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813-7$0-0020 Gity of Zephyrhills Permit App�ication Fax-813-780-0021 <br /> Building Department <br /> Date Recefved ' 1 � Phone Contact far Permittin 1 c�`1 - <br /> Owner's Name (�i v�.n ,� l thvner Phone Number �� p p `�! 3� <br /> Ownec's Address �� W'1 "11 1� Owner Phrtne Number � � <br /> Fee Simple Tiqeholder Name �— � Owner�hone Number r— � <br /> Fee Simpie Tiilehoider Address <br /> SO$Al3DRESS J � t��� i �� GQT# Q�Q� <br /> SUBDIVISION "��� �"(��,�,'ARCEL ID# 3y -a -a � ' � �''����v�� �W�"' <br /> {OS'fyNED FROM PR6PERTY TAX NOTSCE} <br /> WORK PROPOSED e NEVJ CONSTR� ADD/ALT Q SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PR4PQSED USE [� SFR Q C4MM �� OTN�R <br /> TYPE OF CONSIRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRtPTtQN OF WOR#C ' Lt j �-�.�Y!�,C�1�,�.1� _ <br /> BUILDING SIZE I��S� SQ FOOTAGE � v� � • , <br /> HEIGHT �{, <br /> QBUILDING $ �� �y.���� VAI.UATION OF TOTAL CONSTRLICTION <br /> �«L� <br /> �ELECTRICAI. $ AMF SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUM6tNG �� <br /> QMBCHANICAI. $ VA4UATION OF MECHANICAL INSTALLATION �/�Z�� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVA710NS FLOOD ZONP AREA QYES NO <br /> � <br /> BUIGAER � `� CONtPANY 1�� ��� � <br /> SIGNATURE / ��"� REGISTERED Y I N FEE CURREN Y I N <br /> Address I.Ecense�C`ii���Z C]ti3 � <br /> ....�, ...... -- �"'`� - - -p� <br /> ELECTRICIAN � COMPANY ��� t,,,,b �N _ �.�"�� <br /> SiGNA7URE REC,ISTEftED N fEE CURREN Y 1 N � � <br /> .. .'::" .... ...... _ <br /> Address License#�' � <br /> PLUMBER � � COMPANY �— � <br /> SIGNATURE � REGISTERED Y/ N FEE CURREN Y/N <br /> Address Lioense#t �— � <br /> MECHANICAI. � COMPANY � <br /> S1CaNATURE REGiSTERED Y 1 N! FEE CURREN Y 1 IS <br /> Address License# � � <br /> OTHER � � COMPANY � <br /> i SIGNATURE REGISTERED Y 1 N FEE CURREN Y/N <br /> Address �icense# � � <br /> � IIIIIIIiI1111111111111t11111I111111111111111I111111111111111111i111 <br /> RE31pENTIA4 Attach(2)Plot Plans;(2)sets oi Building Plans;(�)set of Energy Forms;R-O•W Pemtit for new construction, <br /> Minimum ten('!0}working days after submitia)date. F2equired onsife,Gonsiructian Ptarrs,Stotmwater Ptarrs wl Sitt Fence installed, <br /> Sanitary Facil'�ties&1 dumpster,Site Work Permit fo�subdivision5liarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Paga;(1)set of Energy Forms.R-O-W Permit for new canstruction. <br /> Minimum ten(10)working days after submittal date. Required onsite.Construction Plans,Stormwater Ptans w!Silt Eenca installed, <br /> Sanitary Facilities&1 dtampster.Sike Work Permit fa�aIt new projects.Alt cammerciat requirements must meet compliance <br /> SIGN PERMI7 Attach(2)sets of Engineered Plans. <br /> ••"pROPERTY SURVEY required for all NEW construction. <br /> . ._: . . . . . . . . . . . . ... . . . . . . . . . . . ... . . . . . . . . . . <br /> . . . . . . . . . <br /> Dlrectlflns: <br /> � Fill oul application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> tf over$2500,a Notice of Cammencement is required. (AtC upgrades aver 5750d) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be somepne with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMfTTING (copy of cantrect required) <br /> Reroofs if shingEes Sewers Service�pgrades AtC Fences{P[oUSurveytFootage} <br /> Driveways-Not ov�r Counter if on public roadways..needs ROW <br />