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o,r,�u-UU�� C�ty of Zephyrhills Permit AppGcatian Fax-813-?8U-0021 <br /> Buitding Department <br /> Date Recelvad� �— 8- �/� Phone Contact for Permitting` ��� /�~ &��� <br /> Qwrter's Name �t� (,. ��/1/1 � Owner Pho�ne Number ' <br /> Owner's Address <br /> '� g b a j ��r w�t �� Z h t f 1� Owner Phone Number ��, „� <br /> Pes Slmple T{tlsholder Name �� � Owner Phone Number <br /> Fee Slmpte Tttlsholdsr Address <br /> JOB ADDRESS S�� � I�?�� U�' ��� I rS LOT# � <br /> SUBDiViSiON � � PARCEL tD# �t� �-f� o��`r ���0 - 1��OD- c7 �7 D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORIC PROPQSED e NEW C4NSTR 8 RDD/A�T �� StGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM �� 07HER <br /> TYPE OF CONSTRt}CTION [� BIOGK [� FRAME � STEEL Q <br /> DESCRIPTION OF WORK �L' rOV� f'l p ✓�'��.° `J��►'✓i l e S <br /> SUILDlNG SIZE � � SQ FOf3TAGE 1 � S`Z. HEIGNT ��� <br /> [�BUILDING �� VALt1AT10N OF TQTAL CONSTRUCT(ON L/� (,7p �,� <br /> QELECTRICAL �9i � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �. ��a <br /> QPLUMBING $ `t� <br /> ,�1�` <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTA�LATlON <br /> QGAS Q ROOFING � SPECIAI.TY 0 OTHER <br /> °INISNED FLOOR E�EVATtORfS ��� FLOOD ZONE AREA QYES NO <br /> 3UILDER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address � License# �' r� <br /> eLECTRlCIAN CQMPANY <br /> ilGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address —� License# �— � <br /> ►LUMBER � GOMPANY <br /> i1GNATURE REGISTERED Y i N FEE CURREM1 Y/N <br /> Address License# �` --'� <br /> RECHANICAL COMPANY <br /> iIGNATURE REGISTEREQ Y/ N FEE CURRER Y/N <br /> Addrsss License# r� '�� <br /> iTHER ��f "'-�� `'"_ CQMPANY W�d�P,� O o�,�n <br /> siGFtATURE �"�",__� `�� REGISTERED Y/ N FEE GURRER Y/IY <br /> Address 37��G (�p pr� �(' �.G� License# C� a S �7 ti� —� <br /> ;ESIDENTiAL Attach(2j Ptat P(ans;(2}sets of Building Plans;(1}set of Energy Forms;R-O-W Permtt for new cons#ruction, <br /> Minimum ten(10}working days after submlttal date. Required onsite,Construction Plans.Stormwater Plans w/SNt Fence instatied, __ <br /> Sanitary Facftities&1 dumpster,8ite Work�Permit for subdivisions/large projects <br /> OMMERGIAL Attacfi(3}complete sets of Building Plans plus a Life Safety Page;(1)set af Energy Forms.R-O-W Permit faf new construcdan. <br /> Minimum ten(1d}watking days after submittal date. Required onsite,Constru�tion Pians,Starmwater Plans uv!Silt Fenca instaited, <br /> Sani#ary Faciiities 8�1 dumpster.Site Work Permit for all new proJects.AU cammercial requirements must meet campiiance <br /> IGN PERMIT Attach(2}sets af Engineered Plans. <br /> "'•PRQPERIY SURVEY required for all NEW constructlon. <br /> irections: <br /> Filt out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over S25d0,a Notice of Commencemsnt Is requi�ed. (A!C upgrades ovQr$7500) <br /> Agent(for the contractor)or Rawer af Attomey(far the owner}would be someone with notarized letter from owner authorizing same <br /> VER TWE CQUNTER PERMIiTING (Front of Application Only} <br /> eroofs If shingles Sewers Service Upgrades A(C Fences{PtoUSurveytFoatage} _ . <br /> DNveways-Not over Counter if on publfc roadways..needs RQW _ � " <br /> � . k, ' � ' <br />