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, 813-780-0020 City of Zephyrhills P rmit Application Fax�13-780-0021 <br /> Building De rtment <br /> �ate Received � phone Contact for Per ittin ��3 �t b S __ 0�3 I <br /> Owner's Name I�t Z Owner Phane Number ` �(O—7 I Q— O z s <br /> . <br /> Owners Address �zg� �AR�"� �A LE (,.�A`� G A s$��TO� Owner Phone Number <br /> Fee Simple Titleholder Name ►v/t� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS (D�T2 � fi� �� LOT# 4� <br /> SUBDNISION H � BIZ�zE PARCEL IDJt Z��'ZI—D I q0—00000—�{�O <br /> (OBTAINED FROM PROPERTY TAX NOTCE) <br /> WORK PROPOSED NEW CoNSTR e ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q CAMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL Q <br /> DESCRIPTIONOFWORK EPLR�E S SAME S�Z� �14J[70WS l � SI.IDfNG GLASS DOO(� <br /> ���� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ /f 7�� VALUATION OF T TAL CONSTRUCTION � � <br /> ,-r <br />, QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q .R.E.C. / <br /> ,�Q�Q / <br /> QPLUMBING $ ��" M/ <br /> QMECHANICAL $ VALUATION OF M CHANICAL INSTALLATION l `) �`✓ ' } \ � <br /> GAS ROOFING SPECIALTY OTHER v l, ' L`\� <br /> 0 0 0 ��v,�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO p O v�� W"' " � <br /> 4.i.L�.� {..LO�cJ � � <br /> BUILDER Cc�E�TN�2 Tir�����awS <br /> SIGNATURE 'P� 1 EGISTER D Y/ N fEE CURREN Y!N <br /> Address o� la W �OC�AI►�us' p2 T�+Fna�3 bp7 �icense# GGC is�SS��� <br /> ELECTRICIAN COMP Y <br /> SIGNATURE REGISTER 0 Y/ N FEE CURREN Y/N <br /> Address Lice <br /> pLUMBER COMP Y <br /> SIGNATURE REGISTER D Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMP Y <br /> I SIGNATURE REGISTER D Y/ N FEE WRREN Y/N <br /> Address License# <br /> OTHER COMP Y <br /> SIGNATURE REGISTER D Y I N FEE REN Y I N <br /> Address License# <br /> 111111011 � 1111111111111111911111011111111111111111111t1111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Require onsite,Construction Plans,Stormwater Plans wl Sift Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdNi ionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety age;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)wrorlcing days after submittal date. Requl2 onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit forall ne projects.AII commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERI'Y SURVEY required for all NEW consVUCtion. <br /> E-1-1— <br /> Directions: <br /> Fili out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Nodce of Commencement is requlred. (A!C upgrades ver$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be so eone with notarized Ietter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo urveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />