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813-780-0020 City of Zephyrlhills Permit Application Fax-813-780-0021 <br /> Buil ing Department <br /> Date Receivec6 <br /> Phone Contac for Permitting __ <br /> Ovuner's Mame �`8'� �j� !�� /�/pc'�--��5 �C� Owner Phone Mumber � 3�� , ���d <br /> � <br /> Oevner's e4ddress � D ,� 11 "(�1� ��5 35 � �nrner Phone Mumber <br /> Fee Simple Titleholder fdame Owrner Phone fdumber <br /> Eee Simple Titleholdee Alddress <br /> JOB ADDF2ESS ,� � �� ��� �,� � <br /> LOT# <br /> SUBDIbISIORI PARC d.ID# <br />--- — - -- - -- <br /> - --- - - --- --- - - TA t ED�RQP7 PROPERTY TAX NOTiCE)- ---- <br /> HNOR�C PROPO�ED B NEW CoNSTR B ADD/A T 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAI <br /> �ROPOSE,D USE Q SFR Q COMM [� OTHER <br /> TY.PIEOF COPISTRUCTIOM Q BLOCK Q FRAM � STEEL Q <br /> DIESCRI�TIOId OF!lNORK E� ��fJY� <br /> BUILDtR1G SIZE SQ1 FOOTAGE HEIGHT <br />, OBUILDING $ � OO VALUATIO OF TOTAL CONSTRUCTIOfV <br /> QELECTRICAL $ AMP SERVI E � PROGRESS EMERGY Q W.R.E.C. <br /> �� . <br /> OPLUMBING $ `r v� �/ <br /> � 1 J <br /> OMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFIMG Q SPECI LTY 0 OTHER <br /> FIIVISHED FLOOR ELEVATIONS FLOOD ZOfVE AREA QYES fV0 <br /> I BUILDER CO PANY ��'/� ��OC f� 6TB�5 II C <br /> SIGIdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br />, ELECTRICIAN CO PANY <br /> SIG�dATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUAflBER CO PANV <br /> SIGfdATURE RE ISTERED Y I N FEE CURRE� Y/N <br /> d►ddress L(cense# <br /> MIECHANICAL CO PAMY <br /> SIGfdATl9RE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER CO PAMY <br /> SIGNATURE REGI STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RIESIDEtdT1AL 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit for s bdivisionsllarge projects <br /> COIlAl1AERCIAL 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)working days after submlttal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facillties&1 dumpster.Site Work Permft for al new projects.All commercial requirements must meet compliance <br /> SIGR!PERAAIT Attach(2)sets of Engineered Plans. <br /> '•'°PROPERTY SURVEY required for all NEW constru tion. <br /> Directlons: <br /> Fill out applicatfon completely. <br /> Owner S Contractor sign back of application,notarized <br /> 9f over�2500,a Motice of Commencement(s required. (!A/C upgr des over$7500) <br /> °° Agent(for the conVactor)or Power of Attomey(for the owner)would b someone with notarized letter from owner auth,.orizl�l9:�a71e:._,.._,.,; <br /> . <br /> ONER THE COUNTER PERMII7TING (Front of Application Only) ' _ ''� ''' , <br /> ... �',:!:,:�;�.� ! : . <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences PIoUSurvey/Footage) • ' _ r , <br /> Driveavays-Not over Counter if on public roadways..needs ROW .,..�„ ,. :. ....,.--..�a..���.�.tn.` •��. <br />