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a�3aso-oa2o Gity of Zephyrhills Permit Application Fax-813-T80-0029 <br /> " Building bepartment <br /> Date Received � �Q � � phone Gontaat for Permitting' -- �� <br /> � Owner's Name {' � � Owner Phone Number <br /> j ��j�' ' <br /> Owner's Address � ( � 'Owner Phone Number � � <br /> . Fee-Simpie TlHeholdar;N�me Owner Phone Number d�{-1 ����7_'�?���� <br /> r <br /> Fee Simqle Tit eholder Address <br /> J08 ADDRESS -� i�{Z'G-� ��"�YL I.OT#. <br /> SUBDIVISION PARCEG 1D# ' <br /> � (OBTAINED FROM PROPERTYTAX NOTICE) � . <br /> WORK PROPOSED , ,� " NEW GONSTR 8 ��ADDlA�T' � 31GN� Q Q DEMOLISN <br /> INSTALL �REPAIR <br /> PROPQ3ED USE � SPR Q COMM`` � O'fHER <br /> TYPE OF CONSTRUC7'ION� [� BLOCK Q ` FRAME � S7EEL Q <br /> DESCRIPTION OF WORK �`' <br /> BUtE.DING SIZE' ��"'� �� � S4 F'OOTAGE r.� .� _ HEI�HT, �� <br /> QBU!l.DING � ,�n . `T3 P��. .VALClATION'OF TOTAL CONSTRl7GTION <br /> �� 3 . <br /> QELECTRICAL. � � AMP SERVtCE Q PROGRESS ENER�Y Q W,R.E.C. <br /> QPLUIV181NG ' $ . ��" 1� .. <br /> � 0�ilf <br /> OMECHANlCA� $ VALUATlQN OF MECHANIGA�iNSTAi.tATlON ���"� � <br /> � ;; �' �`��� �� <br /> [�GAS . Q ROOFING Q SPECIALTY � OTHER � � <br /> � FINISHED FLOOR ELEVATIONS ��-� FLQOD ZONE PiREA QYES NO�V�^'""���' ��'Q"� <br /> I BUll.DER � �l COlVIPANY 1;,�,J C� � � ����J�I� <br /> . <br /> I SIGNATURE REGISTERED N , FEE CURRE� /N <br /> Address � t�of� �" License# �� �� <br /> ELECTRICtAN- . GOMPANY � <br /> $IGNATURE Re�is7ERe� Y/ N �E cuRrte� ''Y/N � <br /> ( Address LEcense#•�� � <br /> P�Ul4iBER COMPANY ' <br /> :51GNATURE � ,REGISTERED. Y/ N Fe�cuRR�n . Y/N <br /> Address � license# � � <br /> MECl1ANICAl. CQMPANY - <br /> SIGt�ATURE Rec�s7�Re� . Y/ N ,„FEE CURRE� Y/N <br /> Addrgss. � - � ' l.ic:ense# � � <br /> C?TH�R `� CQMPANY <br /> SIGNATURE ' • "' " - REGISTERED Y/ N FEE CURRE� .Y/N . <br /> t�ddress '.� " � 't�icense#��^ � <br /> RESIDENTfAl.. Attach{2}.Plot;Plans;{2�,sets•.of:Buitding{P_lans;(;f).set 6f Energy=Fbrnis;R-O=Nt:Permit for new canstruction, <br /> � . MiNmum ten.(�10};wpr,icing days�,af#er submiital;date:��'Requir`eri'ons{te,=Construction i?lans;$iom►water Pians w!Siit Fence instailed, <br /> Sanita"ry FaciliUes;&.1 dumpste.r,-;Site;lNork,Rermit;for.subdlvisions/lairge pr,ajects � <br /> COMMERCtAL Attach{3)compiete siats�of�Buiiding°Pians pius a`life Safety Page;`{1)set of Energy Forms.R-O-W Permft far new canstnaction. <br /> Minimum ten(10}warking days after submiktal date. Required ans�te,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities�1 dumpster.Site Work Pertnif far ali new projecks.All•commercial requlrements must meet compliance <br /> SIGN RERMIT Attach�{2)sets o#Engi�eered,Fians.. " ;�, .;, , , �. . • " <br /> ""PRdPERTf SURVEY�required for�all NEW construction. , - <br /> ( 5lrectians: . . - <br /> i Fiil out appiication completely. . <br /> 'Owner 8�Contractor sign back of applicatlon,notadzed � <br /> If over�2500,a Notice of Cammenaement ts required. {AlC upgrades over�,T500} <br /> '" Agent(for khe contraotor)or Power of Attomey(for the�owner)would be sorrieone with no#a�ized letter from owner authorizing same <br /> �VERTHECOUFITER_PEl2MiTTING_ ..,.�.{Frontof.Apptication._Only}. ' <br /> teroofs if shingles 8ewers Service Upgrades A/C Fenoes(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways::needs ROW <br />