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813-780-0020. City of Zephyrhills Permit Application Fax-813-780-0021 <br />- _, Building Department <br /> • ' � <br /> Date Received �hone Contac2�or Perm�ttin� S( 3 � ��' -- ��'�"� <br />� Owner's Wame �.�Y�t.,Y� �tTd�,�'�!^�l�- (✓`'� ���, Owner Phone iVumber �f�— r V�`�� �� <br /> Owner's P+ddress � ��� -�� 5� �Q � f ``IIS ��' `2' �I Owner Phone YVumber <br /> I Fee Simple Titleholder'Nam� Owner Phone IVuenb�P <br /> Fee Simple Titleholder Address <br /> JOB�0.DDRESS � �`'v� LOT# �� <br /> sus�ivisiow � �,�-�u��OC� P,4RCEL ID# O� ' a. -a I - v �C�d-� ��[�ov-6 3� <br /> (OBTAINED FROIN PROPERTY TAX P10TICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q � 0 DEMOLISH <br /> � INSTALL e REPAIR <br /> PROFOSED USE Q� SFR Q COMM � OTHER <br /> Tl(PE'OF COYVSYRUCTIOV� Q� BLOCK - Q FRAiVIE � STEEL � <br /> DESCRIPTIOP!OF NIlORK N�-W ��S�f��'�-G}`�n �— � ���`'?� <br /> �UILDIR�G SIZE SQ FOOTAGE� I�� HEIGHY �'jl <br /> '�BUILDING $ � C f Dpf� VALUATION'OF TOTAL CONSTRUCTION <br /> J <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS EIVERGY Q W.R.E.C. <br /> �PLUMBING $ �i (�Q � � <br /> u� <br /> �MECHANICAL $ VALUATION OF MECHAiVICAL INSTALLATION � �4jN�;�fi� �� <br /> QGAS Q ROOFING Q SPEGIALTY � OTHER ��""`� �/�„� <br /> / [a�e.c� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZOfVE AREA DYES vNO I��`S` p � <br /> ��(�a�ol-t� <br /> BUILDER COMPAiVY ��►f1 �a 7�-S��''�C��"� ��(- <br /> SIGiVATURE REGISTERED Y N FEE CURRE� Y/N <br /> �Ac7dress � - 5 ✓��l�s �`�y�� , License# ��� �S � � ��I <br /> ELECTRICIAfd � l \ COWiP�itlY �c�St �c�StCs �`t GT�i G ,ll� <br /> SIG�IATUI2E V REGISTERED Y/ N FEE CURRE� Y/N �`'� <br /> �4ddress 1��Q 2- �� License# �b D 1 C <br /> PLUiVIBER. CO�ifli PAPlV � �\S T�l1lY`^�i ✓�-, �j� <br /> SIGRIATURE REGISTERED Y�/ N FEE CURRE� N � <br /> Address License# <br /> NiECFi�9R11CAL COWiPAV�Y �(� ��' �S �C�� <br /> SIGWA�3'URE' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address� License_# I <br /> OTHER-;, . COMFANY �M.G�V� ��'�'i <br /> SIGWATURE., ... REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �b�((�i S� .�f z� r�I;��S .(L ��� �icense# C�4�a.�J`-v� <br /> RESIDENTIAL •< Attach;(2)�Plof Flans;(2)=sets of Building Plans;(1)set ofEnergy Fo�ms;R-,O-V1/.Permitfor new.construotion, <br /> - -: Minimum tem,(;10)working;days after"suLimittal.cJatie. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary.;Facilities:&r1�.dumpster;Site�W.ork'Rermitforsutidivisions/large projects <br /> COMAfiERCIAL 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)workfng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster..Site Work Permit fo�all new projects.All commercial requirements must meet compliance <br /> SIGRI PEI2il�lY Attacli(2)sets of;Engineered Plans. <br /> **""PROPERTY SURVEY required for,.all.fVEW construction. <br /> Directions: -• - <br /> Fill out application completely. <br /> Owner&Contractor sign.back of application,notarized <br /> If over�a900,a I�otice of Commencement is r�quired. (AIC upgrades over$7500) <br /> '" Agent(forth'e contractor)�orPower of'Attomey(for"the owner)would be someone with notarized letter from owner authorizing.same . i.. - <br /> �:s.:n��-,:r._,.,�;�..-;�,.�-..:.:,.:, . :�.u�:.:.-.r�' <br /> .OVERTHECOUPITER.,PERVI(IITi'IRiG- �•-��•�{copy:of_contract�required)•, ;'J;- r,�,r ,.;:-..�^ .:-, .• - <br /> Reroofs if shingles Sewers - Service Upgrades A/C , :� Fences(Plot/Survey/Footage) , .. ., � � � ' <br /> •- , , , .. - � <br /> Driveways-Not over Counter ifon public roadways..needs ROW . , ,� . ' ' ' <br />