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a��-�so-oozo City of Zephyrhills Permit AppGcation -7saoa2� <br /> i BuiEding dapattment <br /> i <br /> Date Received ---7��--j ~ p„ane Gontact far Permitting ! �""—��� <br />� <br /> Owne�'s Nasne � !t p ��7� Owner "'L <br />� Qwner's Address � ?'l1 l r Owner Phone Number �— � <br /> I Fee Simple Titleholder Name Owner Phone Number �— � <br />( <br /> Fee Simple Tttleholder Address <br /> JOB I#DDRESS �� L, �(] LO�# �� <br /> SUBDIVISION ���; 1 � PARCEL ID# ./ Z� � / (� � � 37� <br /> (QBTAlNED FROM PROPERTY TAX NQTICE) <br /> WORK PROPOSED , e IVEw CON5TR� ADDlALT � SIGN C) � DEMOI.ISH <br /> INSTALL REPAIR ` <br /> PROPOSED USE Q �FR Q COMM � OTtiER (—� � <br /> TYPE OF CONSTRUCTION Q 6LOCK FRAME � STEEL Q <br /> DESCRIPTION OF WORK C� � l Z �'� ��� <br /> BUILDING SIZE � � SQ FOOTAGE�� HEIGHT C�� <br /> QBUILDING $ VALUATION OF TO7AL CONSTRUCTION <br /> � ��i��� <br /> QEI.ECTRICAL � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPi.UMBING �� �� `�\ <br /> ONiECHANlCAI $ VAlUAT10N OF MECHANICAI 1NSTALLATION � <br /> � l <br /> �/ ��OGAS Q ROOFING Q SPECIA�'iY Q OTHER �j `�,(� (�, <br /> CJ �-� ' <br /> FINISHED�LOOR ELEVATIQNS FLOOD ZONE AREA QYES NO � t_�� <br /> tL� <br /> BUILDER �'�� COMPANY �'l C..uyt,1 (�,,jl,t, . <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y N <br /> Addre�s d —'c.'' d�►U� G� � � Lice�se# � �� <br /> ELEGTRICIAN CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I <br /> Address License# �— � !', <br /> MEGiiAN1GAE. COMPANY <br /> SIGNATURE RECaISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> QTHER COMPANY <br /> SIGNATURE REGISTEREp Y/ N FEE CURRE� Y/N. <br /> Address License# � � <br /> RESIDENTfAL At#ach{2)Plot Plans;{2}sets of Build3ng Plans;{1}set of Energy Focros;R-O-W Pertnii for naw construcfion, <br /> Minimum ten(10)working days after submittal date. Required ansite,Construcdon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FactllUes&1 dumpster,Slte Wark Per[nit for subdfvistans�large projects . <br /> ___ COMt�IERCIAL Attach(3)complste sets of Buiiding Rlans ptus a Life 8afety Page;{1}set of Energy Farrns.R-O W Permtt for new ctsnstrunttan. <br /> Minimum ten(10)workfng days'after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Sflt Fence Installed, <br /> -Sanftary fiaciliUes 8�>1 dumpster.Stte Work Perinft for all new proyeats.Ail commerciai requtrements rnust meet compltance <br /> SIGN PERiVtIT Attacfi(2)sets of Engirteered Plans. - <br /> '"""PROPERTY SURVEY required fonall NEW�construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Qwner&Contrac#or sign back.of applicatlon,notarized <br /> If over 52500,a Nottce of Cbmmencement.is,re:giiired: (A/C.upgrades over 57500) <br /> " 1�gent(for the contractar)or Power.of Atto'mey(for the owner)would:tie someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING�� ;(Fronk`of Application.Only} ' <br /> Reroofs if shingles Sewers `'-�-<� ,Service Upgrades.A/C �„ Fences(PIoUSurvey/Footage) <br /> DNveways-Not over Counter if on public roadways..needs ROW <br />