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a�aaao-aazo City of Zephyrhills Permit Application Fax-813-780•ooz� <br /> ; ; Buliding Qepartment <br /> - -=��� �ez�� � <br /> Date Rsceived � �6 f.S— Phons-Cantaet far Permtttin �+3 � ��"�= '��J f� <br /> Owner's Name �a�'ZD W S�'�'L dwner Phone Number ��� ��S�� '`�7 �� <br /> Owner's Address �� �'`2a ��P��^'�''��'' ��-'-- dwner Phone Number � � <br /> � �Fee Simple-Titleholder Name r� �� Owner Phone Number � <br /> I <br /> Fee Stmple Tltlehalder Address <br /> � <br /> JOB ADDRESS ���� �S A'30 V� � ' LOT# �_� <br /> 3UBDIViSION �— � PARCEI.ID# <br /> WOE2K PROPOSED � NEW'CONSTR ADDJA�T � SIG{V NED FR�OM PROPERTYT�7�CEl DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q GOM� � QTHER tav ra rz.- -i z ��.�-•�-- <br /> TYPE OF CQNSTRUCTION Q BLOCK Q FRAM C� STEEI. Q <br /> DE3CRIPTION OF WORK � ��• T�1� , �r"'� C� �, �zw� y� n,s <br /> BUtE.l31NG 81ZE /�.,t Lv� ���a-���.� � �SQ FOOTAGE f�� � HEIGHT �_._.L=.t .� <br /> ` �` '�������C' � � .�a C7 � VALUATlO OF TOTAL CQNSTRUCTION <br /> ��J <br /> �Et,ECTRIGAL r> � AMP SERVICE , Q PFtOGRESS ENEFtGY Q W.R.E.C. <br /> L <br /> ���vM���� ��' � <br /> OMECHANICAI � � VAF.UATIOiV OF MECHANICA�INSTALIATlON <br /> ��S Q RQOFlNG Q SPEC ALTY � QTHER <br /> FINISHED FLOOR EL.EVATIONS �-----� FLOO ZONE AREA QYES NO <br /> BUtI.DER /�� CdMPAtdY �T14.1� �G�sr,e�.e r`:vcJ .�i:,c� . <br /> SIGNATURE '�' REGISTERED Y/ N FEE CURRE� - ,Y/N <br /> Address o�.�� ��� ' . , � � !� <br /> �ECTRICIAN L� �������� CiGlMPANY . �` <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N � <br /> �d�$� � � Ucense# <br /> PLUMBER '"�+ � ���� CI MPANY <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres� � License# �� � <br /> MECFIAlVIGAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— ��� <br /> OTHER CQMPAI�lY <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y-/N <br /> �d�� � License# � �� <br /> RESiDENTiAi: �Attach(2)Plot Ftans;.{2)sets:af.Building Pians;(4}s�t of Energyr Forms;R-0=W Penni#far new constructian, <br /> Minimum.ten(1.p)working;days after submittai date. Requlred ansite,GanstrucUon Plens,Stormwater Plans w/Silt Fence installed, <br /> Sa�itary FaGllUes.&1-,dumpster,Site Work�Permit for�subdivisions/large projects <br /> GOMMERCiAL Attach(3)cncr�plete sets of Buildlog PEans ptus a l.ife Safety Page;{1)set of Energy Partns.R-Q-W Permit#or new construction. <br /> Minimum ten(10)working days after submlttal date. Requlred onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciltUes&1 dumpster.Site Work Permit for all new projects.AI�commercial requlrements must meet comp!lance <br /> SIGN PERMlT Attadi{2)sets of Englneered Plans..,. ° <br /> ""PROPERTY SURVEY required for ali NEW constn�ctlan. <br /> directlons: <br /> Ffli out applicaUan completely. <br /> Clwner&Contractor sign back of applicadon,notarized <br /> If over$25d0,a Notice of Gommencement is required. (A1C upgrades over 57580) <br /> " Agent(far the cbnVactar)or Power of Attomey(far the awner)would be someone with notarized letter from owner authorizing same <br /> dVER TNE COUN7ER PERMITTING {Front of ApplEcation Only} <br /> Reroofis If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foatage) <br /> Driveways-Na#over Caunte�if on public roadways..�eeds ROW <br /> - � <br /> � <br />