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818-780 0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � • Building Departrnent <br /> �► ' <br /> Date Redeived' Phona Contaet for Pernnittin �� J ��� -- �� � <br /> �r, <br /> pvme�'s N��s w � � � Ej D /7� Owner Phone Number ��a -� 3�1� " �30 <br /> Owner's Address '��"c.e�� S�. Jr' i G» � 12H'I Clwner Phone Number <br /> Fee Simple Titlehalder Name Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRE$S ��`r"�� ��[ ��� LC1T# �y� <br /> SUBDMSIdN � � PARCEL iD# 1���'���1""��f��''QJr 1�"' Q2��} <br /> (OBTAINED FROM PR4PERTY TAX NOTICE) <br /> WORIt PROPQSED e NEW CONSTR� ADDlALT [� SIGN Q Q QEMOtiSH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � ��° � �/�J � � �'� ���'�- <br /> BUIi.DING SIZE ��� SQ FOOTAGE�__�� HEIGHT ��� <br /> QBUICDING � � VALUATfGtN OF TOTAL CONSTRUCTlON <br /> QEL.EGTRICAL ���� AMP SERttICE Q PROGRESS EIVERGY [� W.R.E.C. <br /> QP�UMBING �6 y� <br /> �MECHANIGAL $ ��n � �� YA�UATION OF MECHANICAL INSTA�tA710N ��[ t <br /> `7 . �� <br /> QGAS {,� ROQFING Q SPECIALTY � OTNER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPAIVY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# �� � <br /> EE.ECTRtG1AF1 C�NIPANY <br /> SIGNATUFtE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ticense# �- � <br /> PLUMBER _W� CtJMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Addresa Llcense# C ^ � <br /> MECHANICA! ��„^��;���'��._� co��ai+nr RH�S P�Ne L'�S ����.�/� <br /> SIGNATURE ��� FtEGISTERED Y/ N FHE CURRE� Y/N <br /> Address "7�"� l7 I �'N � /l I� ���f �icense# ��L-'�����"t3 � <br /> O'FNER COMPANY <br /> SIGNATURE REGISTERED Y I N FEH CURREi+ Y!N <br /> Address �lcense# �� � <br /> RESIDENTIAL Attach{2}Plat Plans;{2}sets of Buifding Pians;{1}set of Energy Forms;R-Q-W Permit for new constructia�, <br /> Mfnimum ten(10)warking days after submittai date. Required onsite,Construction Pians,8tormvwater Ptans w!Silt Fence instalted, <br /> Sanitary Fadlides 8�1 dumpster;Site Work Permit fpr subdivisionsAarge projects <br /> Ct3MMERGtI►l. Attach{3}comple#e sets of BuAding Plans plus a tlfe Safety Page;(1)set of Energy Farms.R-O-W Permik for new construction. <br /> Minimum ten(10)working days aiter submittai date. Requtred onsite,Construction Pians,Stortnvvater Rfans wf Siit Fence instaifed, <br /> Sanitary Fadlilies 8�1 dumpster.Site Work Permit far all new proJects.All commercial requirements must meet campliance <br /> SIGN PERMIT AttaGtx{2}sets of Engineered P1ans. <br /> •"""PROPERTY SURVEY required far all NEW constructlon. <br /> Directiona: <br /> Fill out applicatlon completely. <br /> Owner d�Contractor sign back of applicabon,nota�lzed <br /> if over 52500,a Natice of Cammencemen�#is requlred. (AlC upgrades over;T500) <br /> •" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner autharizing same <br /> C1YER THE COUNTER PERMtT11NG {Front of Appllcation Only} <br /> Reroofs ff shingles Sewers Service Upgrades A/C Fenaes(PIaUSurvey/Footage) <br /> Driveways-Not over Counter if an public roadvways..needs RdW <br />