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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Et�ceived � <br /> Phone Contact for Permitting -- <br /> �uraer°s Fdame ��/oL� Owrner Phone i�umber ��' O�''� <br /> �nrner's�ddress <br /> �88 J� / s-�. d�jiJU�� ��� Owmer Phone fdumber <br /> �ee Simple Titleholder R�ame � Ovdre�r Phone i�umber <br /> Fee Simple Ti4leholder Address <br /> JO�ADDRESS �/B��� �'T�v'�� ���`ffl�P i�c Sl �� �35"y� LOT� � <br /> SU�DIb9S[Ofd PA6tCEL ID# �l�� ��00 l0 ���a0 O D <br /> (OBTAINED FROHI PROPERTY TAX NOTICE) <br /> !fllO�iF'C PROPOSED fvEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL e REPAIR <br /> �6tO�OS�D USE Q SFR Q COMM � OTHER <br /> ��E OF COP�STRUC'TiOV� Q BLOCK Q FRAME 0 STEEL Q <br /> D��CRIPTIOi�OF WORK � �� Q �e� �jQ p � <br /> �UIL�aWG SIZE �Q FOOT�,f':E� �0ElGFBT <br /> OBUILDING $ /� O� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � ,q <br /> `�1 <br /> QMECHANICAL $ VALUATION OF MECHANICAL IfVSTALLATION ��� <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER � <br /> FINISHED FLOOR ELEVATIOMS FLOOD ZONE AREA �YES NO <br />�I <br /> IBIDILDER CORfl��►R!Y D/'h L� <br /> I SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/ <br />� �ddress License# <br />' �L.ECT6iIC1AR1 C�f�IPAf�Y <br /> S9GR��ITURE REGISTERED Y/ N FEE CURRE� Y/(V <br /> /\c➢dress License# <br /> �LUflflB�R CORflPAWV <br /> SIGR9�Tl�RE REGISTERED Y/ N FEE CURRE� Y/N <br />' Address License# <br /> iViECHA�6CAL COM��,R1Y <br /> S�C�R��T�R� REGISTERED Y/ I� FEE CURRE� Y/f� <br /> IAddress � License# <br /> OTFOEFi COMPd1R1Y <br /> SIGR14►Y1198E REGISTERED Y/ 1� FEE CURRE� Y/N <br /> �►ddPess License# <br /> RESIDE�ITIAL 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 Plans,Stormwater Pians w/Silt Fence instalied, <br /> Sanitary Facilities 81 dumpster;Site Work Permit for subdivisionsAarge projects <br /> CORAflflERCI�AL 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!Siit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commerciai requirements must meet compliance <br /> SIGfd PERfllIIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> 9f over�a500,a fdotice of Commencement Is required. (AJC upgrades over 5T500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> ONER Tli�COUfdTER PERiilIITTIfdG (Front of Applfcation Only) <br /> Reroofs if shingles Sewers ' , Senrice Upgrades A/C , Fences(Plot/Survey/Footage) <br /> Drivew�ays-Not over Counter if on,public roadways..needs ROW - _ <br />