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s�a-lso-oozo City of Zephyrhills Permit Applicatian Fax-813-76Q-0421 <br /> . Buiiding Departrnent <br /> Dats Recaived � �, f� phone Conkact for P�rmittin <br /> Qwner's Name ��`S i�. t t S Owner Phane Number �t��`"a��JN� c�!C7 ta <br /> dwner's Address ��1�`i'� � � � j (, Owner Phone Number � ^ � <br /> Fee 5lmple Titlaholder Name Owner Phone Number �— � <br /> Fee Simple Titieholder Address <br /> JOB ADdRESS t0��� � l d�f� J �+"� r�,�� !`'"C._ LOT# � <br /> SUBDIVISl4N � � PARCEL Ib# - - 0�� "'O�C'�C71.9� ~���d <br /> (08TAINED FRdM PROPERTYTAX NOTICE) <br /> WORK PROPOSED , e NEW CdNS7R� ADD/ALT [� SIGN Q [� DEMOIiSH <br /> INSTAI.L REPA{R <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION [�'� BLOGK Q FRAME � STEE� Q <br /> DE3CRiPTi�N dP WQRK u.� `� '�����- is.�r��ri�m.s S' �ts�d�S 1'0� �► r"`¢ � S <br /> BUILDING SIZE � SQ FOOTAGE�� NEIGHT �j � <br /> �UILDiNG $ ��¢� a�� VALUA710i�!OF TOTAL CONSTRUCTIQN }�( ��,q�b <br /> 0 / iy` <br /> QEI.ECTRICAI I$ —�—� AMP SERVICE C] PROGRESS ENERGY CJ W.R.E.C. <br /> � t�Q�� <br /> [�PLUMBING $ ' ��� � �rJ <br /> � �,�.c�S Ca+� <br /> QMECHRNICAL $ VALUATION OF MECHANICAL tNStaLLAT10N w8� <br /> QGAS Q RQOFING Q SPECIALTI �,� OTHER <br /> FtN�SHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NO <br /> � <br /> � <br /> BUIIDER � ��, a COMPANY b L�- '�^^t �I°✓�1..��-��v.�'�t4�1. � <br /> SiGP1ATURE REGISTERED Y/ N FEE CURRE� Y i N <br /> Address ��� ja �• �in..r �C.e� t��� -C ��1�l�`7 License# G t�G �Z-.� 1�'Jr � <br /> SiGNATURE� i � ____� �OM PAN a Y! N F�cuR�t� Y/N <br /> Address y Ltcense# �— � <br /> P�UMBER � �� CONiPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAL COMpANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address �_� `_` License# � T � <br /> OTHER - COMPANY <br /> SlGNA7URE REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# � 1 <br /> RESIDENTIAL Atkach(2)Plot Plans;(2)sets of Sullding Pfa�s;(i)set af E�ergy Farms;R-O-W Perm#t for new c,onstruation, <br /> Minimum ten(10)woricfng days after submtttal date. Required onsite,Ccsnstruction Pians,Stormwater Pians w!Siit Fenrce instaNed, <br /> Saaltary Facilities&1 dumpster,Sfte Wark Permft for suttdivistonstiarge projects <br /> GOMMERClAL At#ach{3}c:omplete sets of Buitdirig Pians plus a Ufe Safety Rage;(1}set of Energy Farms.R-O-W Permit for new construcctian. <br /> MEnlmum ten(16}worktng days after submittal date. Required ansite,Construatian Pians,Stormwater Pians w!Sitt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Wark Permit for afi new projects.All commerciat requirements must meet compltance <br /> SIGN PERMIT Attach(2)sets of Englneered Pians. <br /> '•"FROPEi2TY SURVEY requEred far ali NEW constructlan. <br /> Qlrectians: <br /> Fiii out appitcation campietefy. <br /> Owner&Con#ractor stgn back af appiicatlon,notarized <br /> � 1f aver�2500,a Notice of Gommencement is requtred. (AIC upgrades over 57500) <br /> i <br /> '• Agent(for the contractor)or Power of Attomey(far the owner)woutd be someone with notarized letter from owner autha�izing same <br /> OVER THE Ct3tiNTER PERMITTiNG (Front of Appiication Onty) ' �� - <br /> Reroofs if shingles Sewers Servlce Upgrades A!C Fences(Plot/Survey/Faotage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> i <br />