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813-780-0020 City of Zephyrhills P rmit Application Fax-813-780-0021 <br /> Building De rtment <br /> Date Received Phone Contact for Pe itting � - <br /> Owner's Name . C� l,(J l 150� Owner Phone Number �f�_��SY'� �1Y` <br /> . <br /> Owner's Address J � �G9-�T Z �6 Owner Phone Number � �fo2"7�/�-'3v�T.s I'"�'� <br /> � P ( _/ 7�,r� �S. <br /> Fee Simple Titleholder Name • S L.Ilvtl-V� i�Sl�I'v Owner Phone Number G� �`1'°�6^�Q}G <br /> Fee Simple Titleholder Address � (� z�Vc� <br /> J08 ADDRESS � 7�� /9�fn /JIS � .�,�6 LOT# � <br /> SUBDIVISION e � O/�� PARCEL ID# <br /> '- -- - - - `- - - - - - -- -(OBTAlNED FROM PROPERTY TAX NOTICf) -_ - - <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q � FRAME STEEL Q <br /> DESCRIPTION OF WORK i� � 12. A�����a r� -�-o jC�3�T 1 IJ (o �A N�� <br /> BUILDING SIZE �XI� /� f�lo� SQ FOOTAGE 1�s• HEIGHT �I� <br /> OBUILDING $ VALUATION OF T TAL CONSTRUCTION <br /> �''' <br /> [�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ _ VALUATION OF M CHANICAL INSTALLATION � � <br /> 5��� <br /> QGAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO <br /> ,i /1 <br /> BUILDER •� • `W COMPA Y —�/y-G � . � cS Q� <br /> SIGNATURE �N v REGISTER D Y/ N FEE CURRE� Y/N <br /> Address ��� License# <br /> ELECTRICIAN � COMPA Y KIC�- � • � i �� dv <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En gy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requlre onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8�1 dumpster;Site Work Permit for subdivl ions/large proJects <br /> COMMERCIAL Attach(3)wmplete sets of Build(ng Plans plus a Life Safety age;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Require onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilit(es&1 dumpster.Site Work Permit fo�all new roJects.All commercial requirements must meet compliance <br /> SIGfd PERAflIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW constructlon. <br /> Direct(ons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over�2500,a Notice of Commencement is required. (A/C upgrades ver 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be som one 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(PIoU urvey/Footage) , _ ___ . _- .-- - <br /> _ , <br /> Driveways-Not over Counter if on public roadways..needs ROW �, , .,,_.. � <br />