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s��-�ao-oo�o City af Zephyrhills Permit Application Fax-813-780-002� <br /> s � 8uflding Department - <br /> - l��r/�� �e z�U � <br /> � <br /> Date Recelved � 36 f� phone•Cantact far Permittin �t 3 � 7�"�=�1 r� <br /> i Owner's Name t�f d 2�W ���'�"' i _OwnarPhane Nut»ber �l� °?����"t !t <br /> iI � <br /> Owne�'s Address �� ��D ��P��''�� ��-� Owner Phane Number _ <br /> �� <br /> Fee Simple Tltleholder Name � � Owner Phone Number � � <br /> Fee Simple Titleholder Addrass <br />' JOB ADDRESS ���'w �S A�30�J'�,� I LOT# �_��� <br /> SUBDIVISION � � PAR EL ID# <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADDlALT � SIGN Q [�] DEMOI.ISFi <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q CQM�jI � OTtiER f'1"1p+�vt..ra rU "i�e z i,ri�— <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAflI'E Q STEEL Q , <br /> DESGRIPTION OF WORK � ��• I'E Tv� . C�1'"� � �.. �Z�� y� n$ <br /> BUILDING S1ZE ����'Q ���/���+-��SQ F001AGE / �� � HEIGHT �J� f, , � <br /> �B�«d�N�'' � j ,Sta�� VALUATf N OF TOTAL CONSTRUC710N <br /> ..J <br /> �ELECTRICAI � � AMP SER CE Q PROGRESS ENERGY Q W.R.E.C. <br /> �P�UMBING � � <br /> QMECHANtCAL (�& VALUAT[OiU OF MECHANICA�INSTALLATION <br /> L <br /> QGAS Q RQQFIfUG � SPEO#A�TY [� OTHER <br /> FINISHED FLOOR EI.EVATIONS FI.00D ZONE AFtEA QYES NO <br /> �, , <br /> BU[�.DER � COMPA4IY �7�1$�� �G.v 3%",t��e i�cx.J .�I-.c? . <br /> SIGNATURE /''�� REGI8TERED Y/ N FEE CURREA Y/N <br /> Address d�Sa �/Z� — � , �- <br /> �--- <br /> I.ECTRICIAA! c�,, GOMPANY �' <br /> SIGNATURE �"'�`�C �������� REGI3TEREb Y/ N FEE CURRE� Y/N � <br /> � <br /> Addres� � Ucense# <br /> PLtlMBER �� ` C�dMPA41Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address � liCense# � � II <br /> MECHANICA[. COMPAt�lY <br /> SIGNATURE REC,ISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address License# �� � <br /> OTHEl2 CiOMPANY <br /> SIGNATURE RECal3'TERED Y/ N . FEE CURRE� Y/N � <br /> I <br /> Actdress � license# � � <br /> RESIDENTIAL. •Attach{2},Plot Plans;(2}sets of:Bullding"F'1aas;(1}s�t af Energy=Fanns;R-O-V4t Permit Ear aew construct(on, <br /> Minimum:ten(10)working days,after submittal date. Required ans(te,ConstrucNon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary EaciliUes:81,dumpster,Site Wark•Re.Rnitforjsubdivisions/large�proJects <br /> COMMERGIAi. Attach{3}camplete sets of Bu�lii3iig'Plar�s plus a Ufe Safety Page;{1}set of Energy Fonns.R-0-W Perm�t for new co»shuctlon. <br /> Minfmum ten(10)working days after submittal date. Requ(red onsite,Constructian Plans,Stormwater plans wl Silt Fence installed, <br /> Sanitary Facilides 8�1 dumpster.Site Wark Perrnit for�all new projects.All commercial requirements must meet compllance <br /> SIGN PERMlT Attach{2)sets of Eiiglneered Plans..,, • - <br /> ""PROPERTY SURVEY requir�d for all NEW canstruaUon. <br /> Direattons: <br /> Fill aut appllcadan completely. <br /> Owner&Contractar stgn back of applicatlan,natarized <br /> If aver SZ600,a�iotice af Comnnencement is required. {AIC up rades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMtiTIFit'a (Frant af Appticat3on Only} <br /> Reroofs if shingles Sewers Service Upgrades AIC _ Fences(PIoUSurvey/Footage) <br /> Ortvewaya-Not over Counter tf an public roadways..needs ROW <br /> I <br /> � <br />