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��r,���� city of Zephyrhills Permit Application Fax-a�aaeo-oo2� <br /> Building Department <br /> Date Rsceived `7j 1,`� ) �(�3 c. v — (��jS , <br /> / _..r <br /> � Phone Contact for Permitting / � <br /> Owner's Name ,J�✓��� ��� �� �� �L C-- Owner Phone Number t� <br /> Owner's Address Owner Phons Number � � � <br /> Fee Simpis Titleholder Name � � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRES3 �S�J j ��h 5� LOT# �� <br /> susaiuis�o�v � ��c���o# <br /> (OBTAINEQ FROM PRdPERTY TAX NOTIGE} <br /> WORK PROPOSED e NEW CONSTR 8 ADD/RI.T 0 StGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPQSED USE Q SFR [� COMM �] OTHER i <br /> TYPE QF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 'v'°z�'^�'a i <br /> UILDING SIZE ���� SQ FOQTAGE�� HEIGH7 � ..�� <br /> BUILbING $2r ff� � � VAt.I}ATION OP TC3TAL COtdSTRUCTION <br /> % <br /> � QELECTRICAL ($ ` � AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> 'i �,..._„�_ � <br /> QPLUMBING $ <br /> C,_-,__� � �� ,�' <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> QGAS Q ROOFING Q SPECIALTY [� OTH�R <br /> I <br /> FINISHED FLOOR ELEVATIONS �_--� FLOOD ZdNE AREA QYES NO <br /> BUILDER � i ` COMPANY �J�G? 1 S � t�}'1 S�f�., •�°/1-� <br /> SIGNATURE yL � ,�j�,,,�,� � REGIS7ER8D Y/ N FEE CURRE� Y!N <br /> s�--.. <br /> Address / v� T� �iyG�f�k�•.� /Zy� lioense# �— � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE _ REGISr�rteD Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> PLUMBER � � R OMPE� Y/ N FEE CURRE� Y/N <br /> SIGNATURE <br /> i <br /> Address Cicense# � � <br /> � MECHANICAL � CdMPANIf <br /> I StGNATURE REGisTERED Y/ N FEE CURRE� Y/N <br /> ' Address License# � �i �� <br /> OTNER Cpayp/►Hy <br /> StGNATURE REGiSTERED Y J N FEE CURRE� Y/N <br /> Address License# C� i' � <br /> RESIDENTtAL Aftach(2)Rlot Plans;(2)sets of Buitding Plans;(1)set of Energy Forms;R-O-W Pertnit for new canstruction, <br /> � Minimum ten{1Q)working days after submtttal date. Required onsite,Construction Plans,Stormwater Plans w/Si�t Fence installed, <br /> Sanitary Faciltties&.1 dumpster;Sfte Work Permit for subd#visionsAarge proJects _ __ �__.— <br /> �COMMERCiAL _Attach(3)cbmple±e_sets of$uilding°lans-plus a Lifa-3��e"ry Page;(1)set of Energy Forms.R-O-W Permit for new construcUon. <br /> Nllnimum ten(16)working days after submittal dafe. Required onsite,Construction Pians,Stormwater Piens w/Silt Fence installed, <br /> � Sanitary Faoilitles&1 dumpster.3ite Wark Permit for afl new proJects,Ai!commerclat requlrements must meet compHance <br /> SIGN PERMiT Attach(2)sets of Engineered Plans. <br /> *"'PROPERTY SURVEY required far atl NEW conshuction. <br /> Dlrections: <br /> , Fitl aut apptication completety. <br /> Owner&Contractor sign back of application,notarized <br /> If over a2500,a Natice of Commencement ts required. (AIC upgrades over a750Q) <br /> '" Agent(for the contractor)ar Power of Attomey(for the owner)would be someone wikh notarized letter from owner authoriz(ng same <br /> DVER THE COUNTER PERMIITING (Frant of Application Only) <br /> Reraofs if shingtes Sewers Service Upgrades �A/C ;Fences(Plat/Survey/Footage) <br /> Driveways-Not over Counter ff on public roadways..needs ROW ` <br /> � . » _ ._<. .,_„. ...-. ,.. <br /> li <br /> � __ <br /> _. _—_ <br /> - <br />