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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivec9 �p � �� phone Contact for Permitting �j 3 7��^ __ �s3� <br /> Owner's R1ame �it�� `g ���/'� O�nrnerPhone�umber (,3-7�- s49 <br /> Ou�ner's�►ddress �'7�(.3 �(L Oudner Phone Idumber <br /> Fce Sirai�le Titleholder ld�roie Ouvner Phone Pdumber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3S�/O�e �P�' LOT# � <br /> I <br /> SUi�IVISI�N rARCEL ID* ���aZ�z-�`��1 J �f��Qcf� - 02p d <br /> (OBTAINED FROAA PROPERTY TAX NOTICE) <br /> bHOEtBf�ROPOSED e fVEW CONSTR e ADD/ALT 0 SIGN 0 Q DEMOLISH <br /> IIVSTALL REPAIR <br /> P���OSED IDSE Q SFR Q COMM 0 OTHER <br /> TVPE O�COMST6tUCTY0A1 Q BLOCK Q FRAME 0 STEEL � <br /> DESCFtIPTIOfd OF HNORFZ /� T <br /> �UILDIfdG SIZE SQ FOO�AGE �� ' �lEIGHT <br /> QBUILDING $ VALUATION OF TOTAL COIJSTRUCTION �i � �./`� <br /> T� <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBIfVG $ i�� "j�� L� <br /> �` v <br /> �MECHANICAL $ �O ��- VALUATION OF MECHANICAL IIVSTALLATION /� �,��/�� = � <br /> U <br /> �GAS Q ROOFING � SPECIALTY 0 OTHER ���� <br /> FINISHED FLOOR ELEVATIOMS FLOOD ZONE AREA DYES NO <br /> �ui�.��� co�w�A�v <br /> SIGM�4�URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Ac9dress License# <br /> ELEC'PRICIAfd COM�AI�Y <br /> SIGPdAT�DRE REGISTERED Y/ M FEE CURRE� Y/N <br /> �►ddress License# <br /> PLUIIflBER CORAPA�IV <br /> SIGiV�►TIDRE REGISTERED Y/ I� FEE CURRE� Y/N <br /> �lddress License# <br /> MIECH41fdICA1. COfNIPAfdY <br /> SIGWt�TUFdE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addr�ss License# <br /> OT9iEFt � CO�APQ,MY � ` <br /> $9GM�4TUE�E REGISTERED Y/ IV FEE CUR E� Y/N <br /> Address 3�] � ��Q � �.�_ License# CeC- O V� � <br /> RESIDERITIAL 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 subdivisions/large projects <br /> COflAMERCIAL 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 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGR!PERflNOT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all IVEW consVuction. <br /> Directfons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over;2500,a tdotice of Commencement is requirec9. (/UC upgrades over$7500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owmer)would be someone with notarized letter from owmer authorizing same <br /> ONER TF1E COUfdTER PERMITTIRIG (Front of Application Only) " � ' � � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveevays-PVot over Counter if on public roadways..needs ROW � � _ <br />