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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � Phone CoMact for Permktln <br /> � 'TTTI'TT <br /> Owne�'s Name OMmer Phons Numba •� <br /> Ownsr's Addrus Ownx PAone Number <br /> Fae Simple TiUehWder Name OMmer Wrone Number <br /> Fss Simple TitlsAddsr Addrsss � <br /> ��,��� a N t 1 I� �oT� [R� ] <br /> SUBdVIS10N PARCEL IDN l' • Q ' Q��� <br /> �oer� �nor vaonEmr ��x Nonc� <br /> WORK PROPOSED n _ NEW CONSTR 8 ADp/qLT Q SIGN Q Q DEMOLISH <br /> Q� INSTALL REPAIR <br /> PROPOSED USE ��SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME O STEEL Q� <br /> DESCRIP710N OF WORK 1 <br /> BUILqPK's S12E I 1"( X� 1 SG FOOTAGE � HEIGHT �� <br /> �UILDING S VALUATION OF TOTAL CONSTRUCTION C� ZC�� � <br /> �LECTRICAL a AMP SERVICE �PROGRESS ENERGY � W.R.E.C. <br /> �'LUMBING $ � ( 7' <br /> � ,•y <br /> ,y li <br /> �CHANICAL S VALt1ATION OF MECHANICAL INSTALLAPON �,�` <br /> � <br /> �GAS � ROOFING 0 sPECin�rr �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> ` s�-w ss s. s s. <br /> BUILDER / C,,. COMP/WY 'CrI 1� IOK� I Oi �L.l� <br /> SIGNATURE - � G L REGISTERED V N r�e cur�n / N <br /> i <br /> Addrcss , t'� � V i�a 1 V <br /> License # <br /> ELECTRIqAN ��,. � CONPANY � C <br /> �G�T�� r�cisr�o / N � curu�n / N <br /> Addrou License # � �� <br /> PIUMBER � � COMPANY S • , <br /> S �'��� REGISTERED N FEE CURRE� Y N <br /> """.°� ����,� # 1 10 S t � <br /> �� ' � c <br /> NECHANICAL COMPANY <br /> SIGNATURE REGIS7ERED / N �e curtrt�n Y N <br /> Address License # � <br /> OTHER CONPANY �— <br /> SIGNATURE REGISTERED Y! N �e cu�n Y/ N <br /> �� License # <br /> Tr�-rrrrr-r�-rrr- rrrrrrrrr <br /> RESIDENTIAL Attach (2) Pbt Plans; (2) sets d Buiiding Plans; (1) set of Energy Fortns; R-O-W Permi[ for new construdion, <br /> Minimum ten (10) working days aRer submiltal date. Required onsi[e, Constructipn Plans, Stamwater Plans w/ Silt Fence instaNed, <br /> Sariftary Facilities 8 1 dunpster, S8e Wak Permit {a su6divisionsAarge projec,ts <br /> COMMERCIAL Attach (3) camplete seLs of B�Wdirg Plaris �us a L'rfe Satety Page; (1) set of Energy Fams. R-OW Pamit for new corshuctipn, <br /> Minimum ten (70) working days aNer su6mittal da}e. Required onsite, Construdlp� p�ans, Syormwater plans w! Sdt Fence installed, <br /> SanRary Faal�lies g 1 dumpster, Sde Work Pertnit for all new projects. AM canmertrt;ial requiremeMS must meet campliance <br /> SIGN PERMIT Attach (2) sets of Ergineered Plans. <br /> '""PROPERTY SURVEY /equired for all NEW consVUCtion. <br /> qrections <br /> Fill out application comdetely, <br /> Owner 8 Contractor sign bacic d application, notarized <br /> M ovar 52500, a Notice of Commeneament is required. (A/C upgndas ovsr S750p) <br /> " Agent (for the contracta) or Power d Attomey (fa the owner) wqild be someone w�tl� notarized letter fiom owner authorizing same <br /> OVER THE COUNTER PERMfTTING (Front oi Application Ony) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />