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� <br /> � <br /> sis-7ao-oa2o City of Zephyrhills Permit Application Fax 813-TSaaa2� <br /> Building Department <br /> Date Racaivad � � p� � _ � <br /> Phone Contact for permittin Oi 3 �' !� <br /> Owner's Name ��'�`��'A�'l� �1!�`d 3�� I Ownar Phone Number O ".j��� 3���� <br /> Owner's Address ��b �� Z�+/.G va �� Owner Phons Numbec ��-�v � L '���� <br /> Fee Simpie Titteholder Name �— � Owner Phone Number � � <br /> ( <br /> Fee Simpfe Titleholder Address <br /> JOB ADDRESS �� 2^�� ��� LOT# �� <br /> . i <br /> SUBQFVISION � � PA4tCEl iD# <br /> (QBTAINED FROM PROPERTYTAX NdTICE) <br /> WORK pROP05Ep NEW CONSTR ADD/AI.� �] SIGN [� CJ DEMOLISN <br /> ' e INSTALL 8 REPAIR "� <br /> PROPOSED USE Q SFR Q COMM' C� QTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [,� STEEL Q <br /> i?ESCRtP1'iON OF WORK ��+�'� � S,N I � <br /> BUILDlNG$!2E � � SQ FOOTAGE r p��I HEIGHT ���-`_�: <br /> � <br /> �BUILDING $ �(���� �� VA4.UATtQ�QF TOTR�CON8TRt1GTiON <br /> J <br /> [�ELECTRICAL ($ � AMP SERVICE Q PROGRESS ENERGY C] W.R.E.C. <br /> �_ (�! <br /> OPLUMBING $ ~� . t ��/ <br /> QMECHANICAL $ VAL.UATIO OF MECHANICAI.INSTALLATtON � <br /> � <br /> � � <br /> QGAS Q ROOFING SPECIALTY Q UTHER �r� <br /> � <br /> FItVISHED FLOOR ELEVATiONS FLOOD ZONE AREA QYES NO <br /> � <br /> BUILDER �,/"�! � � � CQMPANY �J�✓� � !/ <br /> StGNATURE /� REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Ad[!re$$ LiGenSB# �— —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address I Ltcense#•�i�` � <br /> � � <br /> PLUMBER COMPANY <br /> SI�NATilRE REGISTERED Y J N FEE CURRE� Y/N <br /> Address ( l.icense# � --� <br /> , ( <br /> MECHANICAL COMPANY <br /> StGNATURE REGISTERED Y J N FEE CURRE� Y I N <br /> I <br /> Address License# �^ �� <br /> � I <br /> dTHfR COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRER Y!N. <br /> � I <br /> Address ( License# �� � <br /> RESIDENi7AL Attach(2}FlotPtans;(2}sets_o#Building Plans;(i)set�of E�ergy Forms;R-O-W Permlt for new consUvction, <br /> Mfnfmum�ten.{4Q}.wartting days after.subssiitta4 date. R�equlred onsite,Gonstruction Plans,Stormwafer Plans w!3ilt Fence instailed, <br /> 8anitary Facilities.&1 du.mpster,Site Work Permit far subdirrislonsAarge proJects <br /> COMMERCIAL Attacfi(3)complete sets of Building Pians plus a Life 5afety Page;(1)set of Energy Forms.R-O-W Permlt for new consUvcUon. <br /> Min�mum ten{1Q}woricing days after submlttai date. Required onsite,Construction Plans,Stormwater Pians w/Siit Fence instailed, <br /> Sanitary FacUides&1 dumpster.Site Work Permit tor aU naw pro}ects.All commercial requltements must mest compilance <br /> SiGN PERMIT Attach�(2)sets of Erigineered Plans. .,- <br /> **`•PRQPERTY SURVEY required for alt NEVN cansf ction. <br /> Directlans: <br /> Fiil out appiication compietely. <br /> Owner 8 Contractor sign back of appiicatlon,natarized <br /> If aver�2500.a Nottce of Commencement is requlred. (A/C upgrades over�T500) <br /> �» � <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authodzing same <br /> OVER THE COUNTER PERMITTING {Front of Applicatian Only) <br /> Reraofs if shingtes ,-', Sewers ,--:��Service Upgrades A/C Fenc i(PIaUSurvey/Faotage) <br /> t � . <br /> Drlveways-Not over Caunter if on public roadways..needs ROW � <br /> 1 <br /> / <br /> �` <br /> � � -- � <br />