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e�aaso-oozo City af Zephyrhills Permit Application Fax-813-780-0021 <br /> R Bnitding Department <br /> ... ` <br /> Date Received Phone ContacR for Permitting - <br /> Owner's Name ��1,�,� owi.0 G-��L�t. ?� Owner Phone Number <br /> $� �s a�,�� ,,�-�-c�,r,. � L.. �— —1 <br /> Owner's Address �' �"� Owner Phone Number <br /> Fee Simple TiNeholder Name �— �� Owner Phone Number �- —� <br /> Fee Simple Titleholder Address <br /> dOB ADDRESS 7„�� �� �� �G � � "�- LOT# �__,� <br /> Si1BDlVISION �°ol�e3 ,'�� —� PARCEL ID# ���-{�"��- ��lf7 -� l,'��-`�00 ~�L7?'� <br /> (QBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � �Ew carusTR 8 ADD/AlT � SiGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> I PROPOSED USE Q SFR Q CC}MM � QTHER <br /> TYPE OF CONSTRUCTION Q BLOCK �✓"' FRAME �� STEEL Q <br />�I <br /> DESCRIPTION OF WORK Ira��O'�� p"�--/�,��� S�� ,� <br /> BUILDlNG SIZE �� � SQ FOOTAGE� HEiGHT ��� <br /> t ��6U������ $ � ' Ly �� D� VALUATION OF TOTAL CONSTRUCTION <br /> QE�ECTR1CAl. � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBlNG �� i `-�t�� <br /> ��U <br /> QMECNANlCA� $ VALUATION OF MECHANtCA�INSTA�lATION <br /> QGAS [� OF Q 3PECIAE.TY � OTHER <br /> FINISHED FL40R ELEVATIONS ��� FLOOD ZONE AREA QYES NO <br /> BUILDER /�i� � COMPAFt1' �"`��- k7ttt C o�t�r �,�f <br /> SIGNA7URE �J REGIS7ERED Y/ N FE URRE� Y/N <br /> rt .�- <br /> Address "t 7�� ,� . C�H� �-�-C `� G �C � (� License# �� <br /> ELEC'iRIC1AN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# `� � <br /> PIUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— `—� <br /> MECHANIGAl. COMpANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> C}THSf2 COMPANY <br /> S�GNAYURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# r� —� <br /> REStDENTiAti Attach(2)Plot Pians;(2}se#s of Bullding Pians;{1)se#of Energy Forms;R-Q-W Permtt far new construction, <br /> Minimum ten(10j working days after submittai da#e. Requlred onsite,ConstrucUon Plans,Stormwater Pians w/6ilt Fenoe installed, <br /> Sanftary Facilides&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> CO�11131IlERCIAI. At#ach{3}complete sets of Building P1ans plus a�Ife Safety Page;{1}set of Energy Fotms.R-Q W Pemtit#or new canstnict3on. <br /> Mlnimum ten(10)working days'after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciiities&1 dumpster,Slfe Work Pertnit for all new proJects.All commerolal requirements must mest compUance <br /> StGN PERMIT Attach(2)sets of Etsgtnee�ed Plans. <br /> '••"PROPERTY SURVEY required for all NEW construcdon. <br /> DIrestlons: , , _ �, ... - ,_ . .? . � <br /> Fill out application completely. �`, " <br /> Owner&Contractor sign back of applfcation,not2rized `. ; 'i ` , � <br /> If aver�2500,a Natice of Carremencement�s requfireds` (A!C upgrades ovar 57540) __ _. . , , <br /> '" Agent(for the cont�actor)or Power of Attomey_(far the owner)would•be sameone with notarized letter froin owner authorizing same••••-.. •,� .-� � <br /> OVER TNE COUNTER PERMITT{HG {Fronf of Applica6qn Onl}t} '� = . , -� , � ' <br /> Reroofs If shingles Sewers ; Service Upg[ades A/C Fences(PIoUSurveylFootage) ' ... <br /> _ • . <br /> Qriveways-Not aver Gounter if on publiaroadways..needs ROW .� � ` -• " -- ,,. , - . -. ,: ,-. , <br />