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.--— _ <br /> � � � <br /> r a•,sa$aoo2o City of Zephyrhills Permit Application �/ —�' Fax-813-780-0021 � <br /> Building Department / <br /> Da#e Received � � phone Contact for Permittin <br /> �"Owner's Name � LL`r Er�.�"' Uwner Phone urfbi e j ` �'�� <br /> �' �/� � f7 A " �" �� �:� � ;:sygr.`��.—�'c� <br /> 0�Owner's Address �" 1l/° �� �� / Owner Pho a Number <br /> Fee Simpie Tltiehalder Name Owner Phone Number � � <br /> Fee Simpte Titiehalder Address <br /> �?alOS ADDRES$ /'l/j�s�� / � !�"'�. � � fl( �� � L07# �� <br /> - <br /> ii <br /> SUBDIYISlOM PARCEI ID# � <br /> (QB7AINfiD FRQM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ,� NEW CONS7R 8 ADDlALT Q SIGN Q CJ DENtOLiSH <br /> INSTALL REPAIR <br /> PROPOSEd USE � SFR CJ COMM � OTHER <br /> TYPE QF GONSTRUC7iON Q BLOCK Q FRAME � STEEL Q <br /> �E3CRIP1'ION OF WQRK �I° �ri+t'� 4�► t"�� t�.� <br /> BUILDING SlZE ���� � SQ FOQTAGE�� HEIG}!7 � { <br /> I <br /> BUILDING � ( /'����' VAL.UATION OF TOTA�CONBTRUCi'tON <br /> t o"� .�� <br /> ELECTRICAI. $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> [�PLUMBiNG � � � ��� <br /> ' [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> , � <br /> QGAS Q ROflfiING Q SPECIAITY �.] OTHER �� ��� <br /> FINISHED FtOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � � <br /> ,/�UILDER . �� COMPANY'� D �Z,.. <br /> '�SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# � ��� <br /> ELECTRICIAN COMPANY <br /> StGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address k.icense# � � , <br /> PLUMBER � COMPANY <br /> SIGtiI$ATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAL COIIApANY <br /> SiGHATIlRE REGISTERED Y J �I FEE CURRE� Y J N <br /> ._._.. „__ _. <br /> Address Ltcense# �� � <br /> OTNER COMPANY <br /> SiC,NATURE �zE�isT�t��o Y 1 N FEE CURREM1 Y/N <br /> Address License# � � <br /> R6SidENT1lU. Attach(2)Ptot Plans;(2}sets of Buitding Plans;(1)set of Energy Forms;R-O-W Pertnit for new constructlon, <br /> Minimum ten(10)workiog days after submtttai date. F2equfred onsfte,Canstruction Pians.Stoimwater Plans wJ Sift Fence Instatted, <br /> Sanitary FaGlities&1 dumpster,Stte Work Permft for subdivisionsAarge proJects . __ <br /> - - COMMEi2CiA1. At#ach(3)corinplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O•W Permit for new construction. <br /> Nifnimum ten(9Q}workfng days after submfttai date: F2equlred ansite,ConsWctlan Plans,Starmwater Pians w!Sitt Fence lnstaNed, <br /> Sanitary Facilities&1 dumpster.Slte Work Pertnit for all new proJects.Al!commercial requlrements must meat compllance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. , � <br /> '•`*PROP�RTY SURVEY reguired for a(i NEW consUvction. <br /> Directions: <br /> FEii out appiicaUan campletely. <br /> Owner&Contrac#or sign back of applfcallon,notadzed . . . . <br /> If over 5250d,a Notice of Commencement is requlred. (AIC upgrades aver 57800) ., , <br /> " AgeM(for the contractor)or Power of Attomey(far the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of AppAcation Only) <br /> Raroofs if shingtes Sewers Service Upgrades A!C , Fences(PtotJSurveylPootage} _ . -� - ° �� � <br /> Driveways-Not over Counter if an putilic roadways..needs ROW <br />