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�zs-7eaoozo City of Zephyrhills Permit AppEicatian Fax 813-78Q-0021 <br /> ; Building Department <br /> Date Received � Phane•Cantact forPermittfn � 3SZ �6 - 7b s3 <br /> Owner's Name Owner Phone Number <br /> Owner's Address dwner Phone Fiumber � `- � <br /> Fee Sfmple Titleholder Name � � Gwner Phane Number � � <br /> Fee S1mple Tf!lehoider Address ' <br /> JOB ADDRESS � (/G• _ L07# �_� <br /> SUBDNISION �� � PARCEL Ib# - �O� -C� <br /> (OBTAINED FROM PROPER'iY TAX NOTICE) <br /> WORK PROFOSED NEW CONSTR ADD/A�T � SIGN Q Q DEMALISH <br /> � e iNSTAR.L 8 REPRIR , <br /> PROPQSED USE- Q SFR Q COMM � OTHEFt <br /> TYPE L1F CQNSTR!lCTION Q Bl.00K Q FRAME Q S'TEEL Q � <br /> DEBCRIPTION OF WORK ^./�' <br /> BUILDING SIZE � � F TAGE G7O HEIGHT �_,_� <br /> QSUI�DING $ VALUATION OF TOTAL CQNSTRUCTION <br /> QELECTRICAL �6� AMP SERVtCE Q PROGRESS ENERGY Q W.R.E.C. <br /> [�PLUMSING $ +G`���,,,/� � C,�� <br /> l �+�'- 1� <br /> OMECHANICAL $ VRLUATION 4F MEGNANICAt�tNSTAlIATiON ��5� �� <br /> OGAS L] ROOFING Q SPECIALTY �] OTHER � <br /> �� <br /> F{IUISH�Q FLOOR ELEVATlONS FLOOD ZONE AREA QYES Af0 <br /> BUI�DER COMPANY . , <br /> SlGNATURE r�cESTER�o- Y/ N �E CURREh Y t N <br /> Address L`fcense# I I <br /> ,� <br /> EIECTRICIAN COMPANY <br /> SIGNATURE �EC�sTet�eo Y 1 N FEE CURREh Y!N <br /> Address License# �� I <br /> PIUMBER � Ct}MFANY <br /> SIGNATURE REGiSTERED Y 1 N FEE CURREP Y!N <br /> Address License# � � <br /> MECH/WICAL COMPANY <br /> SIGNATURE R���s7ett�o Y/ N FEE GURREf� Y/N <br /> Address License# ����� <br /> OTHER ,'��� COMPANY � £? t.? !`'l� <br /> SIGNATURE REGISTERED /`N FEE CURREA Y i(V <br /> Address �e '�J?� Ucense# ����i /_� .� �''0 � � <br /> RESlDENTU4� Attach 2 Flot Plans;.2 sets_of;Bulldin "Plar�s; 1 set of Ene Parms;R-O-W Permlt for new construct3on, <br /> � ) � ) 9 { } r9Y. t. <br /> Minimum.ten(1Q)•working;days after.submlthal date. Required onsite,Construction Plans;Stormwater Plans w!Silt Fence instailed, <br /> Sanitary Fac3fitles.&:1 dumpste.r,Site Work:P.ermit for subdivisionsAarge-projects ' <br /> COMMERCl/�t. Attach{3}compiete sets of Buiirling Pians plus a Life Safety Page;{i)set of Energy Forms.R-Q W Permit far new consiruc�on. <br /> Minimurn ten{1q)warking days'after submittal date, Requfred onsite,ConstruoBon Plans,Stormwater Plans w!Siit Fence tnskalled, <br /> Santtary Facllities&1 dumpster.Site Work Permit for atl new projects:Ali commercial requlrements must meet compllance " <br /> SIGN P�RMIT Attach{2)sets of Engineered Plans.�.:: � , . <br /> ""•PRQPERTY SURVEY required foral!NEW construcBon. <br /> pirectians: � ' ` ,~� <br /> FIII aut applicaUon completely. ,� � �° ' <br /> Owner 8�Contractor sign back of applCcatlon,notarizet�_,� � ; "; �y,` <br /> If aver 52500,a Notice of Commenaement is requi'red:.=(AlC�apgradas aver;675d0) <br /> :-.��..,,,;�,-...1._,..., <br /> " Agent(for ttie cantrector}orPower�of Attomey(for,the owner):wouid be someone with notarized letter from owner authorizing same <br /> OVER THE COUFlTER RERMI'�TiNG°'l���" (�ronf of Appiioafion Qn1Yj.-•;; . <br /> � Reraofs 1f shingles Sewer& Service Upgiades'A+tG•;;...Ferices{Piot(SurveyiFootage) <br /> � ; ::,�� � :..,. ...,:, '.....,.� ,. , �:� , �.,.::- <br /> +R.:a-sst.�.,•.-t-.�_.vr.t.._�_�v.:: <br /> Driveways-Not over Counte�if'on pu�iifc roadways..needs ROW <br />