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� <br /> I <br /> e�s-�ao-oozo City of Zephyrhills Permit Application Fax 813asaoaz� i <br /> " BuBding Department � <br /> � 3 - i <br /> Date Recelved —( phone-Cae#act far Pe�Itttn — <br /> Owner'�Name J ���� � C„�`�'� I Owner Phone Number <br /> Owner's Addrass 4/ �� / 5-�"' Owner Phane Num6er � � <br /> Fee Simple TlHeholder.Name � � Owner Phone Number. � � <br /> Fee Simple Titleholder Address <br /> JOB AbDRESS �� �� �` �''�" r � LOT# �_� <br /> � � <br /> SUBDIVISION � � PARCEL tp# <br /> I (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/A�3 Q SiGtV Q Q DEMOLISH <br /> e INSTALL � REPAIR I <br /> PROPOSEQ USE � SFR [� CQMM [I �] OTNER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FRAME IC,�] STEEL Q <br /> DESCRIPTION OF WORK �4. � �.LC. S P`"'�-� �``� �, ��►'` I c'"`�.S , <br /> L� ( ��_____� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �g�I�'��Nfi' � VALUATION QF TOTAL CONSTRUCTION <br /> QELECTRICAl. �i —� AMP SERVIGE Q PRO�RESS ENEI2GY Q W.R.E.C. <br /> ,�eer�' <br /> QPIUMBING $ ';( /�0, �s� � yj��j��', II <br /> � � � <br /> Q MECHANlCAI $ VALUATION C?F MECHANICAt.lIVSTALLATIOI3 � „ },}�J/"�� <br /> I ✓U 1/ <br /> QGAS Q ROOFtNG Q SPECIA�TY �� OTHER ����i ����`�-�� <br /> FINISHED FLOOR ELEVATIONS FLQOD ZQNE AREA QYES NO +—V <br /> � <br /> BUILDER COMP� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> ELECTRICIAEC COMPANYi <br /> SIGNATURE REGI$TERED Y/ N FEE CUFtRE� Y/N <br /> Addrgss Ucense# � � <br /> .....•.•-----._ q� ( � p <br /> P�UMBER COMPANY �V 1{', oc12.� t,�.,�•.bt+� cr� � �.� .� <br /> SIGNA7URE REGI3TERED Y/ N FEE CUI2RE� /N <br /> Address license# � � <br /> MECHANICAl. GOMRAi+lY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address � Licsnse# �� �� <br /> pTHER COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N. <br /> Address license# � � <br /> RESfDEN1'IAL •Attach{2)Ptat Plans;(2)sets af Bultding plans;{1)set af EnergjrForms;R O-W Permtt for new constructian, <br /> Minimum ken(10)vuorking days after subrrtittat date. Required onsite,ConstrucNon Pians;StormwaterPtans w/.Siit Fence instalied, <br /> � Sanitary Facilides&1 dumpster,Sfte Worfc Permit for subdivisionsAarge projects I <br /> CQMMERCIAL Attach{3)complete se#s af Ba3tdirig Plan`s plus a lafe Safeiy Page;(1)set of Energy Forms.R-O-W Permit for new constsuctlan. <br /> Minimum ten(10)working days'after submittal date. Requtred onsite,Construc#ion Plans,Stormwater Plans w!Siit Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site Work Permit for all new p�jects.All commercial requirements must meet compliance <br /> S1GN PERMIT Attacli(2)sets of Engineered Plans. <br /> '""•PROPERTY SURVEY required for all NEW construcdon. <br /> � <br /> Dlrestios►s: j , <br /> Ffll out applicaUon completely. <br /> bwnar&Contractvr stgn back of applicatlon,notadzed <br /> If over 52500.a Notice of Cammencement is�equireil. {AtC upgrades av I r�7540) <br /> " Agent(far the conVactot)or Power of�Attomey'(for the itiwner)would be someone with notarized letter from owner authorizing same <br /> dVER THE COUNTER PERMI'fTiNG ;` (Fronfiof AppElca6on Only} • � <br /> Reroofs if shingles Sewers Service;Upgrades A/C' � Fenaes;(RIoUSu i ey/Footage) <br /> Driveways-Not over Counter if an public�roadways..nee�fs`R{}Vft � � ft 1 <br /> I�� <br />