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813-780•0�2D City of Zephyrhills Permit Applicatian Fax-8�3-780-D021 <br /> ' Building Gepartment <br /> - uaze neceiveo . i "'�� phone Contac't for Permitting �( �I�2J 1� �(- '�(�Al�.,,J � II <br /> -t-9-"9-f�-9"'4-� ' }r �::1'���-a�°,FSg�Te-S-l-e�1!'"��tl�3TT�� � Z� <br /> Uwner's Ftame }. ��t,.,(�',�� Owner Phone Nambee { � <br /> Owner's Ar}dress � � � ���{r,�� 1t�1� � }L �� Owner Phone Numtrer � � <br /> Fee Slmple Titleholder Neme Owner Phone Num6er � � <br /> Fee Slmpla TiUeholder Address <br /> JOB RDDRESS ��L t � � �OT# �� <br /> SU6DIVISIpN � � PARCBL ID# � -'_ �� <br /> {087 oPERTYTAXNOTICEj � <br /> WQRK PROPOSED e NEW CONSIR� ADD/ALT � SIGN � Q DEMOLISH � <br /> INSTALL REPAIR � <br /> PROPO5ED USE Q SFit COMM QTHER i <br /> TYPE OF CQMSTRUC710N Q BLOCK Q FRAME � STEEL Q i <br /> DESCRI�7I4N OF WOFEK t r 'f/tU dv►!/ui�'' Lt�t(.Y/t'e {`�'TCY' �d�Lt�'7 �i.� -�1 l`� . <br /> v <br /> ... <br /> BUILOING SIxE SGt FOOTAGE � kEIGH3 <br /> �BUILOfNG � a p(�(�,r('(J � VALUATION OF TOTAL CONSTRUCTION <br /> _J (// <br /> QELECTRiCAI $ AMP SERV�CE Q PROGRESS ENERGY [� W.R.E.C. �1��1�5� <br /> (J <br /> - - -QA1.UM&IN� �$ � � �� - <br /> QMECHANICAL �$ VALUATION OF MECHANICAL(NSTALLA710N � � `� - <br /> 4r� �� � <br /> z � ��,�.� � <br /> [�GAS L] ROOFING Q SPECIAI.TY ��'� OTHER �/l� <br /> flNiSf-iEE?FI.00E2 Et�VATION& �� ELOQR Z4(�3E AREA QYES t�tC? t��r�St� <br /> � �� <br /> BUILpER � � COMPAPtY �^ � <br /> SIGNATURE � REGISTEREO Y I N FEE CURRE� Y/N <br /> Address License#� � <br /> ELECTRICIAN � � COMPANY � � <br /> SiGtdAilll2E [ REGtSTEREO Y 7 N 1, E CURREt. Y 1[d <br /> ArJdress Licsnse# �� ] <br /> PLUMBER CdMPANY �� �� • <br /> SIGNATURE �� � REGISTERED Y I N FEE CURRE� _Y/N <br /> Address Ucense#�� i <br /> MECtiANtCAL G�MPAA��IIY <br /> SILiNATUF2E REGiSreR�o �Y/N F�cttRREn Y 1 IY <br /> Address � � ---___� License# r- � <br /> {��� <br /> OTiIER � ������n"'r/�` COMPANY 0 ly�'l ?��/��`ta <br /> SIGNATURE rtEGisre�o Y! N FEE CURREA Y/N <br /> Address / � � o W� r�3�j Liaense#��dd 3� <br /> IIIIIIIIIIIIIIL1111 11111111111 IIIIIIIIIIilllllllllllillllllllllll <br /> REStDEN71AL Attach(2}Piot Pians;{2)sets of Bultding Plens;(i}eef of Energy Fortns;!?-d-W Pesmi!for ne�construction, <br /> Minimum ten{10}tivori;ing days after suhmittai date. f2equired onsite,Constretction Plsns,Stormuater P12ns w?Silt F�noe tns:�'ied. <br /> Sanitary Faclllties&1 dumpster;Si#e Work Permit for subdivisionsllarge proJects <br /> COflAfNERCIAL. Attach(3)complete sets of Building Plans plus e Liie Safaty r�age;(1}set of Energy Farms.R-O-W Pertnif fo�new canstruction. <br /> Mlnimum ten(10)warking days aftet submittai date. Ftequired onsite,Ganslruction Plans,Stormwater Ptans wt Sllt Fence installed, <br /> Sanitary Facflities&1 dumpster.Site Work Permit for atl new projects.All eommercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets af Engineered Plans. <br /> ""PROPER71'3URVEY required for ail NEYJ construction. <br /> Dlrectlons: <br /> Fill out applicaGon completely. <br /> Owner 8 Uontractor sign back of epplication,notanzed <br /> {f over§2500,a i3otice of Commencement Is requlted. (A/C upgrades over$7500} <br /> " ABent(for the conVactor)or Power of Attomey(for the owner}would be someone with notarized letter from owner authoriaing same <br /> OVEtt TttE CCtUNTEti PERM3T3tHG (Fmnt of Apptica#ion Onty) <br /> Reroofs if st�ingtes Sewers Service Upgrade3 A/C F2nces(PiotiSurveytFoctago) <br /> Qriveavays-Not over Counter If on public roadways..needs ROW <br />