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813-780-0020 City of Zephyrhills Permit,4pplicafion Fax-813-780-0021 <br /> • Building Department <br /> I <br /> Dat�Received _ • l V '.� Phone Congacg�or PermiQ4ieig • V I� ��8� --�V"1 <br /> Ownee's iVame �� CI 1 lM)U O Owreer�hone f�umber ��J�` � (q '���[ <br /> OwneP's�4ddress. l0�1� � bn v ��r�`� / Owner Phone iVurraber ' <br /> F�e Simple Titleholder'Plame muuneP�hoe�e h�a�en��P <br /> Fee Simple YitleholdeP�,dcCee�s <br /> JO�ADDI2ESS �� 61� C ��"I( (�� l ��S�I LOT� �� <br /> i <br /> �v�o�����o�, ��������� a�a�, a� �a�o - �xx�oo — �� <br /> � (OBTAIPIED FROM PROPERN TAX P10TICE) <br /> � <br /> WORK P&20POSED i B �Sl'ALLSTR e REPAIR � SIGN Q � Q DEMOLISH , <br /> PROP,OSED USE i Q SFR Q COMM � OTHER — <br /> 't'V�E'OF COP�ST6ZUCTIOfV i Q BLOCK • Q FRAME � STEEL Q <br /> DESCRIPTIO�OF.VdORK i � uo.�e s C�A F I ►�m �I�.Q �� �[� {— Sh i ��,S (f.S 1� Q <br /> � �n <br /> �UILDIV�G SIZ� � sQ Foo�r���C�. ������ U,n �a �n� <br /> [�BUILDING � $�� �/2 I b 0 VALUATIOIV'OF TOTAL CONSTRUCTIOiV <br /> ; `� �J <br /> �ELECTRICAL � $ , AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING ; $ �/ ��� . <br /> [ <br /> �MECHANICAL ' $� VALUATIOfV OF MECHAfVICAL IIVSTALL•ATION <br /> �GNS ' Q ROOFIfVG Q. SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIOfVS FLOOD ZONE AREA QYES NO <br /> �UILDER CONiP�41�V <br /> �����+Y��� REGISTERED Y/ IV FEE CURRE� Y/IV ' <br />�� Address License# <br /> � , <br /> ELEC.YRICI� COt1�P�4R�Y <br /> I ��GR1�4Tv9�E REGISTERED Y/ N FEE CURREn Y/N <br />' r4ddress License# �_ � <br /> �LUWI��R. GOii19PE�PBY: I <br /> SIG�A�CQ19a� � •REGISTERED Y-/ IV- FEE CURRE� Y'/N <br />� �+��P��� License# <br /> r1flECHPJ�ICP+L � COfVJ�AP2Y <br /> S9GfL�ATURE' � REGISTERED Y/ i�l FEE CURRE� Y/IV <br /> Ad'c➢Pe"ss� License.# <br /> �,. I <br /> mro��R- .. _ co�n�ea�v �'YIC�II b (l e- <br /> �IGf�ATIIFdE:� :i REGISTERED IV FEE CURRE�' /N <br /> Address _ 3�D .�\ � 1 I �►1 Ir��5 F' License# �C cc 3 a S So 5 <br /> 7dIE51DEiVTIAL::,. Qtfach;:(2)`:PIot�Plans;�`(2):sets�oftBuilding�Pfans;�(1j`seYof`Energy'Forms;'R-Q,UV:Permit.forngw.construction, <br /> -� ;; -- � �•Minirnu�n:,:ten>.(1'Q).,w,qtking��days�after,-sulitriittalydate. Required�onsite;'Construction Plans,.S:tor,mwater Plans w/Silt Fence installed, <br /> Sanitary,;Facilities•;&;�;'l�;dumpster;Site�..W.ork P.ermit for:�;sutidi'visions/large:projects� <br /> COMMEE2CEAL Attach`(2)�compiete'sets of Builiiing�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. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fo��all-new projects.All commercial requirements must meet compliance <br /> �SIGN PERiU11Y Attach'(2f�sets of`Engineered Plans.�� <br /> "'*"PROFERTY SURUEY r,equired for..all.RIEW constcuction. <br /> _..__. ... .�,_...... . <br /> Direagions: � <br /> Fill.out application completely. <br /> Owner�Contractoc sign.back of.application,notarized <br /> If oveP$2500,�PIO$!CC O�iCO1V1IY1�PIC�Pi7�B14 IS P�C�611P��. (PdC up�rac9es ov�r�7500j <br /> *" Agent(for'th`e`''contractor)�orPower of AttoFney(for'the ovuner)would tie someone with notarized letter from owner authorizing same <br /> .OVER.THE'COU�i'FC�=PERNf11Y:Y'IY�G. _ .(copy of-contract-required) •• <br /> Reroofs if shingles Sewers� Service Upgrades A/C Fences(PIotlSurveylFootage) <br /> I... _ .. _ . __ . .. �__ - ---= - -.. <br /> Driveways-Not o"ver Countec if on public��oadways..needs ROW , .. . �,• � �-� • - - <br /> ,. , , ' . � ,_t_�, : , - �t! ,; , , ., �J � : 1 • ,�'•.; - <br />' � - ��` ' -- � -- : -- -• ��- ��- - :w. <br /> I � = - ........: ---_:-:: ..... r, _-- •- �...,:... ._ _ ..: ____ " - <br />