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813-780-0020 City f Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 3$�. -�5 6 -aa�s- n�v�� <br /> Dat�[?eceivec9° <br /> Ph ne Contac!for Permittln -- <br /> Obrner's fdame � Owner�'hone Idumber <br /> Owrner's Address 3 � ���� �j, �wwner Phone Mumber <br /> Fee Simpie Titleholder Name � � Owner Phone RRumber � -� <br /> Fee Simpte Titteholder Address - <br /> JOB d►DDRESS 1v�13� - LL LVd� L(� � , �OT# � <br /> 7���T�� /l`/�, <br /> SUBDINISION ����w �1;6N�' PARCEL ID# �+`�� Il) � ' G <br />, � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lfNOR�C PROPOSED B NEW GoNSTR ADD/ALT � SIGM � Q • DEMOLISH - <br /> INSTALL REPAIR <br />, �ROPOSED U5E Q SFR GOMM Q OTHER <br /> TXPE OF CONSTRUCTIOfd Q BLOCK FRAME [� STEEL 0 <br /> DESCRIPTIORI OF WORK . ��� � {�L�)J�e•(L(�(,J j�J�G i116 L. L877�i� <br /> �UILDI(dG SIZE �1�,���'"'¢�N SQ FOO GE� HEIGMT <br /> QBUILDING $ �9���� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ^yA� �f� „l ��b <br /> �r r <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� _ �G•f1�� <br /> v `� 1 <br /> QGAS Q ROOFING SPECIALTY Q OTHER _ � � p��pju,�� <br /> FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ►VO /� <br /> 1���� �`"' ��� <br /> V <br /> IBUI�DER COMPANY <br /> SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �lddress - License# • <br /> �IIECTRICIAfd COMPANY -��Li-',i i ,�G �.='�✓ �L��J'� <br /> I SIGWATURE REGISTERED Y/ M FEE CURRE� Y/N ��- <br />� <br /> Address / License# <br /> PLUI�lBER COMPAIdY <br /> SIGEdATURE " REGISTERED Y/ IV FEE CURRE� Y/1� , <br /> alddress License# <br /> MECHANICAL COMPANY <br />' SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address icense# <br /> OTHER /,��j ' � � COMPAIdY <br /> SLGfdATURE ��LGt�c� ��G'� L��M.�� C'REGISTERE / N EE CURRE� Y/IV <br /> �►ddress �[59 � ���`��ST� 1f' EJ'.� ,33�'S�� �icense# �S� �1� <br /> RESIDEMTIAI. Attach(2)Plot Plans;(2)sets of Building lans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> �Minimum ten(10)working days after sub ittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities 8�1 dumpster;Site Wo k Permit for subdivisions/large projects ' <br /> CORAMIERCiAL Attach(3)complete sets of Building Plan plus a Life Safety Page;(1)set of Energy Forms.R-0=W Permit for new construction. <br /> Minimum ten(10)working days after sub ittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Wo k Permit for all new projects.All commercial•requirements must meet compliance <br /> SIGR�PERMIT Attach(2)sets of Engineered Plans. � <br /> •'"'PROPERTY SURVEY required for all NEW constructlon. � ' <br /> Directtons: . . � <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notar(zed <br /> If over 52500,a Notice of Commencemen4 is require . (AIC upgrades over�7300) <br /> " Agent(for the contractor)or Power of Attamey(for the wner).would be someone wlth notarized letter from owner authorizing same <br /> OMER THE COUNTER PERIlAITTIMG (Front.of Applica'on Only) <br /> Reroofs if shingles;,- 'Sewers = •Service Upgrades N Fences(Plot/Survey/Footage) <br /> Driveways-Not over'Counter if`on public roadways..`ne s ROW � . •- • �_ ;' � <br /> i � � ,. ' ._ ., ._ � � .' . , ..._ _ .. <- - - ,. _. <br /> � ,. . ��,,: ,, , .. . , ., ,- .... -� . , ,��,.� . <br /> ' ,-, -_ - .. - ... . . ; . � � , - <br />