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: � at�-7aa-oa2o City af Zephyrhills Permit Application Fax-813-780-Od2i <br /> Bufiding Depa�tment <br /> Date Received Phone Contact for Pactnitting ��� �7�'2. - ��1 � <br /> Owner's Name V d LG.���� l / Owner Phone Number �������" �l �l <br /> Owner's Address ��`� `7� �D L�� dwner Phone Number � � <br /> Fse Simpie Titiehoidsr Name � � Owner Phone Number �� � <br /> Fee Slmple Titlshotder Addres� <br /> JOB AQRRES3 -/ D�'T' „3 Q� (,IL, �e �'7 /�/�/�-L,-S t'�, �� LOT# [___,� <br /> SUBDIVISION ��` I PARCEL Ib# !�- o�(D`�-1-�dlD -L�C��G� - al1D' <br /> (OBTAINED FROM PROpERTY TAX MOTICE) <br /> WORK PROPQSEd , e NEW CONSTR�ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTAIL REPAIR <br /> PROFOSED USE [� SFR Q COMM �� OTHER <br /> TYPf OF CQNBTRUCTION Q B�OCK Q FRAME � STEEI � <br /> DESCRIPTIONOFWORK ��l1�IDUc.° }�" U° I%�L'G T 1/7J e'!�-� G4/r7 "'" � ��'?'� G711��.' <br /> BUILDING SiZE � � S4 FOOTAGE C� HEIGHT ��`-� <br /> �$����«� �� VALUATION OF TOTAL CONSTRUCTION <br /> ' QEIECTRICAi. �i � AMP SERVICE Q FROGRESS ENERGY W.R.E.C. <br /> .._,... � <br /> QPLUMBfNG $ � <br /> QMECHANICAL $ ����� �� VAl,UATlON OF MEGNANICA�.lNSTAllRT10N <br /> QGAS Q ROOFING Q SPECIALT`( � OTHER <br /> FINISHED FLOQR ELEVATIQNS �� F�OOp ZCiNE AREA QYES fit0 <br /> BUIID�R CpMpAN1f <br /> SIGNATURE ^,,_ REGtsTEttEO Y t N FEE GURRE{� Y!N <br /> Address Lfcense# � <br /> EIECTRtClAN COMPAFtY <br /> SIGNATURE REGiS7ERED Y t N FEE Ci1RRE� Y 1 N <br /> Addraas L,icense# l � <br /> PLtlMBER � � COMPANY <br /> SIGNATURE � REGlSTERED Y 1 N FEE CURRER Y 1 N <br /> Address License# ( � <br /> MEGHANICAl. ��,�_�����Y�����, GOMPANY �rf��f,/2'u 1'"F��id/�l��C�7�5� �}�� '�-'. <br /> SI(3NATURE REGISTERED Y/ N F�e CU� Y i N <br /> Address `t'�f-T � ��I�� Ucense# ������T �� <br /> bTMER CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> „_.., <br /> Address License# � � <br /> RESIDENTIAL Attach{2)plot Plans;(2)sets of Building Plans;{1 j set of Energy Forms;R-O-W Pertnit tor new aonstructlon, <br /> Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> 8anitary FaciliUes&1 dumpster,Site Work Pertnit for subdivistons/iarge projeots <br /> COMMERCIAL Aktach(3}complake sets of Building Plans plus a trfe Safety Page;(1)set af Energy For�tts.RA W Permit for new construct3on. <br /> Minimum ten(10)worktng days'after submittal date. Ftequlred onsite,Canstrucdon Plans,Stormwater Plans w/Silt Fence InstaAed, <br /> Sanitary FaciEi#ies&1 dumpster.8ite Work Permit for all new projects.Ali commercial requlrements must meet campilance <br /> SlGN PERMlT Rttach(2}sets of EngMesred Plans. <br /> "•"PROPER7Y SURVEY required for all NEW construction. <br /> Direatfons. t � � <br /> FIII out applicaUon completely. � 4 <br /> Owner 8 Contractor sign back of applicaidon,notarized _ . '�, _ ''' �'. '; j, '{, <br /> if over a2500,a Nat{ce of Cammenceman#[s reguEred. (AiC upgrades over 57540) - - -~'` '`�'�� �; � <br /> . - '� <br /> " Agent(for the contractor}ar Pawer af Attomey(Eor the awner)would be someone with notarized lettor ftom owner authorizing same. ' � <br /> DVER THE COUNTER PERMITftNG {Front of Application Only} _ � . . , _.,._ , .. , <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PloUSurveylFootage) <br /> Q�iveways-Not over Caunter if an pubiia roadways..neads Rt3W <br />