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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Etviceivecd . <br /> Phone Contact for PePmitting -- <br /> Owner's R1ame � / f�`� ?D U `' � Ovuner Phone Wumber � � 7 7� - ���� <br />� Oevner's�+ddress (J 7 ,� / i'� �( v� Owner Phone idumber <br /> �ee Sirv�pBe Titleholder 6Name Own�r�hone f�uenfl�er <br /> Fee Simple.TitleholderAddress <br /> JO�AD�PZIESS �Og� � <br /> SUBDINISIOM PARCE�ID# - <br />' (OBTAINED FROM PROPERTY TAX MOTICE) <br /> WORI�PEtOPOSED e NEW CONSTR B ADD/ALT 0 SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> �ROPOSED IDSE Q SFR Q COMM � OTHER <br /> TVY'PE OF C�MSTRUCTIO� � BLOCK Q FRAME 0 STEEL � <br /> DESCPtf�7101d OFlftlORIC ! �•V '� � � ��`- �c�` <br />� �UILDIRIG�IZE SQ FOOTAGE� P9�IGFCT <br /> �BUILDIIVG $ VALUATION OF TOTAL CONSTRUCTIOIV <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION V� , <br /> /� �8 0� � <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER �) � �.✓ <br /> �.. <br /> FIIVISHED FLOOR ELEVATIOMS FLOOD ZONE AREA QYES NO <br /> IBUILDIER CORBPANY <br /> SICRI�ITU@dE REGISTERED Y/ N FEE CURRE� Y/N <br /> e�ddress License# <br /> �LECTRICGAW COAfI��,�Y <br /> $IG�ATlD83� REGISTERED Y/ N FEE CURRE� Y/N <br /> AddPess License# <br /> �LURflBEad COi1fl�AR1Y <br /> SIGft1�1TUP3E REGISTERED Y/ M FEE CURRE� Y/N <br /> �ddress License# <br /> 6�ECF7A�ICAL COAAPAR�V � �S,JG �S�N �r�.i�(" <br /> SIGRIP.YU�iE - ��' REGISTERED Y/ N FEE CURRE� Y/N <br /> Ad�ress License# �� � <br /> OTO�EPZ COflflPe4iVY <br /> SICa�t�Tl9IZE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> fftESID��ITIi►L Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit for subdivisions/large projects <br /> I COf1liM�RC9AL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site VVork Permit for all new projects.All commercial requirements must meet compliance <br /> SIGRi PERilA1T Attach(2)sets of Engineered Plans. <br /> °'""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$a500,a Motice o�Commencement is required. (A/C upgrades over$T500) <br /> "° Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> ONEEd 4H�COUfdTER PERIIflIT'�IR�G ',::: (FronCof Application Oniy) <br /> Reroofs if shingles Sewers � Service.UPgrades A/C Fences(PIoUSurvey/Footage) <br /> DPivevvays-Not over Counter if on public ro:ad'ways..needs ROW <br />