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813-780-0020 City of Zephyrhills Permit Applicati fl /�' Fax-813-780-0021 <br /> Building Department ' V <br /> .�5 <br /> )ate Received f� �� � phone Contact for Permittin �d - U7y..5 <br /> �nrner's Name r� �� 1-� Ji , rt�v�S� Owner Phone Number v 1 3 � - �8 3 ��� <br /> hnrner's Address � S �G � S��P'�� Owner Phone Number � <br /> °ee Simple Titleholder Name � � Owner Phone Number <br /> °ee Simpie Titleholder Address <br /> IOB ADDRESS �� l�� 5 1"!�'�� LOT # �� <br /> iUBDIVISION PARCEL ID# I —� �.�P i� -- G � 1 U — ���� � �y v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> aROPOSED USE � SFR Q COMM � OTHER <br /> IYPE OF CONSTRUCTION [�/ � BLOCK Q F 0 STEEL Q <br /> DESCRIPTION OF WORK m�'�"�d � / V� LrUI� ' (�d�Y� G�(-2¢1 <br /> BUILDING SIZE �V � X�� ��G r � � SQ FOOTAGE � S� HEIGHT � r <br /> i <br /> �BUILDING $�D v4� VALUATION OF TOTAL CONSTRUCTION j� � <br /> 11 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENE GY Q W.R. .C. �� <br /> s 5���� ���� <br /> QPLUMBING $ s ��� �Q � I C� S L�S�%�� <br /> �Z�-� �2 p � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '�'� a <br /> � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER �I ,��l�G� <br /> =1NISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO , '���� <br /> � + <br /> BUILDER � COMPANY U C- �l�'�'`� � �'^� �� �L? � � "'� Z <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address '3 2 `l � �'i-a,� � �icense # C�-{- C�J 2C1 (o�� <br /> . � - � ._ . _ � � <br /> C RICIAN �J � jy � ,p � / ' COMPANY -��- <br /> IGNATURE , � �" ` �� �"!�/ � REGISTERED Y / N FEE CURRE� Y / N � <br /> � l f i /1 � �a <br /> Address � -� License # <br /> 'LUMBER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> /,,, Address License # <br /> y� 4 <br /> C NICAL�� �/�� � COMPANY <br /> IGNATURE �J� REGISTERED Y/ N FEE CURRE� Y/ N <br /> �.� hau�� <br /> Address License # <br /> )THER COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> tESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (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 Pem►it for subdivisions/large projects <br /> :OMMERCIAL Attach (3) 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) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaciliUes 8 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> iIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "*"'PROPERTY SURVEY required for all NEW consUuction. <br /> )irections: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 32500, a Notice ot Commencement is required. (A!C upgrades over 57500) <br /> ' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> )VER THE COUNTER PERMITTING (Front of Appiicatlon Only) <br /> teroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />