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813-780-0020 City of Zephyrhills Permit Application FaX-a�a-�ao-oo2� <br /> I Building Department <br /> I <br /> Aate Received � Phone Contac4 for Permitting -- <br /> Owner's R1ame "�i�/,L4 Owner�hone�umber <br /> . • <br /> Ov�ner's B,ddress Ovune��hone tdumbeo <br /> �ee Simple Titleholder fd�me OuvneP�hone Idumber <br /> Fee Simpie Titleholder Address <br /> JO�a►DDRESS L � S l/7" r LOT# � <br /> SUBDINISImId �d6tCEl.ID# — O ^O —O` C <br /> (OBTAIMED ROPA PROPERTY TAX NOTICE) <br /> NNORG�PRO�OSED B NEW CONSTR 8 ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> �RO�OSED USE Q SFR Q COMAh 0 OTHER / <br /> '�VPE OE COtdSTRf1CTI0iN Q BLOCK Q FRAME 0 STEEL Q <br /> D��CFtI�TIOfd OF lMOR9Z G e ('0 <br /> �UILDIV�G 51ZE SQ FOOTAGE� CiEIGF9Y <br /> OBUILDING $ ��OD O� VALUATION OF TOTAL CONSTRUCTION <br />! DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBIMG $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FIIVISHED FLOOR ELEVATIOIVS FLOOD ZONE AREA QYES NO <br /> ISUILDER CORAPAP�Y <br /> � 'l�/ <br /> SICiW�Td1�E - REGISTERED / N FEE CURRE� Y/N <br /> �c➢dc�ss _ � License# ~� 7 <br /> ELECTRICIARI COAfl�A1dY <br /> $IGWAT49FP� REGISTERED Y/ PI FEE CURRE� Y/N <br /> �1dc�Pess License# <br /> PLURfl�ER GOAf1PAR�Y <br /> SIGR1AYl7RE REGISTERED Y/ N FEE CURRE� Y/N <br /> �ddress License# <br /> 4UI�CHAiNIC�1L COiHiP�,R1V <br /> SIGR1ATl9�E REGISTERED Y/ N FEE CURRE� Y J M <br /> e�ddr�ss �icense# <br /> OTF9ER CONAPAtdY <br /> SIGiUATl9RE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 92�SIDE�1�l�9L Attach(2)Plot Plans;(2)sats 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 /> Sanitary Facllities&1 dumpster;Site Work Permit for subdroisions/large pro�ects <br /> COMAlIERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(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,5tormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGfd PERilA9� Attach(2)sets of Engineered Plans. <br /> •"°PROPERTY SURVEY required for all IVEW construction. <br /> Direc4lons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over;2500,a Idotice of Commencement is required. (k/C upgrades over$7500) <br /> '° Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> _.. <br /> ONER Tbd�COUiNTEFt PER�(il'PTIIdC; , (Front of Application Only) . <br /> Reroofs if shingles Sewers Senric"e.Upgrades A/C Fences(Plot/Survey/Footage) <br /> Dridevvays-Not over Counter if on�public roadways.:needs ROW- , <br />