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a1a-7so-ooza C9ty of Zephyrhills Permit Applicatiort Fax 813-7aaoo�� <br /> „ Building Department <br /> Date Recelved -�,y,..�.�.�,:�J'�,,.,., . _ .Phone-Cantact'for Rermtttin���� -µ + L' �j- ` � - � , <br /> Owner`sName; v� ,�,:t'�,�G��.'r,`b I':r\ 2V"� ;ipwn��.PFione.Number' '���� ����– �� �� <br /> Owner's Address�,°�-�S`�'�3-^" �./�����?h r�u�1$��--�J�Yc�' 1.OwnerSPhone Number ,��� a.� / ���' ��� <br /> U u.�_„ <br /> Fes Simple Titleholder Name � i� 4wtter Rhone Number �— � <br /> Fee Slmple Titlehalder Address <br /> JOB ADDRESS ����� ��� e L�� '(` 1\l ��-- ����a LOT# � <br /> SUBDiVISION � � PARCEL ID# <br /> (dBTAINED FROM PRdPSRTY TAX NOTICE) <br /> WORK PROPt1SED NEW CONSTR ADDJAtT � SiGN [� Q DEMOLISH <br /> e INSTALL � REPAli2 <br /> PRQPOSED USE � SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION � B�OGK Q FRAME � STEEL Q <br /> DES�CRIPTION OF WdRK �"2 ��� � S►"��✓'� "� <br /> BUILDING SIZE �� � SQ FOOTAGE� HEIGHT C_,� <br /> QBUILDING $ �} -y� VALUA710N OF TQTAL CONSTRUCTION <br /> d`�v <br /> QE�ECTFiiGAi. $ i � AMP SERVICE Q PRCIGRESS ENERGY Q W.R.E.C. <br /> QPLUMBlNG � � <br /> MECHANICAL $ VALUATION OF MECHANICRLlNSTAlLATION r;�r� <br /> � ' � <br /> QGAS [[� ROOPING Q SPEClALTY � OTHER <br /> FINlSHED FLOQR ELEVATIONS ��� F�OOD ZONE AREA QYES NO <br /> BU!l.DER ` _–_f jJ/j CqMpANY `i–o E. ts i12� <br /> SIGNATURE %I REGiSTERED Y/ N FEE CURRER Y/1V <br /> Address License# � � <br /> E�ECTRICIAN COMPANY <br /> S{GNATURE REt313TERED Y 1 N FEE Cl1RREt+ Y 1 N <br /> Addres� ���— Ucense# ( � <br /> pL:UMBER COMRANY <br /> SIGNATURE �� R�c�srESEO Y! N F�cu�ES� Y/N <br /> Address i.icense# I � <br /> MECHAN!lGAL COMpANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREt+ Y/fU <br /> Address Llcense# ( � ��� <br /> OTNER COMPANY <br /> SIGNA7URE REGI57ERED Y/ N� Fee CuRtte►+ Y 1 N <br /> Address � + Ucense# � � <br /> RESlDEMTIAL Attach{2)Plot Plans;(2}sets-of,Building'Plans;{1)set of Eriergy Fartns;R-O-W Pem�4t for new consttuction, <br /> Minimum ten(.10)working`days after,submittal date. Required onsite,Constiuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&=4�dumpster Site Work•Permit for subdivisionsJlan,�e proJects - <br /> COMMERCfAL Attach(3)camptete�sets of Suildfog!'lans plas a Llfe Safety Page;{1}set af Energy Forms.R-O-W Permlt for naw construction. <br /> Minimum ten{10)working days after submittal date. Required onsite,ConsVucBan Plans,Stormwaker Plans w/Silt Fence i�stalled, <br /> Sanitary Faciiities&1 dumpster.Site Work Permit for all neinr projects:Ail commercial requirements must meet campltance <br /> li SIGM PERMIT Attacfi{2}sets of Engineered Pians., . � � <br /> �� ""`PROPERTY SURVEY required for all NEW consUuctian. <br /> Direa#fons: <br /> FIII out application complekely. <br /> Owner&Contractar sign back of applicaUon,notarized <br /> If over�2.''s00,a Notiae of Cammencement ts raguired. jA/C upgrades over�7500) <br /> ' " Agent(for the cantcaetor}or Pawer of Attamey(for the owner}would be someone with notarized letter from owner authorizing same <br /> I DVER THE COUNTER PERMI1TiNG (Front of Application Onty) <br /> Reraofs if shingles Sewers Service Upgrades AtC Fences{Plod3urveylfootage} <br /> Driveways-Not over Counter if on pubtic roadways..needs ROW <br />