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a�s-rao-oozo City of Zephyrhills Permit Application Fax-813-780-p021 <br /> ' � Building Department �_� w� �� <br /> � vZv\t <br /> ` Date Received r ��' Phone Contact far Permitting '�:1�� ��� — ���� <br /> ��7'1'�TC" �n /r� <br /> Owner's Name ev�I��h Owner Phone Number `��pr{"' �t0"1� <br /> Owner's Address ��t�� c 1� 5�-.� Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple Titieholder Address <br /> JOBADDRESS � � �--� �^ rVli1�S F4. �CYT# �� <br /> suso�v�s�oH � � PARCE�ID# !l•a!o'�1�O o t O- 3`7 Q- 00 td <br /> (08TASNED Ef20M FROAERTY TAX NOTtCE) <br /> W012K PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH <br /> St15TALl. REPAIR <br /> PROPOSED USE � SFR Q CdMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � S7EEL Q <br /> _ _ ' <br /> DESCRIPTION OF WORK S <br /> 6UtI,DING S12E SQ F04TAGE HEtGHT �� <br /> QBUIL.DING $ �J��•G� VALUATION QFTOTA�CONSTRUCTION <br /> �'1 <br /> QELECTRICAL �� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� � �""� " <br /> QMECHAt�iGRt� $ VA�URTION OF MECHANjCAL tNSTALLATION � � � l <br /> t <br /> QGAS Q ROOFING Q SPECIALTY � 07HER <br /> FINISHED FLOOR ELEVATSdNS �� FLOOD ZdNE AREA QYES NO <br /> SIGNATURE (/�'�T� �1'I id�..� - COMPANY W ChZ'[�\Q.� �t i\��GYS ��Y1C-� <br /> REGISTERED Y/ N FEE CURREA Y/N <br /> Address �{�}�D�C .7 cl+�� lJA.�.��t��4^- J p���� License# �� t 5 C.l.�! T,S t <br /> El.ECTRtC1AN COMPANY <br /> SIGNATURE REGIS7E32ED Y I SV FEE CUftFYEh Yi 1 N <br /> _ , --i <br /> Address � License# <br /> _. ...._ <br /> � � � - • <br /> PLUMBER GOMPANY _ � <br /> SIGNATURE REfiISTERED _,Y/ N FEECURRE� <br /> Address �--_ __ . . _ �icense# } _ � <br /> MECHANICAl. COMPANY � � <br /> StGNATURE ftEGis'rE�D Y t �e CURrzEE Y!N <br /> . <br /> Address License# <br /> _ , _......_ <br /> OTHER � �COMPANY� Y/ N FEE CURRE� Y/N � <br /> SIGNATURE <br /> Address �icense# � � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach{2}Ptpt Pians;{2)sets of 8uiiding Pians;{1)set of Energy Forms;R-O-W Permit far new construction, <br /> Minimum ten(10}working days after submittal date. Required pnsite,Gonstruction Plans,Stormwater Plans wi Sitt Fence installed, <br /> Sanitary Facilities 81 dumpster,Site Work Permit for subdivisians/large prpjects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set pf Energy Forms.R-O-W Permit for new oonstruction. ' <br /> Minimum ten(10}wosking days after submittal date. Required onsite,Constnsctian Plans,Sformwater Plans w!Sitt Fence instalted, <br /> Sanitary Facilities 8�1 dumpster Site Work Permit for all new projects.AiI commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""AROPER'fY SURVEY required for all NEW construction. �� <br /> Directions:• <br /> Fill out application completely. <br /> Qwner&Contractor s�gn hack of appiication,noterized <br /> tf over$2506,a Nvtice of Gammenoement is requEred. (A!C upgrades over$750Q} <br /> '* Agent(fpr the contractor)or Power of Attorney(for the owner)would be someone with naterized letter from owner authorizing same <br /> OVER THE COUN7ER PERMIITtNG {copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AtG Fence&(PIoVSutveytFootage} <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />