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813-780-OU20 City of Zephyrhills Permit App6icatron Fax-813-780-0021 <br /> Building Department <br /> ID�fe Rece6vedl phone Contact ior permitQing � � �� -- �� <br /> � . i) J ��... � � C^� /`-�,.,l,+ i-�-,i �n <br /> �uvner"s V�aov�� /���. �7 r .� i✓+% _, �!�; ;: / --rti�' Owrrer�hone Ptlumber r'/ ° �c-�' 'S �;,-^ '' <br /> / r�` � � <br /> �ClevneP's did�ress �C �� t..: /�� . '`a'r „�''.°�,,.,.. Ouuner P9►one Plum�er � <br /> / fi <br /> IF�e SimpYe qitYeholder I�ame ��"`�'�4.�C� r> �-" •�.J��'��r» �,�r °� � '� Owner Phone Plumber C � <br /> �r°f'A i.P , � � ,;�� "�^ ' /'�� ��'�,` Z f '�� !I � <br /> IF�ee�impY�Yitle�rolr➢er.�c9dress ._.r�.:.,�'�"'�„r',r� dy''' � �'`�<<.� � �G � ✓��� � ,.� � _ <br /> J ,,{, �1 <br /> .���I�1��YZ�SS � �o�t'-'�. `� �:.zre.• A ��✓'�' �.;'.t',»• � f�t�f 9{ .S� � 'i^' -�'t � � L07# ,`-ef �7 <br /> r -- . ., - , � <br /> � � <br /> ��U93lDi\/YS��Pd <.r��'.�r'ri� ,'.""t?G'� i�Io1FiCEl.iD# - .� `c>�.e y �.�„ ' ., - t✓ti„':��' o�•':�.4, '�':rx"' .-�4 �� �w� <br /> (OBTAINED FRORfl PROPERTY TAX NO710E) <br /> ��pg�pC pg7��+(y$��y NEW CONS7R ADDlALT � SIGN � �� DEMOLISH <br /> e INSTALL � REPAIR <br /> ��801P�5ED US� Q SFR Q COMM �� OTHER <br /> 1�VN'E OF COPlSTIRUCTIOPB 0 BLOCK Q FRAME � STEEL 0 [ <br /> ��SCRIP710P1 OF VNOR6C .�''�� � '��� � C" �i �� �Ct!/.$' •�/!�-r E //�Gu F f� � /�G l•�•% � <br /> �§191LDIPlG SIZIE '�n � o2r72� SQ FQOTAGE �l 02� FIEIGF9T � i i � <br /> BUILDING $ / �` d� VALUATION OF TOTAL CONSTRUCTION <br /> �l y �VQ �... <br /> �ELECTRICAL � AMP SERVICE 0 PROGRESS ENERGY � W.R.E.0 <br /> �PLUMBWG $ I�y� ��l�` <br /> [�NiEGHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ��� <br /> � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER � I /3��� <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREz- �� L �YES NO / <br /> �� � � � <br /> �fttti-Fttii / <br /> ,., f . <br /> IV�` � �.� , �, 11 <br /> ��e���R ,�� y � �=���� co�nPw�v i a ti � �a � <br /> SI�fdATUI�IE , d REGISTERED Y! N FEE C RRE� Y/N j� � <br /> d�ddress � C • /�, � � z ��-f �� License# C� e��a���� � <br /> � �a�c� <br /> I�LECTSYICIAN CORAPAMY <br /> �iG��YUYt� REGISTEREO Y/ N FEE CURRE� Y/N <br /> Nddress License# C � <br /> ���yW��� COMPAMY <br /> �9Q�iW6.7UR�. REGISTERED Y/ N FEE CURRE� Y/N <br /> �dtlress License# C <br /> 6Ud�CHAIVICfiL COflflPAP1Y <br /> SIGYYATI��tE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# C <br /> OYHEft � COAAPANY <br /> SIGf�ATUP2E REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C —� <br /> G2E�ID�PdTiAL 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 /> 5anilary Facflities& 1 dumpster;Site Work Permit for subdivisions/large projects <br /> �Of1HNNIEItC1AIL Attach(3)complete sets of Building°lans plus a Life Safety Page;(T)set of Energy Forms.R-O-W Permit for new construction. <br /> AAinimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for aIl new projects.All commercial requirements must meet compliance <br /> SIGFI PERf1N1T Attach(2)sets of Engineered Plans. <br /> '"""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> tlf over$2500,a Plotice of Commencement Is required. (A!C upgrades over$7500) <br /> '" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUWTER PE9tWIITTIMG (Front of Application Only) <br /> Reroofs if shingles 5ewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> �riveways-Not over Counter if on public roadways..needs ROW / �� <br /> � <br />