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�_. <br /> i <br />� <br />�� s��-�aaoo�o , City af Zephyrhills Permit Application Fax-813-780-ooz� <br /> , Buildit�g department <br /> Date Rec�lved phone Contact for PermitEing — � <br /> Owner's Name � t Owner Phoae Flumrber � 1 c)"'�{�;-� , r <br /> Owner's Address 3"(g v Owner Phone Number �� � <br />' Fee Slmple Titleholder Name Owner Phane Number �� � <br /> I <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS � �,� Il� � � LOT# [�� <br /> SUBDIVISION �(1ve.^ OA�es ��I t��� pARCEL ID# <br /> {OSTAINED FRQM PR4PERTY TR?C NOTICE} <br />� WORK PROP08ED , � NEw CdNSTR 8 ADD/ALT � SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> i PROPOSED USE � $FR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK �v�S'tq� V C� �Q ' � � <br /> BUILDING SiZE �— � Sq FOOTAGE�_� HEIGHT �,,,,- � <br /> QBUILQING �� ��O � VALUATION OF TOTAL CONSTRUCTION � � �� <br /> 1L. ' <br />�, QEl.ECTRICAt � � AMP SERVICE Q PRt3GRESS ENERGY Q W.R.E.C. <br /> QP�UM6ING r�� ��� <br /> L �� <br /> �MECHANtCA� $ VAI.UATIdN tJF MECHAt�ICAI 4NSTALLAT{pN � <br /> � <br /> QGAS Q RC}OFING Q SPEGIAl.TY � OTHER <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO <br /> BUI�DER CQMPANY � l cr'� S <br /> SIGIdATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre�s License# �— � <br /> E�EC1RlC1AN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PIUMBER � CQMPANY <br /> SIGNATURE REGI3TEREp Y/ N FEE CURRE� Y/N <br /> Address Ucense# �� �� <br /> NlECHAl�ilCAt. COMP/4NY <br /> , SIGNATURE REGI$TERED Y/-N FEE CURRE� Y/N <br /> Address License# �� �� <br /> OTHER COMPANY <br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# � � <br /> � RE5IDENTIAL Attach{2}Pla#P1ans;{2}sefs of Buitdlttg Plans;(1)set of Ener{�y Foans;R-O-W Permlt for new constnactian, <br /> I Minimum ten(10)working days after submlttal date. Required ansite,GonsVUCtion Pla�s,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Wor1c Permit for su6divislons/lange proJects <br /> COMMERCtAl. Attach{3}c�mplete sets of Bu3tdirSg Plans ptus a life Safe#y Page;{1)set a#Energy Forms.R O-W Permit for new constnsctian. <br /> Minimum ten(10)working days'after submlttal date. Required onsite,CansUucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> SaNtary Facititles&1 dumpster.Site Wot�k Permit for ap new proJects.All commerctal requtrements must meei campUance <br /> StGN PERMIT A#tach{2}sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> ,. <br /> ._. ; <br /> Dlractions: . i . .{ '. " , . . <br /> FIII out appl(catian completely. j�� � � ; <br /> Qwner&Cantractor stgn back of appkication,notarized, ' 1 . ` <br /> tf avar 52500,a Notice of Commencement.is required.� (AJC upgrades over 57500j �' ' � ' - � �. <br /> � , . <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would�.be someone with notarized letter'From owner autho�izfng same <br /> dVERTNECOtlNtERPER�IIITTING = (FrontofAppNcation•Oniy}°,° ' � °� ° � -� � �•- - -• 1- . , � <br /> Reroafs if shingles Sewers � Service Upgrades A%C Fences�(PIoUSurvey/Foatage) . � ' <br /> . • � ., ,. - 1-- � • .. <br /> ' . � , . . te <br /> Drivsways-Nat over Counter lf on public roadways..needs�RC1W,'; . <br />