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813-780-0020 City af Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Depar�,ment � <br /> pate Received ` ��7r��.,� phone Gantact for Permitting Q/� �"7 ���� �� <br /> Qwner's Name - �. �GI`� ���� �..:�'i Owner Phone Mumber <br /> Owner"s Address ��j� � �c'�l/,�:' `�2/�"3����� t.� Owner Phone Number � � <br /> � � <br /> Fee Simple Titleholder Flame �� � Owner Phone fdumber � � <br /> Fee Simple Titleholder Address <br /> ' JOB/�►GDRESS �'r'J I �� ��ib L�.-,� ` LOT# �� <br /> ' SUBDIVtStON � � PARCEL ID# <br /> i, (OBTAINEP FROPA PROPER7YTAX NOTICE) <br /> �4 WORK Pi�OPOSED e NEW COt�STR e ADD/AtT � SIGN Q Q DEMOLiSH <br /> i; INSTALL REPAIR <br /> �4 PRdPOSED USE Q SFR _ Q COiU1M � OTHER <br /> �' NPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL �] <br /> +; DESCRIPTION QF WQFtK �d��11��"i���J-�%e� i'�'i�l� �'�(�'��G~ /VL`Gl/t�'�"�'�'''Cn�"r'l-�'�'i �N�v�,�il� ��,T— <br /> ( r1i14�i�'i'�` <br /> �; BUILDING StZE �^ � SQ FOOTAGE�__� HEIGHT ��� <br /> �. <br /> ,, <br /> k} OBUILDING $ �� � <br /> �,j � VALUAT(ON OP TOTAL CONSTRUCTION <br /> c <br /> '' E�ECTRiCA� $ AMP SERV(CE <br /> ; � � � 0 PROGf2ES5 ENER�Y Q W.R.E,C: <br /> � <br /> �, Q PLUMBING $ , J��� !. <br /> ��i <br /> ; OMECFfANICA� $ -� VALUATIQN C}F NIECHANtCA�iNSTAI.LATlC}!U :� � ��� <br /> 0 <br /> � �c�s RoaFi�v� � s�Ecia�.rr 0 OTHER ��jc,,� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> „ . <br /> ^ BUtLDER � COMPANY <br /> ;� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> _...., ,_ <br /> � Address License# r� � <br /> � <br /> k ELECTRtC1ANt CORAPANY <br /> � SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N ' <br /> � Address <br /> License# � � <br /> I - <br /> E <br /> i p�-��B�� COMPANY <br /> i 51GN,4TURE REGISTERED Y'/ N FEE CURREf� " Y/•N ` <br /> � Address License# r� � <br /> MECHANICAL GOMPANY <br /> SIGIdATIJRE REGISTERED Y/ N. - F��cu�En Y/N • <br /> � Address Lic s #_�— � <br /> , OTHER �� -���4�� /��i� ti COMPANY � <br /> SIGNATURE T. REGISTERED �EE CURRE� Y/N <br /> , Address License# ��.,�Z ��e'�, � <br /> ?, <br /> �� RESIDENTiAL• Aftachi(2)Piot Ptans;(2}sets of Buiiding Plans;(1}set of Energy Farms;:R-O-W.Permit for new construction, . <br /> Minimum-ten•(:10).working iiays affer submittal date. Recjuired onsite,Construc6on Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&9 durnpster;Site Work Permit for subdivisiansltarge pro]ects � <br /> � COMMERCtAL Attach(2)complete sets of Bui�ding Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new,construotion. <br /> Minimum ten.(10)working,days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt.Fence installed, � <br /> , Sanitary Facilities&1'dumpsfer.Site Wortc Permit for atl�new projects.All commercial reqairements must meet compiiance I <br /> - SIGRI PERMIIT Attach(2)sets of Engineered Plans. <br /> ***"PROPERTY SURVEY required for a!I NEW construction. <br /> � <br /> Dlrections: <br /> Fill out application completely. <br /> Ownec&Contractor sign back of application,notarized <br /> If over$2500,a Notice�of Commencement is requtred. (AIC upgrades over$7500) <br /> "` Agent(for the contractor}or Pawer-of Aftomey(for the awner)wautd be someane with notarized letter from owner authorizing same <br /> O.VER THE COUNTER PERMITfING (copy of contract required) <br /> Reroafs.if shir�gles Sewers . Service tlpgrades�AfG Fences{PloUSurveylFootage) <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />