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+ 813-780-0020 City of Zephyrhills P rmit Application Fax-813-780-0021 <br /> Building De artment <br /> ` Date Recetved Phone Contact for Pe ittin �3 `O d� — ��� <br /> Owners Name /v/ 0� �/ Owner Phone Number <br /> Owners Address ��T_r /`������ ��--- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOBADDRESS ��07'7" /YL��"(�M � LOT# ��V <br /> SUBDIVISION �iQ�7� P�l�/`�^� PARCEL IDl� �as�—��Z�—����� r`���v <br /> (OBiAINED FROM PROPERTY TA7(NOTICEj <br /> WORK PROPOSED e NEW CONSTR B 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 /Zl�� B �'FC�i��.7 N/� L"(91J <br /> BUILDING SIZE /`��d S�FOOTAGE / � HEIGHT � <br /> UILDING $ VALUATION OF T TAL CONSTRUCTION <br /> 3 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��./' <br /> QMECHANICAL $ VALUATION OF M CHANICAL INSTALLATION .��� <br /> QGAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER S ' tCOMPAN �� /�S � <br /> SIGNATURE REGISTERE Y/ N FEE CURREI. Y/N <br /> Address �� �7 f / !� - License# WS�J 7� <br /> ELECTRICIAN COMPAN <br /> SIGNATURE REGISTERE Y/ N FEE CURRE� Y J N <br /> Address License# <br /> PLUMBER COMPAN <br /> SIGNATURE REGISTERE Y! N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMP <br /> SIGNATURE REGISTERE Y/ N FEE CURREI. Y/N <br /> Address License# <br /> OTHER COMPAN <br /> SIGNATURE REGISTERE Y/ N FEE CURREh Y/N <br /> Address License# <br /> 111111111111111111111111111111111111 111111111111111111111111111111 <br /> RESIDENl1AL Atlach(2)Plot Plans;(2)sets of Building Plans;(1)set of Ene y Fortns;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Pians,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Pertnft tor subdivis onsAarge projects <br /> COMMERCIAL Attach(3)comptete sets af Building Plans plus a Li(e Safety P ge;(1)set of Energy Forms.R-0-W Pertnit for new construction. <br /> Minimum len(10)working days after submittal dete. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facililfes&1 dumpster.Site Work Permit for all new rojects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdion. <br />, Directions: <br /> FlII out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over E2500,a NoGce of Commencement Is required. (AIC upgrades o er E7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be som one with notarized lerier from owner authorizing same <br /> .:........, ...:: �•- . ..•....,..,.... <br /> OVER THE COUNTER PERMITTING • (Front of Application Only) <br /> b i .,.Reroofs i(shin�le�, , Sewers � Service Upgrades A/C Fences(PIoU urvey/Footage) <br /> . � _..... . ..�.,.r... s-v., .�.,�.. .>•�. <br /> �f '' Driveways=Not�over Counter if on public roadways..needs ROW '�� _ _.'`.�' 1 <br /> . , . ... .�.-��,... " .•- ._,...:»_ ..,. �f , . ' .�.! � � .. . �, - ,i..'� i. <br /> . , , x , �., , , . ' �i <br /> .. -,. ,_ � . .._ .... ..._.r:r:�-»,_sz-„ ' <br /> L_— <br />