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s�aasa-oo2o City of Zephyrhills Permit Applicatian �ax s�a-�so-oa2� <br /> Building Department <br /> Date Recaived Phone.Contact for Permitting ' — <br /> Owner's Mame � �}�/ �'' J�.S'�5d�'1 �^�'' � Owner Phone Number <br /> Owner's Address G/,� ..7 LP %�C7.3 S 4'Il�l /� Owner Phone Number �— � <br /> Fee Simple Titleholder Name �— � Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS "( � L/ � ���"��� fv I.OT# �_____� <br /> SUSDtVISIt}N �^ � PARCEL Id# <br /> (48TAINED FROM PROPERTY TAX NO710E) <br /> WORK PRQPQSED e NEW CONSTR 8 ADDtALT � SIGN Q Q DEMOLISli . <br /> INSTALL REPAIR <br /> PRQPOSED USE Q SPR Q COMM 0 O"tHER <br /> 7YPE OF CONSTRUCTION Q BLOCK Q FRAME , � STEEL Q � <br /> �.-,�- <br /> DESCRIPTiBN OF WOR1C /� � <br /> BUILDING StZE �� � SQ Ft74TAGE�___� NEIGHT �`� <br /> �BUILDING �i ~---�_� VALt7ATtON OF TOTAL CONSTRUCTION <br /> DELECTRtCA� �6__--'_� AMP SERVICE � PROGRESS ENERGY CJ W.R.E.C. <br /> QPLUMBING �'> � <br /> QMECHANICA{. ri ^� VALUATION 4F MECHANICAL lNSTAf.tAT10lV . <br /> L <br /> �GAS Q ROOFING Q SPECIALTY � C?TNER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NO <br /> BUILDEFt CQMPANY <br /> i, SIGNATURE __ ReGis7EReo Y/ N FEE CURRE� Y/N <br /> ( Address License# �� _� <br /> i — , � <br /> I! EI.EC7RtC1AN COMPANY <br /> I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess License# �_ � � <br /> ' PI.UMBER COlUtPANY <br /> SIGNATURE ,,,,_,"_„_,,^,_.,, REGISTERED Y/ N FEE CURR6� Y/N <br /> � Address license# � `� <br /> MECHANICAL � COMPANY <br /> 51GNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Add�ess '--—_ license# �� � <br /> �,,.�r-""�.Z <br /> C3TNER CONtPANY � � r �p <br /> �I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address r�� � ( �7'�f�z"�'l t license# �`����� ��,. � <br /> RESiDENTlAL Attach(2}Piot Pians;(2}sets of Buitding Pians;(1}set af Ener�y Forms;R-O-W Pem�it for new construction, <br /> Minimum ten(10)working days after submitta►date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit for subdivisionsAarge proj�cts <br /> ;.OMMERCIAL Attach(3}complete sets of Buliding P1ans plus a life Safety Page;{1}se#of Energy Forms.F2-O-W Permit for new constrerotton. ,_. .. <br /> Minimum ten(10)warking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster.Site Work Permit for all new proJects.All cammereial requicements must meet compliance <br /> SlGN PERMtT Attach{2}sefs of Engineered Plans. <br /> ""PROPER7Y SURVEY required far all NEW construction. <br /> �I�actians: <br /> Fill aut application completely. <br /> i Owner&Cantractor sign back of application,notarized <br /> If over�25d0,a Natice of Commencament is required. (A/C npgrades over�7508) <br /> '" Agent(for the contractor)or Power of Attomey(for#he owner)would be someone with nota�ized letter from owner authorizing same <br /> �VER TNE COUN7ER PERMI'F'1'iNG {Front of Application Only} - ' <br /> �eroofs if&hingles Sewers Service Upgrades A/C Fences(PIaUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs F20W <br />