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�2�s <br /> 7 8�s-�ao-oo�a City of Zephyrhills Permit Application Fax-813-7 <br /> � BuildEng Department <br /> Date 42eceived Phone Cotttact for Permitti�lg -- <br /> n �� x I I 1 . 9 WIIFT �� A' 0 ! PA �I <br /> �r"s Name owner Phone Number �4� (p - ��?�L <br /> ���2 ....� <br /> Owner's Address ' � r a,. � �Own r Phone Number � <br /> Fee Simple Titleholder Name ' ' Owner Phone Number �� � <br /> Fee Simple Titleholder Address � <br /> JOB MDDRESS 2 �Y i LOT# C9 .� <br /> SUBDIVISION �� � PARCEL.ID# Z' , �" � - � u <br /> (pBTAINEp FROM PROPEFtTY TAX NOTICE) <br /> i WORK PROPOSED e NEW CONSTR � ADD/AI.T � SIGN � MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPdSED USE O SFR � COMM � C}TF{ER E-'2 <br /> TYPE qF CONSTRUCTION 0 BLOCK FRAME � STEEL � OTHER C� -� <br /> DESCRIPTION OF WORK � J a "- w � �� � <br /> BUILDING SIZE ��� SQ FOOTAGE �G'�3D. C..� HEIGMT �u ,� <br /> i � , « ,a er v <br /> �� BUILDING �� � VALUATION OF TOTAL CONSTRUCTION <br /> � � <br /> � EI.ECTRICAL � � AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> � <br /> �� PLUMDING � �I , <br /> � <br /> � MECHANICAL �$ � VALUATION OF MECHANICAL WSTALLATION <br /> � <br /> 0 GAS �✓"f ROOFING � SPECIALTY 0 OTHER <br /> FINISHED F1.00R E�EVATIC}NS � Fi.04D ZONE AREA �YES �NO <br /> e�m�ir,mia�¢ygNVflllYp@8@�➢�ur�E�na�uuusGfl9o9uu011�INYU91 ' � G � � : � �� � VNV�VBV9N�i�NfiB��➢f�GV➢N��8�99V6NBIVION <br /> BUILDER / COMPA�VY 9'6����c"� )�i 1����'l.�A�-_�Yl c <br /> SEGNATURE � � �. f2EGISTERED 1 N FEE GURi2 NT Y N � � <br /> Address ��R 1� (,J5 �O� �J_�. C�f Q �'.,i �� v?4i�3 �icense# �(.C, ��a�`)�:�`1 Z.a � <br /> ELEC7RICIAN COMPANY <br /> SIGIVATUR� REGISTERED Y/ �I FEE CURf2ENT Y!N <br /> Address ' License# �^ � <br /> PLUMBER COMPANY <br /> . S3GNA1'URE REGISTEREq Y 1 N ; FEE CURRENT Y/N <br /> Address License# �— � <br /> "nECNANlCAL COMPANY <br />� iNATURE REGISTERED Y I N FEE GURRENT Y I N <br /> Address , License# �— � <br />� 4TNER COMPANY <br />� SiGi3ATURc „EG;�'"�R��^. `;; n� F�E CURF.�RT Y!N <br /> Rddress License# �'_ ( <br /> OI�GBVII�V�dUVI14VV0VV6�90V91�CY�V�Vm18Y9BV�NtltlIVI�OV�9�186VUVn��VroG�VG689V�IIpUUV�OIIpV ' 1�89 � '4��'0�1'�UOdGVf�I�V�V r ' �V� � �tl�,GO'!Bo6���I�p��9�Pi989'�9�E��"iPn!I�C917'NmVll�il� <br />� RESIDENTlAL Attach(2)Pia#Plans;{2}sets of Bu'slding Pians;(1}set of Eneryy Forms <br /> Minimum fen(10}working days after submittal date. Required onsife,Construcfion Plans,Sanifary Facil'sties&1 dumpster <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Farms. <br /> Minimum ten(10}warking days affer submittel date. Required onsiie,Gons�rucfion Pians,Sanitary Facilities&1 dumpster <br /> Alf commercial requiraments musf ineef compliance, <br /> SIGN PERMIT Attaci7(2)sets of Engineered Plans. <br /> ""**PftOPERTY SURVEY requirad for a11 NEW canstruction. <br /> °°ou�NVN�Hu � w" "��� 96� �`a .� ��VII�N�IdV'� ��;'r m� .�a�an�VUBt�I�o1kI1�99Bp�3➢P�V"r�IVi�VBB�VVV�109�Va�°'i0��1 a�lt��u6�NU B�Np�ppp��pBQgpWLBCIla96CIIk�9�9�V�1'' <br /> rections: <br /> Fill out appSication completely <br /> Owner&Contractor sign back of application, notarized . <br /> If over$2540,a Natice of Commencement is required. (A!G upgrades over$5000) <br /> " Agent(for the contractor).or Power of Aftorney(for the owner)would be someone with notarized ietter from owner authorizing same � <br /> QVER THE COUNTER PERMITTENG (Fronf of A�plication Only} <br /> Reroofs Sewers Service Upgrades AIC Fences(PIotlSurvey/Footage) <br /> Driveways-Nof over Counter if an public roadways..fleeds RQW <br />