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� 813-780-0020 City of Zephyrhills Permit Application Fax-813-78�-0021 <br /> Building Department <br /> • * � ' f�C�'�f'y'"1_I_t� Z� -�-rr-r�r� <br /> Date Received phone ConWct for Pertnitting <br /> Ownets Name t "� dwner Phone Number � � o�� <br /> Owners Address- r � � Owner Phane Number �— � <br /> Fee Simple Tideholder Name ' Owner Phone Number �— � <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS 7f � - �OT# �_�� <br /> SUBDIVISION �y. ��� PARCEL.ID# <br /> �- ��•a -o,� �o <br /> (09TAiNED FROM PROPER7Y T OTtCE) <br /> WORK PROPOSED e NEW cONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PRQPQSED USE Q S�R Q COMM OTHEFt t <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTtQN 4P WQt2K �� �/�c� <br /> BUII.DING SIZE SQ FOOTAGE� HEIGHT <br /> UILDING r?i,�'6"� VALUATION OF TOTAL CONSTRUCTION <br /> L � <br /> QEl�ECTRIC,4I. �� AMP SERVECE � PROC�ftESS ENERGY Q W.R.E.C. <br /> QPLUMBING � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� ` � <br /> � � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER n�,, ` �n-� �F� <br /> �V�.�n��'�"' <br /> FINISHED FI.00R ELEVATIONS FLOOD ZONE AREA QYES NO 1 <br /> I �. . . <br /> c <br /> &Ui�DER �� COMPANY <br /> ``�,.,.,6IGNATURE ���� REGI57ERED Y/ N FEE CURRE� Y/N <br /> Address License# r— � <br /> ELECTRICIAN � � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE GURREt� Y 1 N <br /> Address License# r^ � <br /> PLt7MBER � � COMPANY � <br /> SIGNATURE REGIS7EftED Y/ N FEE CURRE� Y I N <br /> Address License# � �� <br /> MECHANICAL � � COMPANY � <br /> '� SIGNATURE � REGIST@RED Y/ N FEE CURREh Y 1 N <br /> � Address License# �— � <br /> OTHER � GOMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURR6� Y/N <br /> Address License# �— �� <br /> IItIt111I1ttltliitlllllllttlitllii11It1111111t111I111iI111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PermitfornewconsUuction, <br /> Minimum ten(10)working days aRer submitta!date. Required onsite,CortsUVCtlon Plans,Stormwater P1ans w!Sitt Fence instatied, <br /> Sanitary Fadlities&1 dumpsker,Site Wark Permit for su6divisionsftarge projects <br /> COMMERCIAL Attach(3)compleCe sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new wnsWdion. <br /> Minimum ten(10)working days after submiftal date. Required onsite,ConsWCtion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&t dumpster.Site Work Permit for aii new projects.Aii commercial requirements must meet compliance <br /> SIGiV PERMIT Attach(2}sets of Engineered Plans. <br /> - ""PROPERTY SURVEY required for all NEW construdion. <br /> Dcrectwns:• <br /> FiII out apptication compietely <br /> Owner&Contrador sign back of application,notarizsd <br /> If over Ez500,a Nokice of Commencement is requlred. {AIC upgrades over 57500a <br /> " Agent(far the wntractor}or Power af Aitomey{for the owner)woutd bs someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs it shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Faotage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> �_ _ — — <br />