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813780-0020 City of Zephyrhills P rmit Application Fax-813-780-0021 <br /> � Building Dep Ament <br /> IDate Received phone Corttact for Pe itting — <br /> -rrm-rrr - - r�-r� - <br /> Owners Name r��e�� C a � v/� Owner Phone Number �-� — I 3 3'6�9 Z� <br /> Owners Address ��?Z-1 � � �Owner Phone Number <br />, Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS D � C l�J LOT# � <br /> �" � 2S- ZI —61 ��{� _Gd d <br /> SUBDIVISION PARCEL ID# �� �vc�t�6 <br /> � (08TAINED FROM PROPERTY TAX NOTCE) <br /> I WORK PROPOSED B I�lVOONSIRe ADD/ALT SIGN � 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 ��Jl/T�/�� ' � �IIGI L��/���/IJ � � \L <br /> BUILDING SIZE � �/ �/' SQ FOOTAGE �D HEIGHT °� T " <br /> QBUILDING S VALUATION OF TO CONSTRUCTION Z/ 7 �`S�� � 1_� <br /> /i_`la <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ��f;��� <br /> QPLUMBING $ �� <br /> QAAECHANICAL $ VALUATION OF ME HANICAL INSTALLATION ��(�V <br /> � � � ���� <br /> U <br /> �GAS Q ROOFING Q SPECIALTY OTHER (✓ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE REA QYES NO <br /> �� <br /> BUILDER COMPANY � � <br /> SIGNA E � REGISiERED Y/ N FEE CURRE� Y/N �' _ ,`�� � <br /> U'/��Pv� <br /> dress License� � <br /> ELECT C '�� � COMPANY � � J �G/� L (l�U <br /> SIGNATURE REGISTEREI Y/ N F�CuRrtEn Y/N <br /> Add s I� �V e�� �� -S J �"' �� License# (..�v���3 3 ` <br /> PLU ER COMPANY <br /> SIG TURE ��iSrEREO Y/ N F�CUR�n Y/N <br /> Address License# <br /> ME HAWICAL COMPMIY � <br /> SIG A7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> dre" � � � License# <br /> O E � c � � COMPANY �/ `G G ,S�Ci � ��Gf� , <br /> S�GNA REGISTEREO Y/ N FEE CURRE� Y/N <br /> �d� $��— i ve�v � Lcc� 7%S 3�cf y License# � (��6 0 3�3` <br /> er � iri � � � � � � � � � ierrrrie � Ner� rii � e � i � ir � i � iriiii � ir � iirr � � � r� � r � � ea � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;{1)set of Ener Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required site,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities R 1 dumpster;Site Work Permit for subdivisio /large projects <br /> COMMERCIAL Attach(3)complete sets of Buiiding Plans plus a Life Safeiy Pa e;(1)set of Energy Forms.R-O-W Pertnit for new consWclion. <br /> Minimum ten(10)wodcing days after submittal date. Required site,Construction Plans,Stortnwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ali new pr jects.All commercial requirements must meet compliance <br /> SIGN PERMI Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construcGon. <br /> Dlrections: <br /> Fill out application completely. <br /> Owner&ConVactor sign back af application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades ov r$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someo e with notarized letter from owner authorizing same <br /> OVER THE COUN7ER PERMITfING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSu ey/Footage) <br /> Driveways-Not over Cou�rter ff on public roadways..needs ROW <br />