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813-780-0020 City of Zephyrhills Permit Application Fax-813-780•p021 <br /> ,_ �� Building partment <br /> � � Date Received �1� `I��:: _ ����,J <br /> � Phone Contact far P rmittin <br /> TTlT -r-r-ar-t..�.iTf-T'a'-rrr- <br /> Owners Name (--14 iN� 1�K- Owner Phone Number c�`N! �-1� �p�)2 <br /> Owners Address ��O� T y'L���t�,� ��'�'} ��Owner Pha�ne N"umber �� � <br /> Fee Simple Trtleholder Name Owner phone Number � � <br /> FeQ Simple 7itleholder Address <br /> d06 ADDRESS � �(lt U t i.OT# �� <br />( SUBDIVISIQN CI�v�V 1 GW "11 ti�.W PARCEI.ID# �7 �s.�. -2 "�Of GO� e,l V Oti/L"O� � <br /> (O$TAiNEQ FROM PROPERiY TAX S34TtCE} <br />'� WpRK PROPOSED e NEW CoNSTR e ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q CQMM OTHER <br />� TYPE OF CONSTRUCTION Q BLOCK Q FRAME S7EEL Q <br /> DESGRtPl10N OF WORK 'I�U�� I �+� 1 <br /> BUILDING SIZ� � � SQ FOOTAGE� HElGHT �,� <br /> QBUILDING �� VALUATION OF T TAL CONS7RUCTION <br /> QELECTRtCA� �� AMP SERVICE � PROGRES5 ENERGY Q W.R.E.C. <br /> QPLUM6iNG �^� <br /> �MECHANICAL $ !� VALUATION OF M CHANICAL INSTALLATION l ' �""� � �� <br /> � <br /> QGA3 Q ROOFING Q SPECIALIY OTHER � �t��3 <br /> FINISHED FLOOR ELEVATlONS � FLOOD 2QNE REA QYES NO <br /> -�.-.-.--.-:�..'-:�3-�••�--•--•--•-•-•--.�.. r-.-.�.-.- ...-•--•-•�-,•.•-�-•-•- <br /> BUlLDER � � GOMPAN � <br /> S�GNATURE REGI5TERE Y/ N FEE CURREN Y/N <br /> Address License# � � <br /> ELECTRICIAN � COMPAN �� <br /> SIGNATURE REGfSTERE Y! r2 PEE CURftEN Y 1 N <br /> Address Lioense# I I <br /> A�UMBER � � CQMPANY � <br /> I SI'ls`NATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address i� License# � �� <br /> ' MECHANICAL CpMPANY �7�� � O i�i!� SG'F--V 1 C�✓iJ � <br /> I� SlGNATURE REG)SSERED Y I PI PEE CURREN Y 1 N <br /> �' Address 1�!�,/ 1 V T}�L� ,�'i ��r'f i 1 1 License# C�fl-C�.�l'1 i ���1 -I <br /> ( 4THER � � C4MPAMY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> ( Address License# � � <br /> I iQiltlt9I1111I1ttIi11111tIIttt11t11I1 IItt1111tIBti411 ( 418LBBtii1L0 <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Buildi�g Plans;(1)set af Energ Fortns;R-O-W Permit for new canstruction, <br /> Minimum ten(101 working days after submittal date. Required o site,Construction Plans,Storznwater Plans wt Sili Fe�ce installed, <br /> Sanitary Facilikies&7 dumpster,Site Work Fermit fo�subdivisifl stlarge projects <br /> I COMMERCIAL Attach(3)compiete sets of Building Plans plus a Life Safety Pag ;(1)set oC Energy Forms.R-Q-W Permit for new cansWction. <br /> Minimum ten(10)working days aker submittal date. Required o site,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for aq new pr ects.Aii commerciat requirements must meet compiiance <br /> SIGN PERMIT Attach{2}sets of Engineered Ptans. <br /> ""PROPERTY SURVEY required fo�all NEW construction. <br /> .�..-.�-I..4.�1�1-�• • • • {-i.-f..4t-.6-7-1--1..i�i-1-1--f-i�-{�-O-J-.W..Y.-i-1- 1.-i-i-1-�7�--.�-.-ri-i-8-1--1-e--6..8-f.-1-b.i-i-6--6-6.8-a- <br /> Diiections: <br /> Fill ouf application completely. <br /> Owner&Contracror sign back of application,noterized <br /> If over$2500,a NoUce of Cammencement is required. (AIC upgrades ove $7500) <br /> " Agent{for the eontraator}or Power of Attomey{for the owne�)would be somean with notarized Iette�fram owner authorizing same <br /> OVER THE CpUNTER PERMITTING (Front of Application pnly) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSu ylFootage) <br /> Driveways-Nat over Counter if on public roadways..needs RQW <br />