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a�saao-oo2o City of ZephyIrhills Permit Application FaX a�a-7ao-ao2� <br /> i ; Building Department - . <br /> �(//hl �Y7 e.Z�c� r� <br /> Date Etecalved / ��i t S` _ � (�t 3 � �S-�=�7 1 t J <br /> {o Phone�Contact far Permtttin <br /> Owner's Name f<<d/L`�o W �7��.�'. OwnerPhane Number c��� °7���-�''t 1� . <br />�I Owner`s Address °� ��'� �p P��'""�� �e-- Owner Phone Number �� � <br /> Fee Slmple Titleholder Name �� � Owner Phane Number � � <br /> i <br /> Fee Slmpie_Titleholder Addrass <br /> JOBADDRESS ��'M`� �S ��30�J� � LOT# �_,� , <br /> SUBDiVISION �� � PARGEL ID# ' <br /> ° (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORif PROPOSED NEW CONSTtt ADDt�►i.T' [� SIGN [� [� DEMOI.ISH <br /> � e INSTAI.L 8 REP IR <br /> PItOPOSED•USE Q SFft Q COM� [� OTHER pvt_,ra r� `T^e ��..-ti�— <br /> TYPE QF CONSTRUCTION Q BLOCK CJ FRAf�IE � STEEL [� . <br /> i <br /> DE3CRIPTION OF WORK � ��, T�t� , (�t"� �. �, �z,p� u,� n,�' � <br /> Bt�iLDING S1ZE J���p ���J������SQ F001'AGE f�G S HEIGHT ,,,,�� t , � <br /> ���`�'��N�''" $ �ta� VALUATION OF TOTAL CONSTRUCTION <br /> � • <br /> �ELECTRICAL $ AMP SERI CE Q PROGRESS ENEFtGY Q W.R.E.C. <br /> �P�UMBING �f � <br /> OMECHANICAL $�' � YA�UATI N OF MECHANICA�INS7A�tAT10N - . <br /> L� � <br /> QGAB Q ROQFlNG Q SPE�lAI.'iY [� OTHER <br /> FINISHED FLQOR ELEVATIONS FLO D 20NE AREA QYES NO <br /> BU[�.DER /�� �OMPANY �7I4.1� �G,u�7`,re�.r i�ocJ ,�j.�c� . <br /> SIGNA URE /'��' <br /> T /�.. REGISTERED Y/ N FEE CURRE� .Y/N <br /> � Address o�S� ��L� - � � ' , � <br /> ,. <br /> IECTRIClAN �"�'� ��� COMPANY � �, <br /> SIGNATURE R�GISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> PLUNIBER --�.�p� r ��'^�� ILOMPANIt <br /> SIGWATURE �.r'�-- REGISTERED Y/ N FEE CURRE� Y/N , <br /> Address License# � � � <br /> MECFfA1+ItCAi. COMPANY <br /> SIGNATURE REGISTERED Y/.N FEE CURRE� Y/N <br /> I " <br /> AddrB�$ LiC@nSe# � � <br /> �THER � CIJOMPANY <br /> SIGNATURE REGISTEREp Y/ N . FeE cutx�n Yd N " <br /> I <br /> Address License# �— � <br /> RESiDEN11Ai: •At#ach{2}.Plof Rlans;.(2)sets=of:Building'Plans;(1}s�t of Energyr�Form$;R-O W Permit for new cbnstntction, � <br /> ilAinimum:ten:(.10)working'days after.,submittal date. Required onsfte,Construction�Plans,Stormwater Plans w/S(It Fence installed, <br /> Sanitary F�Glitles.8_1;dumpster,Site Work Rerrnit forjsubdivisiansAarge-`projects . ` <br /> COMMERCiAL A#tach(3}c�mplete sets of Suiiding Plans plus a life_Safety Page;{1}set o#Energy Forms.R-t?-W Petmi#for r►ew co»stractlan. <br /> Mlnimum ten(10)working days after submittal date. Requlred onsite,Construckion Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary FaciliNes&1 dumpsker.Site Work Permlt for�all new proJecks.All commercial requlrements must meet complfance <br /> SIGN PERMfT Attacti{2}`sets o#Esgi'peeri�d Plans,,, �r <br /> """PROPERTY SURVEY required for all NEW ccnst ction. <br /> Direatlon�: <br /> FIII out applicatlan completely. <br /> l�wner&ConUaotor stgn 6ack of appiicaUon,notadzed. <br /> tf over$2500,a t�otice af Commencement is required. (AIG up rades over S75d0) - <br /> „ ,.•� ; <br /> '* Agent(for tt�e contractor)or Power of Attomey(for the awner)would be someone with notarized letter irom owner authorizing same <br /> dVER TFFE CCiUNTER PERMITClNG , (Front of ApplicatiomOnly} <br /> Reroofs if shingles Sewers Service Upgrades�A/G , Fences(PIoUSurvey/Foatage) <br /> Driveways-No#over Counter if an pubtic roadways..needs ROW <br />