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� ` - <br /> r'� 613-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 6uiidir�g Department <br /> Dato Received� ✓��,l�l � '�} � phone Contact tor Permitting � ��� ��S�../ <br /> 7-C-ITi-(-7�-t- T1Ti..f.."rrfT'rrrr-r'r r-r-�- I-t-i-I-( 'TTT" � �-rrrr <br /> Owner'sName JCo'l� iic"t� .e� �cabSo� OwnerPhoneNumber ��"`b'ps�^�Ir1�.. <br /> .�jyZ a�� �{'vCt�C�t!'y�,�n.3Ci''��+�V�+�`�S�fit ��S`1� ���� �t��„ <br /> Owner's Addrese � 7�ti°�% +vner Phane Number ( �`� <br /> Fee Simpte Titleholder Name (-- I Owner Phone Number � � <br /> Fee 5imple 7itleholder Address <br /> JOBADDRESS Sr� N��'"�� C{1 S}JGL Z�� �11.SJ+7� � S�. Lt3T# �� <br /> suepiv�siors sand�OCizonS Qkc,�21 PARGEL Ibtt 3 W-a�-ai-a�ao --oGa - ��ac� <br /> {OB7AINED FROM PROPEftTY 7AX N4TtCE} <br /> WORK PROPOSED e NEW CONSTR 8 ADDlALT � SIGN Q � DEMQLISH <br /> INSZALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FR.4ME � STEEL Q <br /> DESCRIPTION OF WORK �1� �-��� a`�� � � t5 � <br /> BUILDING SlZE �_� SQ FOOTAGE�� HEt�HT C`� <br /> �BUILPING �� yq�UATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL �� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �FLUMBING $ i{n��+� <br /> �V <br /> �MECHANICA� $ �?a sb�,� VAI.UATIQN OF MECHANICAL INSTALLATION �/,'jr <br /> Z> , ��'ti/` <br /> OGAS Q ROOFING Q SPECIALTY �J O7HER � <br /> FINlSHED ELOOR ELEVAT(ONS �� FlOOL7 ZONE AREA �YES NO <br /> BUILpER � � COMPANY � � <br /> SIGNA7URE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �_ � <br /> ELECTRiCtAN COMPANY �-_� <br /> ' SIGNATURE REGISTERED Y I N FEE GURRER Y 1 N <br /> Address License# � � <br /> PLUMBER � � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# � � <br /> MECHAHICA� � � COMPANY �',���'l' 41oMq �Q�1J1�-S� <br /> � <br /> SIGNATURE REGISTERED Y 1 N FEE CURRER Y 1 N <br /> Address ��o'�d�•�sL�Q �2 T�`t5+ W 33b� License# ��.. ,�1� ��� � <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address G'tcense# [---_!� � <br /> IIIIIIIIIIIIIIIIIIIIIIIIItllllllllllltllllllllllllllllllllltlllllll <br /> RESt0ENT1AL Attach(2}Piot Plans;(2)sets of Building Plans;(1}set of Energy Forms;R-Q-W Permit tor new construction, <br /> Minimum ten(10}working days after submitta!date. Reguired onsife,Construction Plans,Stormwater Pians wt Siit Fence ins#alled, <br /> Sanitary Facilities&1 dumpster;9ite Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)compiete sels of Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit Tor new construction. <br /> Minimum ten(10}working days after sobmiital dete. Required onsife,Ganstructio�Plans,Skotmwater Pians w!Siii fence instailed, <br /> Sanitary Facifiiies 8 1 dumpstec Site Work Permit for all new projects.AII eommercial requirements must rneet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •••"PftOPERTY SURVEY required for ail NEW constructfon. <br /> DireCtfons:• <br /> Fill out application oompletely <br /> Owner&Gontractor sign track of applicetian,notarized <br /> Sf over$2506,a Notice of Commencement is reguired. (AtC npgra8es over$7500) <br /> " Agent(for the contractor)or Power of Attprney(fpr the owner)would be someone wilh notarized lelter from owner authorizing same <br /> OVER THE COUNTER PERMiTTlNG {Front ot Application ONy) <br /> Reroofs if shingles Sewers Service Upgrades AtC Fences(PlottSulveytFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />