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- -- --- a��=�so=oo2o City of Zephyrhills Permit App(ication �ax-813-784-0021 � <br /> Building Department � <br /> � <br /> � � <br /> Date Received �J� phone Contact for Permitting — � <br /> Owner's Name 1�. �� �''`-�._ flwner Phone Number �lo ^� '— � `'" <br /> Owner's Address ��s%ys� ��'�`��S +�/� �`�� Owner Phone Number �� � <br /> Fee Sfmple Titleholder Name � Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS /J �.�� �'J��� U� /1 �`Yt�/tS . 3�.SY° LOT# � �%�� <br /> su�orvts�oH � � p,a�c�i io# �--'� - �-� ° 2! - � C�`'�O — �'.'v�t��- t�IS`C3 <br /> (08TAtNED PROM PROPERTY TAX NQTtCE} <br /> WORK PRQPOSED � New corasrR 8 ADDlA�T � SlGN C] [,� DEMOLlSH <br /> INSTALL REPAIR <br /> PROP05Ep USE Q SFFt Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK [� FRAME �] STEEL Q <br /> DESCRIPTION OF WORK � /� r�/G .�C� <br /> SUtl.DING SIZE � X 1 SQ FOOTAGE �C3 }iElGNT 2- �i r,_„� <br /> ;��BUILDING $ rJ l/�p E�''� VALUATI4N OF TOTAL CQt3STRUCTtON ��� � � `„�� Y <br /> G, S� �, ��si <br /> �ELEC7RIGAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.f2.E.C. � <br /> 4� <br /> �]PLUMBING $ ��� � ' � <br /> � <br /> OMECHANICAL $ � � VALUATION OF MECHANICAL INSTALLA710N �� <br /> �:~k�-�t �'1". <br /> C�(}Q �� l <br /> �GAS 0 ROOFING Q SPECIALTY � OTHER � �'� `r ` � <br /> I / I �� • <br /> � �j ��""y L o <br /> FINISHED FLOQR ELEVATIONS FLOOD ZQNE AREA DYES NO �""Z ���, 11 A�. ' <br /> UJ iv 4 <br /> �� <br /> BUlLDER GOMPARAY � �c�J��'� �t� I�r^�'---�-- --- - <br /> SIGNATURE REGIS7ERED / N FEE GURRE� Y/N <br /> Address � � �i'�� ,�f License# �j">'j6 Z..,S,,,�.�Z�� <br /> ELEC7RIClAtd r-" 1 � COMPAI@Y 4—i {�- <br /> SIGNATURE ��Jf`^�./ REGISTERED Y/ FEE CURFtE� _. -Y-/-N--__� <br /> Address ��„! ' 1 3 Licerise# ' � ._ .GtJG� �� `� ), <br /> PLUMBER �j� , CQMPANY �1 `-�L�lS/ G'L'Id�tlz�, -.�H. �._- <br /> SIGNATURE (/'- REGISTEREp Y/ N FEE GURREA Y/N <br /> Adclress License# ��y�fll Z...�5��� <br /> .._..., <br /> ----_�°____...._..___. _�_._.___._--.....,._�� , ! " <br /> MECHANICAL � GOMPA�IY �Q&�,��,2 �t� Q`���� <br /> SIGNA7URE REGISTERED Y/ �FEE CURRE"�"� Y'/°N��.�_._ (" /�h <br /> ///�T • (�� /��, � ��J �ICJ�✓ <br /> Address r/r �� . �; license#�-_ _'-`%�' �—•-�. <br /> �� <br /> CITHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# � � <br /> RE5IDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constructian, <br /> Niinimum ten{10)woricing days after submittal date. Required ansite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Santtary Facilities&1 dumpster,Site Work Permit far subdivisionsllarge projects <br /> �OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;{1�set af Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days'after submittat date. Required ansite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Faailities&1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet comptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SUF2VE�uired far all NEW construction. <br /> 7lrections: � � <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> !f over$2504,a Notice of Commencemeni Ps required. (A!G upgrad'es over$7500} <br /> '" Agent(for the conVaator}or Power of Attomey(for the owner)woufd be someone with notarized letter from owner authorizing-same °° -��r-° <br /> , • <br /> �VER THE COUtdTER PERMITTING (Front of Rpplication Oniy) - � � � <br /> 2eroafs if shingles Sewers Service Upgrades A/C Fences(Plat/SurveylFootage) , . ' <br /> Qrivewaps-Not over Caunter if on pubiic roadways..needs RQW . . . - - <br /> , :� <br /> � <br />