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s�a-�SO-oozo City of Zephyrhills Permit Application Fax 813-780-OQ21 <br /> : <br /> ,. Butlding Department <br /> DatsRecetv,sd� s,<;r�tN`�..' ",ow,...�.��.�..`.` .,,=s �` - <br /> Phone Contact for PecmlEtln �t•� .��,. - <br /> � ,, (� y'`� �,���� a = :, ,, , �j ��� 1 � /� <br /> Owner'sNaine'; !:�-{J;����r �-�-� '� � �`'Owner.PhoneNumber.:'' �i"� � <br /> Owner'sA�`;j4d,ress ��v l ��� �S �`� :�.'."�-'�Obiin�r�Pho�le�Number,• :°.• �� <br /> •" ' ,�iE.J' e� •� <br /> , i;'r `� ` . ". ., i � . •1 � <br /> Fee Simple TIt1eNolder.Name �, �Owner=Phorie Number <br /> . � �, :f J <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS �� ��� JJ ��� 2<-' � IrG1 �1�S �I LOT# C� <br /> SUBdIVISidN �^ � PARCEI.tD# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WQRK PF20POSED tdEW CONSTR ADDlALT � SIGN [� [� DEMOLiSH <br /> INSTALI. REPAIR <br /> PROPOSSD USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEI. Q <br /> DE8CRIPTIdW OF WORK �od`� Qv,Q,✓"~� s�•rt. jC.s <br /> � <br /> B1l1LDING SIZE ! �� � SQ FOOTAGE�� HEIGHT � �� <br /> B�«����" � �� VALUATION QF TOTAL CONSTRUGTION <br /> /s .,, <br /> QELECTRICA� r�� AMP SERVtCE � � PROGRESS ENERGY Q W.R.E.C. <br /> L <br /> OP�UMBING <br /> � � <br /> � <br /> QMECHANtCAL (�>_� VA�I{ATIQN OF MECHANICAL iNSTAl.�,4T10N TJ I�,S"�I S <br /> t W <br /> OGAS � RQOFIlVG Q SPECIALTY [� OTHER <br /> FIIVISHED FLOOR ELEVATIONS � � F1.00D ZONE,AftEA QYES NO <br /> BUti.DER �� COMPANY C`�Jtit)z t 5�J �a r+4 Yy.GT�'a,'•1 <br /> SIGNATURE / � REGISTERED Y/ FEE CURRE� Y/N <br /> Address �� � Td�^ �/r/t 5i� License# �CC./3e��5�1''r''� � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PIUttIIBER � � CQtVIFA�IY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address License# �� �� <br /> MECHANICAt. Ct1MPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � -� <br /> OTHER CUMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address Llcense# � �� <br /> RESlDENTIAL: At#ach{2}Ptat Pians;.(2}se#s ot.Building Plans;(1}set of Energy�Forms;R-O-W Perinit far new construotion, <br /> Minimum.ten(10)workfng.days aftecsubmlttal date. Requlred anstte,Constructlon Plans;Stormwater Plans w/Siit Fence installed, <br /> Sanitary FacillUes 81;dumpster Site Work:Rertnit for subdivisionsAarge projects <br /> GOMMERCIAL Attach{3}cample#e sets of Building Plans ptus a�ife Safe#y Page;(1)set a#Energy Farms.R-Q-W Permif far naw canstructian. <br /> Minimum ten(1d)working days after submittal date. Required ansite,ConsUucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> - - - Sanitary FaciliUes 8 1 dumpster.Site WoMc Pertnit for aA new projects.All commercia!requlrements must meet compilance <br /> �StGN FERMIT Attach{2)sets af Englneered Plans., � <br /> ""PROPERTY SURVEY required for all NEW constructfon. <br /> Directfans: <br /> FIII out applicaUan completely. <br /> Ou+mer&Contractor stgn back of applicatton,rtotarized � <br /> if over 52908,a Natica of Commencemen#is required. {AtC upgrades over;7500} <br /> '" Agent(for tFie Contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> dVER TFtE Ct3t1NTER RERMI'ITING {Front of Appticatlon Only} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubNc roadways..�aeds ROW <br />