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� 813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � -�� '��p���'i'e�j <br /> O� Phone ConWct for Pertnittin f - ��� lJl.- <br /> T <br /> Owners Name /"{W� t/�.Q/�� Owner Phone Number "�� , <br /> Owners Address 725 CcXis�w�'�cKens-�a-�e� �q Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address vW Il�. <br /> JOB ADDRESS 1 (� I U l 'r N(IS 1"�L LOT# � <br /> SUBDIVISION PARCELIQq�77"ZJ�ZI� � Z - <br /> (OBTAINED FROM PROPERTY TAl(NOTICE) <br /> WORK PROPOSED B NEW CON57R� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SI2E � SQ FOOTAGE a� HEIGHT � <br /> �BUILDING S-'1�/'�//'yy'� VALUATION OF TOTAL CONSTRUCTION <br /> � .J�.J IM�J <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> � � �� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> fINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �'�/'T�✓� `�t1 r w G� <br /> SIGNATUR ISTERED Y/ FEE CURRE� Y/N <br /> Addres V ��1 / License# C?" � Q� <br /> t hZ P�(l Od �1 <br /> ELECTRICIAN COMPANY � D Q v�t� Y JP �' I CG I�f C.- <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 1 � L� � �,(' Z,7-t.. J� 9 License N �W � <br /> /N� ,�•I,� PLUMBER �� COMPANY T[]lJ � <br /> ��� i�� `, SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> ,/ C��' <br /> F Address License# <br />(J�3���O-bbZ` MECHANICAL COMPANY �[y � XX T <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �d�$S rd� License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days after submitlal date. Required onsite,ConsWCtion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Faalities&t dumpster,Site Work Pertnit for subdivisions/large projeds <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWClion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Faalities&1 dumpster.Site Work Pertnit for all new projeds.All commeraal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets oi Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdion. <br /> DirecUons.• <br /> Fill out application completely <br /> Owner 8 Conlractor sign back of application,nolarized <br /> If over SZ'500,a NoUCe of Commencement is required. (A/C upgrades over=7500) <br /> " Agent(for the contrador)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Ony) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFoatage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />