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n��-,a�-���� Gity af Zephyrhills Permit Application Fax-813-780-0021 <br /> Buitding Department <br />', �l��—�� „_~'_� <br /> Date Recetved,_ !� Phane Contact for Permittin -��� ��� - $��� <br /> Owner's Name �'�f'�f�^ ��t�i�t�� Owner Phone Nurnber ��7 ��' ���� <br /> Owner's Address �� Z� �T� 4'T Owtter Phana Number _, <br /> Foe Slmple Titleholder Name �rl-id C,w� �i,���C.+� � Owner Phone Number � <br /> Fee Simple Tltieholder Address <br /> .�'G z.Ll �t'�' S F Ze�'b"�,`'��4 t� 3z 5�Z <br /> JOBADDRESS C"L� ��� 'F" ZL �� "�•,1�5 �''L ��5�'i„L LQT# ���'@� <br /> SUBDIVISION � � FARCEL Id# t� ' Z�- Z�- t��1�' � Zi L �� `- ��1��, <br /> (OBTAiNED PRQM PROPERtY TAX NOTICE} <br /> WQRK PROPOSEQ e NEW CONSTR ✓� ADQ/ALT � 5lGN Q Q DEMOLESH <br /> INSTALL Q REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTI4N � BLOCK � FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ��v�f C,B�`c.,r'-�, �� ��'. f�,c.l a ���,t, t11s9'� ����"'�J�'\ `��` � S �_ <br /> BUILDING SIZE � � SQ FOQTAGE C� HEi6HT � <br /> QBUILDlNG $ �` 2��� VALUATlON OF TOTA�CONSTRUCTtON ���r�� <br /> QELECTRIGAL (��� AMP SERVICE Q PRQGRESS ENEFtGY W.R.E.C. <br /> L <br /> �PLUMBING �9i� . j � � f `���� <br /> � � N� ��, <br /> QMECHANICAL $ VALUATION QF MECHANICAL INSTALLATION ���y� <br /> . � � �� � <br /> � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER ����}�,�' <br /> =1NISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � `i"1� <br /> 9UILDER �/ COMPANY t,��t'.. t.,�nfF��r; ,.z•- �rtt�� <br /> 31GNATURE y REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � .� ���v� ��" a'rr��'�`ti•�t t �T. �P`���' ticense# r�,avt.�a-v�fo.�.�i�G1 � <br /> °_LECTRlCIAN CQMPANY <br /> >IGNATURE REGISTERED Y! N FEE CURREl� Y/IV <br /> Address License# �� ��� <br /> 'LUMBER � COMPANY <br /> CtGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# � � <br /> �ECHANICAL � COMPANY <br /> i1GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �ECense# r �� <br /> ITHER COMPANY <br /> �IGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ltcense# �` �� <br /> ;ESiDENTtAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forrns;R-O-W Permit for new constructlan, <br /> Minimum ten(10)workfng days after submittat date. Required onsite,Construction Plans,Stormwater Plans wJ Sflt Fence installed, <br /> Sanitary Facitities&1 dumpster,Site Work Perrnit far subdlvisfonsilarge projects <br /> OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;{1)set of Energy Forms.R-O-W Permit for new c:onsfnac�on, <br /> Minimum ten(t0}working days�after submtttat date. Required onsfte,Cans#ruc#ion Pians,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facillties&1 dumpster.Site Work Pemtit for a8 new projects.Ali commercial requirements must mee#campliance <br /> IGN PERMIT Aktach(2)sets of Englneered Plans. <br /> '**'PRdPERTY SURVEY required for all NEW canstruc#ion. <br /> Irectlons: <br /> Fiil aut appiicafion completely. , <br /> Owner&Contractor slgn baok af applica�on,notarized <br /> If over�2500,a Notice af Commencement is required. (A1C upgrades over ET500) <br /> Agent(for the cantractor)or Power af AYtomey(for the owner)woultl;be�someone wlth natarized letter from owner authorizing same � . <br /> VER THE COUNTER PERMITTING {Front of Application;Qnly}" " � , <br /> eroofs lf shingtes Sewers Service Upgrades A/C � ; Fences(P1oUSurvey/Footage) , <br /> bNveways-Not aver Gaunter if on•pubHc roadways:.needsROW ' � ` ' - - -- � <br />