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ei�-�eaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnenl <br /> , Date Raeeived <br /> Phone Cordact for PermMtln <br /> �T��r1Tr - <br /> Ownev's Name Owner Phone Number � � �L77� <br /> Owner's Address �� (IFt� Owner Mwne Num6er Z <br /> Fee Simple TitleAdder Name Owner Phone Number �SZ-c�,-�j-(o�d <br /> Fae Simpls Titlsholdsr Addross <br /> �06„�� b�'3 0 � �'�t�- �oT� a�a <br /> SUBdVIS10N PARCELID/ �2�p7 Jd"U(��(�'j�ZZO <br /> (08TAIpEO FROY PROPER7Y TAX NOTCE� <br /> WORK PROPOSED B NEW CONS7R B ADD/ALT � SIGN Q �pEMOLISH <br /> INSTALL REPAIR <br /> PROP06ED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCWPTION OF WORK r /� �L QV'7TP' V l,i�W� � "�'�C <br /> BUILDING SIZE Sq FOOTAGE� FiEIG►iT "L�/► <br /> BUILDING E �� � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL E AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING a <br /> �MECHANICAL a VALUATION OF MECHANICAL INSTALLATION ���� <br /> � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> �' { L.' 1 ' ItiLIL' i 1 ' 14L' 1 11 <br /> BUILDER COMPANY <br /> SIGNATURE r�c�srer�o Y/ N �cura�n Y/N <br /> Addrcss <br /> license# <br /> ELECTRICIAN �pMppNy <br /> SIGNATURE t�cisret�o Y! N �E cupr�n Y/N <br /> Addross <br /> License# <br /> PLUMBER COMP/WY <br /> SIGNA7URE REGISTERED Y/N �E curt�n Y/N <br /> Addrass <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE �cisT�o Y/N r�cufa�n Y!N <br /> Addrcss License# <br /> OTHER � � COMPANY rZ�. � <br /> SIGNATURE � REGISTERED Y/N �curt�n Y/ <br /> Addross � License# -� <br /> TTrfTl-l-l-rl-1-T�TI-f-fTr r�r <br /> RESIDENTIAL Attach(2)Pid Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-4W PermR(a new consWcBon, <br /> Minimum ten(10)waking days aRer submittal date. Required onsRe,ConsWqion plans,Storrtnyater Plans w/Sift Fence insfalled, <br /> Sanit�y Facilities&1 dunpst�,Ske Wak Permit for subdivisior�sAarye projec[5 <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a l'rfe Safery Page;(7)set of Energy Forms.R-O-W Pertnit for new consWdio�. <br /> Minimum tan(10)working days aRer submittal dale. Required onsite,ConsWdion p�ans,Stormrrater Plans w/SiR F�ce inst�led, <br /> Sanitary Facilities&1 dumpster.SNe Waic Permil for all new projflcts,/W commeraa�reGuireme�s must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWctiun. <br /> �Y 1 <br /> Directlons <br /> Fill ou[applicalion completely. <br /> Owner 8 Contracta sign back d application.notarized <br /> If ovx 52500,a Notice of CommsnceineM is required. (A/C upgradn owr s7500) <br /> " A9erit(for ihe cantractor)or Power d Attomey(for the owner)would be someone wHh nota�ized letter from owner authamrg same <br /> OVER THE COUNTER PERMITTING (FroM oi qppliptip�pnly) <br /> Reroois if shingles Sewers Service Upgradas A/C Fences(PIoVSurvey/Footage) <br /> Drlvawaya-Not over Courrter'rf on pudic roadways..needs ROW <br />