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813-780-0020 City of Zephyrhills Permit A lication <br /> Building Department pp Fax-813-780-0021 <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name � �i4? -f�.� <br /> Owner Phone Number ��� ?� l� � <br /> Owner's Address �� ��� �� �.-f- <br /> Ovmer Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> �/08 ADDRESS ,.,v"�-` °L. <br /> LOT# � <br /> SUBDIVISION <br /> PARCELID# <br /> WORK PROPOSED � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEW CONSTR 8 ADD/ALT �� SIGN � <br /> INSTALL REPAIR 0 DEMOLISH <br /> PROPOSED USE � SFR � COMM <br /> TYPE OF CON3TRUCTION Q BLOCK �� OTHER <br /> Q FRAME � STEEL � <br />� DESCRIPTION OF WORK c� l,�� �6 X �a C• �r� ��r q- <br /> S Ct�a <br /> BUILDING SIZE �� � � �� i gq FOOTAGEC� <br /> HEIGHT <br /> •rP QBUILDING a�c�, <br /> � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE <br /> �] PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> ���'STCJ/r C� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �NOG �—'�"�� <br /> FINIS�GAS [� ROOFING Q SPECIALTY � OTHER (ZJ s�"�� P�` <br /> FLOOR ELEVATIONS `�-� <br /> FLOOD ZONE AREA QYES Np �f f Q ,j�� <br /> '(` / � <br /> BUILDER � � <br /> SIGNATURE � � COMPANY �C'L�/j�,� <br /> REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address <br /> License# <br /> ELECTRICIAN <br /> 51GNATURE COMPANY <br /> REGISTEREO Y/ N FEE CURRE� <br /> Y/N <br /> Address <br /> License# <br />'LUMBER <br />�IGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address <br /> License# �_ <br /> IECHANICAL <br /> IGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address <br /> License# <br />�HER <br /> GNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address <br /> License# <br /> iSIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W pe�it for new construction, <br /> Minimum ten(10)work�ng days aRer submlttai date. Required onsite,Construction Plans,Sto►mwater Plans w/Sllt Fence installed, <br />�MMERCIAL Attaoh 3)colmplete sets of Bufldtng Plan p us a LiferSa ety Page•(1s etofjE ergy Forms.R-O-W Permi <br /> Minimum ten(10)workiny days after submtttal date. Required onsite,ConstrucKion Plans,Stormwater Plans�w/S tF n e nstalled, <br /> Sanitary Facilittes 8 1 dumpster.Site Work Perm(t for all new projects.All commercial requirements must mee t compliance <br />�N PERMIT qttach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructlon. <br />�ctfons: <br /> Fill out applicat(on completely. <br /> Owner 8 Contractor sign back of appliqtlon,notarized <br /> If over i2500,a Notice of Commencement la requlred. (q/C upgrades over=7500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notariZed Ietter from owner authorizing same <br /> iR THE COUNTER PERMITTING (Front of Application Only) <br />�ofs If shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..�eeds ROW <br />