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313-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone CoMact for Permittin p�3 7� _ <br /> i � � 1 r. 1 1 1 1 1 1 1 1 <br /> Owner's Name — � _ Owner Phone Number <br /> Ownara Address /,�� � .$� 3 Owner Phone Number <br /> � � � Fes Simple TkMholder Name� Owner Phons Numb�r <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �p /�J �caSJA S}; LOT N�� <br /> sueawsiow IyIH PARCEL IDK �T :�Ut �� -G 3D- — J S� 0 <br /> (06fAINED FROM VROVERT' T/U( NOTICE) <br /> WORK PROPOSED NEW CANSTR 8 ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q CAMM O OTHER <br /> TYPE OF CONSTRUCTION BLOCK � FRAME Q STEEL Q <br /> DESCRIPTION OF WORK A I�i2-r ON � 5 /J L'fJn{ '�C7'<...- <br /> BUILDING SIZE I� 1� � Sp FOOTAGE � HEIGHT � <br /> �BUILDING s �� L VALUATIONOFTOTALCONSTRUCTION ��/„2 <br /> � `�/ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � I <br /> QPLUMBING S ✓ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � V� " <br /> �� � C� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER ����,,� ��. , COMPANY �y �ONST/2GLC?T701� <br /> SIGNATURE REGISTERED Y/ N � cuRrtE� Y/ N <br /> �d.�. � ���� ;_, ��J �. z N�/ u� # �v s7 � � <br /> EIECTRICIAN COMPANY <br /> S��T�� REGI5TERED Y/ N FEE CURREF Y/ N <br /> Address Lice�se # <br /> PLUMBER COMPANY � <br /> S��T�� REGISTERED Y/ N � curtrtEn Y/ N <br /> Address Lfcense # <br /> MECNANICAL � CpMp�y,jy <br /> SIGNATURE r�cisr�o Y/ N F� cuRaEn Y/ N <br /> /Wdresa License # <br /> OTNER � ��P�p y� N F� cuw�n Y/ N � <br /> SIGNATURE <br /> Addnas License # � <br /> IIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllll <br /> RESIDENTIAL Attech (2) Plot Plens; (2) sets oi Building Plans; (1) set ot Energy Fortns; R-O-W Permit for new constniction, <br /> Minimum ten (10) working days aRer submktal date. Required onsite, Constniction p�ans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Faalities & 1 dumpster, Site Work Permit for subdivisions/large projeds <br /> COMMERCIAL Attach (3) complete sets of Building Plans pus a Lffe Safety Page; (1) set of Energy Fortns. R-O-W Permit for new tbnstnution. <br /> Mi�imum ten (10) working days atter submiUal date. Required onsite, ConsUUClion Plans, Stormwater Plens w/ Sitt Fence installed, <br /> Sanitary Facilities & 1 dumpster Site Worlc PermN for all new projeds AII commercial requirements must meet compliance <br /> SIGN PERAll1T Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constnidion. <br /> Directlons. <br /> fill out application completely <br /> Owner & Contractor sign back of application, notarized <br /> If ovar =2500, a Notice of CommoncemeM is nquirod. (MC upyndes owr 57500) <br /> " Agent (fw the contractor) or Power oi AHOmey (for the owner) would be someone with notarized letler from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front o/ Applica6on Only) <br /> Reroofs ii shingles Sewers Service Upgredes A1C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter H on public roadways .needs ROW <br />