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s�sasa-ao2a City of Zephyrhills Permit Applicatian Fax-813-7$0-0021 <br /> . Building Department <br /> Date Received <br /> Phone Contact for Permiktin � ��-� - (q'0 <br /> bwner's Name v I � Owner Phone Number �T "7g,� ' � <br /> I�wner's Address �6c�� E✓hO f�2 � Uwner Phone Number � � II <br /> Fee Simple Titleho{der Name �— ` � Owner Phona Number �— �� <br /> Fee Simple Titlefiolder Address <br /> JOB ADDRESS ��p Zr� , G3�^Q f�t/e P � � ; ; 3 z,,, 1.QT# C�_J <br /> SUBDIVISION � � PARCEC ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) . <br /> WORK PROPOSED NEW CONSTR ADDlA�T � SIGN Q Q DEM4LISN <br /> INSTALL REPAIR <br /> PROPOSED US8 Q SFft Q COMM � OTHER S L,• �r Cqvl y.. <br /> 7YPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRiPTtON OF WORK /»`� ��� �� � js'�i n �q��,-. <br /> 8tl1LDING S1ZE (�p����r }� ���f'�� SQ FOOTAGE. � y1 HEIGHT �� rl�-� <br /> QBUtLDING � �� � VALUATtON OF TOTAL CONSTRUCTIt3N <br /> � <br /> QElEGTFt1CAt �_� �AIV(P SERVICE Q PROGF2ESS ENERGY Q W.R.E.C. <br />� QPLUMBING �'> ������ � , <br /> � <br /> QMECHANtGAI. $ VALUATIQN OF MECNANICAi.INSTAL.IATfON �t� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO i <br /> SUI��ER � � � -�t}t+�P,�ll'- ��'`�'�'4'' ��v�'�� -�� . - - - - -�._ _ _ � <br /> SIGNATURE �L�� REGISTERED Y/ N FE6 CURRE� Y/N <br /> Address f�,��� ��n s�� r/�. ��'GG.s G- License# �� -� <br /> Ei.ECTRICIAN . COIUIPAt+lY <br /> SIGNATURE ' ae�is7ette� Y/ N FEE CURREh Y/N <br /> Address License# �� � <br /> P1.UMBER C4MPANY <br /> $IGNATURE _ Re�isreaeo Y/ N FBE CURRE� Y/N <br /> .....,,_.,,,......,,—.,,. <br /> Address License# �� �� <br /> , lVIECFFANICA! COMPANY <br /> SIGNATURE REGISTEftED Y/ N FEE CURRE� Y/N <br /> Address License# �_ � <br /> DTHEl2 . ______� COMPANY <br /> SIGNATURE _ REGISTERED Y/ N F@E CURREA Y I N <br /> Address � �.— License# � � <br /> RESiDENTiAI. Attach{2}Plot Plans;{2}sets of Bu3tding Plans;{1}set o#Energy Forms;R-O-W Permlt far new construction, <br /> Minimum ten(10}waricing days after submittal date. Required onsi#e,Construction Plans,Storminrater Plans w/Silt Fence installed, <br /> Sanitary Faciflties&1 dumpster;Site Work Permit for subd,ivisionsparge projects <br /> _ �OMMERGIAL Attach{3}complete se#s of BuildRng PEans ptus a�ife Sa#ety Page;{1}set of Ertergy Forms.R-O-W Permi#far new construcfion. . <br /> Minimum ten(10)waricing days after submitkal date. Required onsite,Construction Plans,5tormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit far all new proJects.All commercial requirements must meet campliance <br /> StGN PERMti' Attach(2}.sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> alrec#ioos: <br /> Fill out application campletely. <br /> �Owner&Cantractor slgn back of applicatton,.notadzed _ _ � <br /> (f dY@�S2SOO,a Natice of Camrreenceri�erit is'required.',(A!C upg�ades aver$7508) � > ° �.�� __.',�,r��;,,,1�,�,R°, ,r � �. �, . � i <br /> '" Agent(for the contractor)or Power of Attorney(for:the owrier):would��e someone with notarized letter from oiivner autiionzing'same�"'�I ' ' �i 4� ':T i <br /> �VER THE COUNTER PERMI'FTING.: ,{Front�cjf AppEicafibn Oniy}; � '�� "_,"`'°'Y' ' - - i� <br /> 2eroofs if shingles Sewers �s�Service�.Up9rades�.A/C•- .�-Fenaes,{Rlot/Survey/Footage) .-.��--��..w.�.�.-.,...a��� .�-.....-.-.z�_. . -.-_. I, <br /> Drivsways-Not over Gounter if on pubtic roadways..needs ROW <br /> I <br /> � <br /> � <br />