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o,�-,oU-v��u t;ity o�Zephyrhills Permit Applicatian Fax-813-780-0021 . <br /> Buitding Department <br /> i <br /> Date tteceived Phone Contact for Permitting - <br /> Owner's Name tG�' t�-L� G H-/` Owner Phone Number ,.__ <br /> Owner's Address ��� f'�������� ���� Owner Phone Numb�r _,_, <br /> Fse Slmple T}tlehold�r Name � ��� 0+�+►ner Phone Number _, <br /> Fae Simpla Tltlehotder Address <br /> JOB ADDRESS ��� �� J���� I.OT# � <br /> SUBDIViS10N �ILtIG-��- _���., � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSE!? e NEW CON5TR 8 ADD/AlT C� 81GN Q [� DEMOLISFt <br /> INSTAI� REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE QF CONSTRUCTION Q BLOCK [� FRAME � STEEL Q <br /> DESCRIPTION OF WORK ����� � r��'od�- 4�� � �igJ� Str��i��-�"--S 3� ,� <br /> BUILQING SIZE �� � SQ FOOTAGE C„_�� HEIGHT �_,,_„� <br /> �BUILDING $ Q "'^� VALUATION OF TOTAL CONSTRUC710N <br /> [�ELECTRICAL $ AMP SERIJICE Q PROGRESS ENERGY Q W.F2.E.C. <br /> QPLUMBING �$�� • <br /> (`_�,.__,. . <br /> QMECHANICA� $ VAI.UATION QF MECHANICAL INSTALLATION � ( (��I � <br /> � t 411 <br /> QC�AS ROOFING Q SPEC�AL7Y � OTHER <br /> FINISHEQ FLOOR Et�EVATiONS ��� FLOOD ZONE AREA QYES NO <br /> BUILDElt Ct?MPANY <br /> SlGNATURE REGISTEREd Y J N FEE CURRER Y/N <br /> Address �� License# �� � <br /> ELECTRIClAN COMPANY <br /> SIGMATURE _,_,_,,_ RE�iST�RHD Y! N FEE GURREM1 Y/N <br /> Address � License# �— � ' � <br /> I PLUMBER � � GQMPANY <br /> � SIGNATURE ( � REGtSTEREO Y I RI FEE CURRER Y/N <br /> � <br /> I Address License# � <br /> MECHIWICAI. COMPANY <br /> SIGNATURE REGlSTERE4 Y! N FEE GURRER Y J N <br /> � Address License# �— '� <br /> i <br /> OfiHER A � _ COMPANY U�r�liW 2��/�'� <br /> SIGNATURE �""�� REGI3TERED Y/ N PEE CURRE� Y 1 N <br /> Address 8 � 13�� � �l'� /�G~- Ucense# ��Y����`—� <br /> RESiDENTiAR. Attach(2}Piot Pians;(2}sets of Buitding Plans;(1)set of Energy Farms;R-O-W Permik for new construcUan, <br /> Minimum ten(10}worlcing days after sutimlttal date. Requlred onslte,ConstrucBon Plans,Stormwater Plans w!Silt Fence instaNed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonsAarge projects <br /> COMMERCIAL Attach(3}compiete sets of Building Plans plus a Ltfe 5afety Page;(1)set of Energy FoRns.R-O-W Pertnit for new constru�tioa. <br /> Minimum#en(10)wartcing days after submittal date. Required onsite,Construc8on Plans,Stormwater Plans w/Sflt Fence instatled, <br /> Santtary Facilities&1 dumpster.Site Work Permlt for all new proJects.All commercial res}uirements must mest compifance <br /> StGN PERMIT Attach(2}sets of Englneered Plans. <br /> ""PRQPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fitt out application completety. <br /> Owner 8�Contractor sign back of application,notadzed <br /> �f over 52500,a Notice of Commencement Is required. (A!C upgrades over ET500) <br /> " Agent{far tt�e contractor}or Power of Attomey(far the owner}wouid 6e someone with notarized letter from owner autharizing same <br /> DVER THE COUNTEFt PERMITTING (Front of Application Only) ' <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences{PfoUSuroey/Faotage} <br /> Driveways-Not over Counter if on pub8c roadways..needs ROW <br />