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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> : . . Building Department <br /> Date Received !� �(' �� Phone Con4act for Permitting �� �g� -- C��9`� <br /> Owner's Mame T I l �-C aro� Owrner Phone Pfumber ��J _�I _ v"'�� <br /> Owner's Address �S� � � v' �� f�' I � Owrner Phone P�umber <br /> Fee Simple Titleholder I�ame Owner Phone iVumber <br /> Fee Simple Titleholder�,ddress <br /> )I I]�� � �i�5 f � 3 3sya LOT# �a-�� <br /> JOB�4DDRESS S�S`� I ll' � � <br /> SUBDIVISIOfV �1 b� 2 ����5 PARCEL ID# I I'��P'�l—V���- 0�y�b- oia0 <br /> (OBTAIfdED FRORR PROPERTY TAX PIOTICE) <br /> WORIt F'ROPOSED B NEW CONSTR e ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> l,. , <br /> PROP..OSED USE Q SFR Q COMM 0 OTHER <br /> TYPE�OF COiVSTRUCTIO�V Q BLOCK - Q FRAME 0 STEEL Q <br /> DESCRIPTIOP!OF U1lORF( QU�.� Ot�1" ��"�v17� ( S (5 l����5 ��v l �I '��'1 � <br /> S � `/ <br /> BUILDIPJG SIZE SQ FOOTAGE HEIGHY Y �� � ��i�n� <br /> BUILDING $ ��(�b � VALUATION'OF TOTAL CONSTRUCTION <br /> 1 <br /> DELECl'RICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � �() C� <br /> � �U <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GQS Q ROOFING Q SPECIALTY � OTHER <br /> FIiVISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COf1flPAPIY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Ad�Pess License# <br /> ELECTRI.CIAN COM PAR�Y <br /> SIGRf�4TURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# V <br /> P LUfU1�ER. COiI�PAPJY <br /> SIGRIATURE REGISTERED Y-/ N FEE CURRE� Y/N <br /> �4ddress License# <br /> f1flECHi4AlIC�4L � CO�(IPAPIY <br /> SIGR�ATURE' REGISTERED Y/ IV FEE CURRE� Y/IV <br /> Address l:icense.# <br /> OTHEB, COMP�4fVY �� �-C1"1 C <br /> SIGNATURE.� - REGISTERED / N FEE CURRE� /N <br /> Address _ �p �3 U�� � (�ir��S �� License# CCC�3a 5 5�5 <br /> RESIDEPlTIAL�; Attach:�:(2)PIof�Plans;:`(2):sets of Building Plans;(1)'seYof�Energy Forms;R-O,W Permit,for new.construotion, <br /> . ; - -_ Minimum�tem.(;10)working�days�aftersubmittal:iiafe. 'Required onsite;Constniction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary.;Facilities.&�;,1,.dumpstet;Site,W.ork�Rermit for::sutidivisions/large projects. <br /> COMMERCI,4l. Attach(2)complete"sets of Builcling�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 w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit foF+-all new projects.All commercial requirements must meet compliance <br /> SIGA1 PERA�IY i4ttacli(2)sets of:Eng'ineered Flans. � <br /> "*"*PROPERTY SURVEY required for aII.fVEW construction. <br /> Directions: , � <br /> Fill out application completely. <br /> Owner&Contractor sign.back of application,notarized <br /> If.over$2500,a Idotice of Commencement is required. (AIC upgrades over$7500) <br /> .. � "�:^��,�,.:.�:..;��„wf�:...��,...�;...,.... ........:� _.. ..:.. . . . <br /> Agent(forth'e cont�actor=)sor P.ower of Attorney(for'the•owner)virould be someone with notarized letter from ow`ner autfioriz'ing:same <br /> OVER THE COUfVTER PERiV+ITTIiVG �'' (copy.df contraet�required) •• . <br /> Reroofs if shingles ,� Sewers � Service Upgrades�A/C Fences(Plot/Survey/Footage) � , , <br /> ,'� , _ , ,, , , , , :� , <br /> Driveways-Not oyerCounter if on public roadways..needs R01N � , <br />