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� � `�,�'ir' ��'�G� <br /> 8�s-�so-ooao City of Zephyrhills Permit Application --_.� FaX$�a-7eaaazl � <br /> Builc3ing Department <br /> � <br /> Da#e Fiecetved Phone Contact for Parmitting <br />� _ <br />' �l.Owner'�Name ��/ = e- Owner Phone Number <br /> Owner's Address 6 � � �k�Q U Owner Phone Atumber �— � <br /> i <br /> Fee Simple Titleholder Name r— � Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��-��"'� LOY# �� <br /> SUBDIVISIdN �— �� pARCEL ID# <br /> (OSTAINED EROM PROPERTY TAX NQTICE} <br /> WORK PROpOSfD , e NEW CONSTR 8 ADD/ALT 0 SIGN [� Q pEMQLISH <br /> INSTALL REPAIF2 <br />� PROPOSED USE Q SFR Q COMM � OTHEFt <br /> TYP�OF CdNSTRUCTION [� BLOCK Q PRAME �'] STEEI, Q <br /> DESCRIPTIQN OF WORK ^�-a ��C� �Y �f�r .� � r �C ,e. � ,�}"��,h/ <br /> BUILDiNG 81ZE � � SQ FOOTAGE�� HEIGHT C�� <br /> ��U���»�`'� $ � G' VALUATION OF TOTAL CONSTRUCTION <br /> ��Q� <br /> 0 � � AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C. <br /> EI.ECTRICAI $ <br /> ,,.._, <br /> QPLUMBtNG (;s � � <br /> L �`7 l�� � <br /> QMECHANICAI. $ VAL.UATION OF MECHANfCAL INSTALLATION <br /> QGAS [� E204FING Q SPEClAt�TY C� OTF4ER <br /> FINISHED FL.00R ELEVATIONS � � FLOOb ZONE AREA QYES NO <br /> BUI�DER � �p�P�qpJy <br /> SIGNATURE ,�,/1� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> EIECTRICIAN CQMPANY <br /> SIGNATURE REGISTEREd Y/ N FEE CURRE� Y/N <br /> Address Ucense# �— � <br /> PCUMBER � �O�pqNy . <br /> SIGNATURE REGISTEREp Y/ N FEE CURRE� Y/N <br /> �d�� License# �� � <br /> MECHAEtICAL CQMFANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �_ —� <br /> OTNER CONIPANY <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Ada�e�$ Ucense# � � <br /> , RESIDENTiAI, Attach{2}Pla#P1ans;(2}sets af Bu3lding Plans;(1}set af Energy Farms;R-O-W Permi#for new construction, <br /> ' Minimum ten(1Q)working days after submittal date. Requlred onsite,Gonstruction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary FacillUes&1 dumpster;31te Work Permit for subdivisionsAarge projeats <br /> COMMEl2CtRL Attach{3)comptete sets af Builditig Plans plus a Ltfe Safety Page;{9)set of Enargy Fotms.R O-W Permit for new canstniction. � - <br /> -- - - - MlNmurri"ten(1Q)working days after submlttal date. Required anslte,CansUuckion Plaris,Stormwater Plans w/Silt F�nce Instelled, <br /> Sanitary Facilities&1 dumpster.�tte Work Parmtt tor all new proJects.All commercial requtrements must mest compllance <br /> SIGN PEt4MiT Attach{2)sets of Engineered Ptans. <br /> ««..PROPERTY SURVEY required for all NEW construcUon. <br /> Dlrecttons: <br /> FIII out application completely. <br /> Owner&Contractur slgn back of applicatlon,notarized <br /> iE over�250d,a Notice of Commencement is requlred. (A/C upgrades over S75d0) <br /> '" Agent(for the cantractor)or Power of Attomey(for the awner)would be someone with notarized lekter from owner auUiorizing sarrie ` ;",� '�' <br /> OVER TtiE COUNTER PERMI'iTING (Front of AppNcation Only} s <br /> Reroofs if shingles Sewers Service Upgrades AJC Fences(PIoUSurvey/Footage) , , `' <br /> Oriveways-Not over Caunter if on public roadways..needs ROW - � ' - -� �� ' � " "' <br />