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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buildin Department <br /> Date Receieed '/ G; <br /> � �� � 7 Phone Contacf fo Permittin �(Zj [�oZ -_ ��o�p 3 <br /> Ouvner's Idame �Wv �j'1�1r��1 StS Owrner Phone Number $��r2�� 3�-3 <br /> �rvner's Address ���`� /�2G��-t- �' • O�nmer Phone IVumber <br /> Fee Siro�ple Titleholder Name Oevner Phone tdumber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �pO Z� (� �j`t'r-2�2-L LOT# � <br /> suBOidisior� PARCE in# b2�-�l-c�$a -oor oo _ o�m <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORFC PROPOSED B NEW CONSTR e ADD/AL 0 SIGRI Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF VIIORK � D fZp��pp (/L +,.eS e� i��, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ � VALUATIOfV F TOTAL CONSTRUCTION <br /> ��oo�. <br /> QELECTRICAL $ AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��- ` <br /> ��� <br /> OMECHANICAL $ VALUATION F MECHANICAL INSTALLATION �( <br /> QGAS � ROOFIfVG Q SPECIA TY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> BUILDER � CO PANY ���r I `y � I �- <br /> SIGfdATURE C REG STERED Y/ N FEE CURRE Y/N <br /> Address ���"'T • G'�GQ. G+U License# �GL�S��� <br /> ELECTRICIAN CO PANY <br /> SIGfdA'LURE REG STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLURA�ER CO PAMY <br /> SIGNATURE REG STERED Y/ N FEE CURRE� Y/N <br /> e4ddress License# <br /> MECHANICAL CO PAPIX <br /> SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER CO PANY <br /> SIGfdATURE RE ISTERED Y/ M FEE CURRE� Y/N <br /> Address License# <br /> RESIDEMTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set f Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. R quired onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlities 8�1 dumpster;Site Work Permit for s bdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life S fety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> � � -`- Minimum ten(10)w`orking days afte�submiftal date: R qui�ed onsite,Construction Pla'ns,-Storm�ivafer Plans w/SiifFence instalfed,— <br /> Sanitary Facilit(es&1 dumpster.Site Work Perm(t for a I new projects.Ail commercial requirements must meet compliance <br /> SIGN PERIdIIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY requ(red for all NEW constru tion. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Ovmer&Contractor sign back of application,nota�ized <br /> If over 52500,a Notice of Commencement Is required. (AIC upg ades over$7500) <br /> `• Agent(for the contractor)or Power of Attomey(for the owner)would e someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on publlc roadways..needs ROW <br />