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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ' , IIDate Received Phone Con,tact for Permitting ( �$$ -- �O <br /> Owner's Mame �l{� �CA_. �'�O V( Q.C,�. Obrner Phone R9umber <br /> owrneP's�►dclress �5�3 � � � i �nmer Phone fdumber <br /> �ee S3rvi�le Titleholder ldame I Ourner Phone R�uPnber � <br /> Fee 5imple Titleholder Address <br />� �o�e►�nR�ss `g�$1'7 �� �e..a� til ► 3� �.oT� � <br /> sua�edisiob P RCEL ID# � �-2�- 2l-�p r O-� ��b� � i �-t <br /> (OBTAINED FROM PROPERTY TAX MOTICE) <br /> � HHOR6Z PROPOSED NEW CONSTR A D/ALT 0 SIGN • Q Q DEMOLISH <br /> INSTALL 8 R PAIR <br /> PRO�OSED USE Q SFR Q C �MM 0 OTHER <br /> TV�E OE COMSTRUCTIOtd Q BLOCK Q F iVIE 0 STEEL Q <br /> DESC921�TIOR9 OF MNORlF( l��2.�„�rl�GC�-` (��(1 <br /> �UILDI�dG SIZE Sfd FOOTAGE PiEIGHT <br /> QBUILDING $ VALUA�ION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ �j AIVIP S RVICE ��q� � �v��"!_�^_Y Q W.R.E.C. <br /> 1�> �'r"J <br /> QPLUMBIfVG $ <br /> QMECHANICAL $ VALUA ION OF MECHANICAL INSTALLATI0IV ,� l S D �o <br /> �GAS Q ROOFING Q S ECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FL OD ZONE AREA QYES NO <br />— -�iJi�:DEFt—� - -- -- —-- --C�RfiFAPiYi - - -- -——- -— --_ -- ---= ——_ � _ --- <br /> SOG{�1�►TURE I REGISTERED Y/ N FEE CURRE� Y/N , <br /> Address � License# <br /> Ei.EC7'RICIAId (�r� _ COMPAIdY �-��-�. �I�C� 'C�.-� L- • <br /> SIGV��4TlDRE ����/�-t�cr• REGISTERED Y N FEECURRE� Y N <br /> �ddress ���l��C: ��/� � � �.�ilt�� i �^ License# CC.� O� ( <br /> PLURflBER COMPAf�Y <br /> SIGBNAITUEZE REGISTERED Y/ M FEE CURRE� Y/N <br /> �ddress License# <br /> i11iECPiAi�ICAL COAflPA1dY <br /> SIGWATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COflAPAR1Y <br /> SIGfUATUEZE REGISTERED Y/ N FEE CURRE� Y/N <br /> �ddress License# <br /> 6tESIDE6NTIAL Attach(2)Plot Plans;{2)sets of Building Plans;(1 set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities 8 1 dumpster;Site Work Permit for'subdivisions/large projects <br />- COflflflflERCIAL Attach(3)complete sets of Building'Plans plus a iife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Worli Permi for all new projects.Ail commercial requirements must meet compliance <br /> SIGfd PERMIT Attach(2)sets of Engir�eered Flans. �- <br /> """PROPERTY SURVEY requlred for all(VEW co struction. <br /> Directlons: , <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized - <br /> If over�2500,a Idotice of Commencement is required. (A/C pgrades over 57500) <br /> "° Agent(for the contractor)or Powerof�Cflomey'.(forythe-owner):ini,�i1d�e someone with notarized letter from owner authorizing same <br /> O!/ER THE COUkTER PERMITTIMG �_,�(Front,of Application�bnly���<.,;; <br /> Reroofs if shingles Sewers Service;Upgrades.�A/C '-`�,.Fe Ces(PIoUSuroey/Footage) <br /> , . �. , k ,. s <br /> Driveways-Not over CounteriYon publicroadways..needs R01N"`��j� <br />