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�,�-rav-uuzu C�ty of Zephyrhills Permit AppEicat�on ��x-s�s-78aoo2� <br /> Building Department <br /> _ � za/ _ - � .. <br /> Date�teceided phone Contact for Permittin � � � <br /> Owner's N�me 5��(� �tv��p� �O b+�� ,,�iS��R-S Owner Phone Number �Z 3'��2'"1j� � <br /> 5�� � � <br /> OHrner's Address �CP �-rj. l�Yl`�j i}i pt l.9- h r �3�S �L Owmer Phone Numbe� <br /> Fee Slmpie Titleholder IVame Owner Phone Number � � <br /> I <br /> Fee Simple Titfeholder Address � <br /> JOB ADDRESS '�FS�Li� }.{�Yt i i l.OT# <br /> � <br /> sugoEVES�or� �� � PARCE!1D# Da?'�cv-��� �%2c�4- �c�QQ��-c��.1�p <br /> � (OBTAINEp FROM PROPERTY TAX NOTICE) <br /> VNORK PROPOSED � NEW CQNSTR 8 ADDlALT �� SlGN Q Q DEMOLfSH <br /> iNSTAIL REPAIFt <br /> PROPOSED USE Q SFR Q CO(VIM � OTHER <br /> TYPE OF CONStRUCTIQN Q BLOCK Q FRAME Q STEEL Q <br /> QESCRIPTION OF WORK -�-�5'�{3-� I � t,t. �t S�- �.•C�i" <br /> � <br /> BUILDING SIZE �—�] SQ F{)Q7AGE�!.J HEIGHT C�..� <br /> QBUIlDING �>�� VALUATION QF TOTA�CONSTRUCTION <br /> [�E�ECTRICAL ��� AMP SBRVlGE Q PROGREBS EIVERGY Q W.R.E.C. <br /> �PLUMBING $ ���•��� <br /> �JMECHANICAL ��-� VALUATION OF MECHAN(CAL INSTALWTlON �,r'�`� <br /> ���� <br /> OGAS Q ROOFING Q SP�CIALTY C'� OTHER <br /> PINiSHE�FLOOR ELEVATIOM1IS FLC10D ZONE AREA QYES NO � ��� <br /> c� <br /> B���QE� CQMPANY <br /> SIGWATIIRE _ REGISTERED Y/ N . FEE CURRE� Y/N <br /> Acldress � license# � �� <br /> EL.ECTRtClAtd COMPANY <br /> SIGIdATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Atldress I � �€cense# �- � <br /> PLUI4ABER � CQMPANY ��� � �`' Lji'? t� <br /> Slt'aMATURE REGISTERED Y I N FEE CURR N Y/N <br /> Address i! �� L � C(cense# G/y�(/�,/^ ,���� � <br /> MECNANlCAL `� Gt?MPAhtY <br /> SIGiNATURE _ REGISTERED Y/ N FEE CURRE� Y J N <br /> Address I [.Icense# 1 � <br /> OTHER � CQMPANY <br /> Sl.t`ai{1IATURE , r_ REGiSTERED Y J N FEE CURREh Y/N <br /> Addtess 'r.� ! �tcense# �� � <br /> i <br /> RESIDEMTIAL Attach{2�Plot Plans;{2)sets of Building Plans;{1!)set ot Energy Fonns;R-O-W Permit for�ew canstruction, <br /> Minimum ten{10}working days after submitta!date. Required onsite,ConsUuction Ptans,Stormwater Ptans w/Sitt Fence installed, <br /> Sanitary Facillt(es 8�1 dumpster,Site Work PeRnit�for subdivisions/large projects <br /> COMMERCIAL Attach{3)compiete sets of Buiiding Ptans plus a Life Safefy Page;(1)set af Energy Forms.F2-O-W Permit far new constructlan� <br /> - - Minimum ten(10}working days after submitEal date. Required onsi#e,Cons#ruction Plans.Stormwa#er Plans w/Silt Fence insta0ed, <br /> Sanitary FacitlCies&1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compliance _ - <br /> SlGN PERMIT Attach(2}sefs of Engfneered Pians. } <br /> ""PRt)PER1Y SURVEY required for ail NEW co�sUvction. <br /> Dlrections: ' <br /> Fiit out appiication comptetety. ' <br /> Ovmer&Conkractor sign back of applfcation,notarized <br /> !f aver S250Q a Notice of Commencement is reqttlred. {A!C upgrades over�75d0} <br /> Agent(for the contractnr)or Power af Aftomey(for the owner)would be someone with notahzed letter from owner authorizing same <br /> OVER THE GOUNTER PERMiTfiNG {Frant of Application Onty} <br /> Reroofs i(shingles Sewers Service Upgrades A/C Finces(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..nesds ROW <br />