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' 813-780-0020 City of Zephyrhills Perrri�t Application Fax-813-780-0021 <br /> Building Department <br /> �aQe�teceivec9 <br /> Phone Con4ack for Permitting -- <br /> Oeaner°s R�ame , �if Ut �t Q,� Ovuner Phone Wumber ��3'`7 5 � �,�� <br /> Oevner°s c�ddress ��T �� Owmec F'hone fdurnber <br /> �ee Sim�Ole TiPAeholder R1ame Owner Phone Rlumber <br /> �ee Sienple Ti@leholcler Address <br /> .DO��+DD@3�SS �S (� � D�""� v�� L.O�# � <br /> SUBDIbISiOA1 ��1RCE�I�t� <br /> (OBTAINEO FROfV7 PROPERTY TAX MOTICE) -- - - - <br /> HN��tG'C�6tOPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> �PdOPOS�D USE Q SFR Q COMM � OTHER <br /> �V�E�F COR1STQtUCYl06� 0 BLOCK Q FRAME � STEEL � <br /> i <br /> DESCRI�'690R90FlfNORK .�p'l��r'Gt Il�� ,�l L�. � <br /> �UiLDIRICs'SIZE SQ FOOTAGE Ci�IGFB� <br /> i �BUILDING $ VALUATIOIV OF TOTAL CONSTRUCTIOfV <br /> —�v <br /> QELECTRICAL $ ANiP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> OPLUfVIBIMG $ <br /> QMECHANICAL $ VALUATION OF MECHAfVICAL INSTALLATION /� �"— � <br /> N� <br /> �GAS 0 ROOFING Q SPECIALTY 0 OTHER `��(, l <br /> FIIVISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES IVO ?� <br /> ��Z <br />� <br />� �ue���� co���,�v <br /> �SGiVeA��D�dE REGISTERED / N FEE CURRE� Y/N <br /> s�ddress License# <br /> I�fl.EC'TC21CI�.R� COf1fl�A�Y <br /> SIGW�4�lD6ZE REGISTERED Y/ N FEE CURRE� Y/N <br /> �,ddr�ss License# <br /> �LUflIi�E4� CORflPAMY <br /> SIGRIATU�tE REGISTERED Y/ M FEE CURRE� Y/N <br /> B+dl�Pess License# <br /> AII�CCi�R�SCB,L. COAfi�AfVX <br /> SYGRIA�U�Z� REGISTERED Y/ N FEE CURRE� Y/N <br /> �ddress License# <br /> o�o-��� co����v <br /> S9C�R1�T196d� REGISTERED Y/ Rl FEE CURRE� Y/N <br /> �,d�ress License# <br /> RESID�RITI�,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 Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COflAfIflE6�COAL 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 instalied, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGY���92RAIT Attach(2)sets of Engineered Plans. <br /> •'•'PROPERTY SURVEY required for all NEW construction. <br /> Direct(ons: <br /> Fill out application completely. <br /> • Owner�Contractor sign back of application,notarized <br /> IP oder�2500,a f�otice og Commenceenent is required. (AIC upgrades over 57300) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> Ol9ER T9i�COUMTER PERRflIBTIfdG (Front of Application Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C ences(PIoUSurvey/Footage j <br /> Driveerv�ys-Not over Counter if on public roadways..needs ROW <br />