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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �� Bwlding Department � I� <br /> Q <br /> Date Received � ,�'��� Phone ConGet for Permitting � / � �,CS� <br /> Owner"s Name S F Ze h 'R Co,n mvns L Owner Phone Number � `f <br /> ( 6' <br /> Owner's Address a�sl.T finJf �.� ,�/� Owner Phone Number <br /> 3R 5�7 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addrcss <br /> JOB ADDRESS �-/ G�'a/l . Ze h /) ��.5 LOT# � <br /> SUBDNISION /, p s PARCEL IDX <br /> (OBTNNED FROM PROPERTY TAX NOT1C� <br /> WORK PROPOSED e NEW CoNSiR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR a COMM �" OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTIONOF4VORK /`(�I.c� (�O�TA� 'c.� C� � � <br /> BUI�aNG SIZE SQ FOOTA6E HEIGHT <br /> BUILDING S ��� VA TION OF TOTAI CONSTRUCTION % ���(� . <br /> QELECTRICAL -_ �'AMP SERVICE O PROGRE ENERGY �Q W.R E C <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY O OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUiLDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI Y/N <br /> Address License# <br /> ELECTRICIAN Cp�ppNy <br /> SIGNATURE REGISTERED Y/ N FEE CURREt Y/N <br /> Address License# � <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREI Y 1 N <br /> Address License# <br /> MECHANICAL COMPANY <br /> 51(iNATURE �°" REGISTERED Y/ N FEE CURREI Y/N <br /> Address � <br /> License# <br /> OTHER 'a COMpAWY �Q �DsYJ/Y/Ub//CIQ{lUXS<J ,5�?p�y C � <br /> SIGNATURE REGISTERED Y N FEE CURREI Y N <br /> Address � h � 7�y /�-G�3� License# l—J/.x G�07/ U <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Budding Plans,(1)set of Energy Forms;R-aW Permit for new construction, <br /> Minimum ten(10)working days a8er submrttal date Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanrtary Facddies&1 dumpster,Sde Work Permit for subdiv�sionsllarge pro�ects <br /> CONMERCIAL Attach(3)complete sets of Building Plans plus a Lde Safe[y Page,(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Mimmum ten(10)working days after submittal date. Required onsde,Construction Ptans,SYormwater Plans wl Sitt Fence installed, <br /> Sanrtary Facildies&1 dumpster Site Work Pertnit for all new pro�ects.AII commercial requirements must meet compliance <br /> SI(3N PERNMT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY reqwred for all NEW construction <br /> Directions: <br /> Fill out appiication comple[ely <br /> Owner 8 Contractor sign back of applicatron,notarized <br /> K over 52500,a Notice of CommencemeM is required. (AIC upgrodes over 57500► <br />