icense# �i{�����}j}�� <br /> EIECTRtCiAN � � COMPANY � <br /> SIGNATURE REGISTERED —C I N FEE CURRER Y I N <br /> Address License# �_—_� <br /> PI.UMBER � � COMPANY � <br /> SIC+NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense#�__ � <br /> MECHANtCA� � � GQMPANY � <br /> StGNATURE REGISTERED Y t N FEE CURftER Y 1 N <br /> Address License#r— � <br /> OTHER � COMPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License#�_— � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilillll <br /> RESIDEN3iAl Attach{2}Piot Plans;{2)sets of Buiiding Pians;{1}set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten{10}working days after submittal date. Required ansite,Construction P2ans,Stormwater Plans wl SiSt Fence insialled, <br /> Saniiary Facilities&1 dumpster,Site Work Permit for subdivisions4arge projects , <br /> COMMERCIAL Attach{2)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 submittel date, Required onsite,Gonstruc8on Pians,Stormwater Plans w!Siti Fence insialled, <br /> Sanitary Facilities 8 1 dumpster Site Work PeRnit for all new projects.AlI commerciat requirements must meet eompliance <br /> SIGN PERMIT Altach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required forall NEW constructioa. <br /> .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill out application completely <br /> Owner&Gontractor sign back of application,notarized <br /> If over$2500,a Notice of Commeocemert is regnired. {A/C apgrades over$75d0) <br /> *" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner autharizing same <br /> OVER THE COUN7ER PERMi7TlNG (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AJC Ee�ces{PSotlSurveylFflotage} <br /> Driveways-Not over Counter if on public roadways..needs ROW i <br />