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0t3�tOU'VVGV Gity of Zephyrhills Permit Application Fax813-�so-ooa� <br /> Building Department <br /> i <br /> i <br /> Date Raceiv�d � phone Cantact for Permittin <br /> Owner's Name <br /> �' ��,�yj �( �`��'� Owner Phone Number �r���'� t ��a�� <br /> Owner's Address ��� !� �� �e Y�NI(s 33� Owner Phona Number ���� /��'��� <br /> Fee Simpie Titfehatder Name �!� � � Owner Phone Number ,",_ <br /> Fee Simple 3itlehotdar Address <br /> JOB ADDRESS ��1 ! � l�c C � v ��'jr ►'1 , 3���� LOT# �� <br /> SUBDIVISION �— � PARCEL ID# —'2���, ��`��� '�f r�c� " 61't�D <br /> 'i {OBTAINED FROM PROPERTY TAX NOTICE) <br /> ', WOftK PROPOSED e NEW CONSTR 8 ADD/ALT [_� SIGN Q Q DEMOLtSH <br /> ' INSTAtL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> 7YPE OF CONSTRUCTiON Q BLOCK Q FRAME � STEEL Q <br /> ' DESCRIPTION OF WORK �c�v-��V r w�"1. <br /> BUILDING SIZE �r � SQ FOOTAGE�� HEIGHT ��� - <br /> C���������' $ ���'a � VALUATION OF TOTAI CONSTF2UCTION <br /> ' C]ELEC7R{GAL ($ — � AMP SERVICE �,] PROGRESS ENERGY [� W.R.E.C. <br /> � <br /> QPLUMBING �� b�� <br /> ��� <br /> �MECHANICAL $ VALUATIQN OF MECHANICAI.INSTALLATI4N <br /> OGAS Q ROOFING [� SPECIALTY �] OTHER <br /> FINISHED FLOOft EtEVATiONS �_y� FIOOD ZONE AREA QYES NO <br /> BUlI.DER COMPANY �t�� <br /> /11 GL LlR Y t� [? <br /> SIGNATURE RECa1S7ERED Y/ N h��cuftaen Y/N <br /> Address License# � � <br /> ELEC7RICIAN COMPANY <br /> SlGNATURE REGtSTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGiSTERED Y! N �cuRRe� Y!N <br /> Address License# �— � <br /> MECHANICAL COMPANY' <br /> SIGNATURE REGISTERED Y f N FEE CURRE� Y J iV <br /> ,_,�,_,,_,�_,_,_,_,, <br /> Address Lioense# �� i` � <br /> 07HER COMPANY <br /> S1GNA7URE REGISTERED Y i Ri FEE CURRER Y/N <br /> .., ,_.._.., <br /> Address Liaense# �' i � <br /> RESIDENTIAL Aftacfi(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PermEt for new constrvctio�, <br /> Minlmum ten(10}working days aRer submittal date. Required onsita,Gonstruction Plans,Stormwater Plans wt Stit Fence instaited, <br /> Sanitary Facillties&1 dumpster;Site Work Permit for subdivisionsAarge pro�eats <br /> CdMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permft for new construcHon. <br /> Minimum ten(10a worktng days aftar submittal date. Required onslte,Gonstruction Plans,Stormwater Plans w!Sitt Fence fnstatied, <br /> Sanitary Facilities&1 dumpster.Stte Work Permit for aU new pro]ects.All commsrcial requlremertts must meet camptfance <br /> S�GN PERMMT Attach{2)sets of Engfneered Plans. - <br /> •"'PROPERTY SURVEY required for a!I NEW constn�ction. <br /> DTrections: <br /> Fitl out apptication completely. <br /> Owner&Contractor stgn back of appllcation,notarized <br /> If over�25Q0.a Notice of Cammencgment is requlred. {NC upgradss over 57500) <br /> " qgent(far the contractor}or Power of Attomey(for the owner}would be someone with�otarized letter from owner authorizing same , ._;, _., <br /> DVER THE COUNTER PERMITTlNG {FroM af Appiication Oniy} `' , K " ..' ' . <br /> Raroofs ff shingles Sewers Service Upgrades A!C :, °Fences,(PIaUSurveylFaotage} �. - . <br /> _. .�i 3 ; �. � � <br /> Qrlveways-Not over Counter If on publfc roadways.:needs t20W y . -. ; ^ . J...", 5�,4 , ..,, , .._ F�•,u <br />