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o��-�Qw���� Gity of Zephyrhills Permit Application Fax 813-78d-0d21 <br /> Building Department <br /> Date Received � � �f13 p��j _ ?/�� <br /> �'" ,s"�,,� Phone Gontact for Permittin <br /> Ownsr's Name ' +�" /n �/"'� Ow�er Phone Namber ,_,� <br /> f �/ g [j.�4 � <br />` Owner's Address �T � l �. Own�r Phone Number �� <br /> Fee Simple Tltleholder Name Owner Phone Number <br />� Fee Simple Titlaholder Address I <br /> JOB ADDRESS � I � �. L07# ���► <br /> � <br /> sueaEVis�oH �� � PARCEL ID# ��� '•26'a� �401 Q�l3S0 Q 'OQID <br /> I (OBTA4NED PRQM PRQPERT`f IAX NOTICE} <br /> W4RK PROPOSED NEW CONSTR ADDlA�T � 51GN Q [� DEMC}LISH <br /> e INSTALL 8 REPAIR I <br /> PRdPdSED USE Q SFR �] COMM C,I�] OTHER <br /> TYPE dF CONSTRUCTION Q BLOCK Q FRAME �� 5TEEL Q <br /> DESCRIPTIdIS OF WORK ��Vw+"Tl�'�.t,. ��i�' 8 0� O ij�/'Z A/ �."�S I� .�G� C.�'l�-! ���[ <br /> SUI�DlN6 SIZE � � SQ FOOTAGE C� � HEIGHT �� <br /> � QBUILDING � ^ VAI.UATiON OF TC}TAL CONS7RUC710N <br /> (ao aa <br /> QELECTRICAL ri � AMP SERVICE � PROGRESS ENERGY � W,R.E.C. j <br /> � ��� <br /> QPLUMBING $ � <br /> �" � �- , <br /> [�MECHANICAL ��--� VALUATION OF MECHANICAI.INSTALLA710N �(��� <br /> -�`(� t�," <br /> [�GAS � RQOFING [� SPECIALTY � OTHER 4� ti�� /,("� `�� <br /> � {� � <br /> FItVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �t „� �i <br /> � <br /> BUILDER CbMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ticense# � � <br /> ELEC7RICIAN � CQMPANY <br /> I SIGNATURE , REGISTERED Y/ N FEE CURRE� Y/N <br /> � Addr�ss License# `^�� <br /> i <br /> PLUMBER '�i� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address l.icense# �i �� <br /> MECHANICAL COMPANY <br /> StGNA1'URE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � ^ �� <br /> a�HE� ��� COMPANY , jRrfi.�' ��artta,l �ao��� 1�t4 <br /> 51GNA'TURE P,EGiSTERED ' Y! N FEE CURRE{� Y/N <br /> Address /�7� ��� . ��f Llcense# �CCo�rp3�o ��� <br /> � RESiDENTtAL Attach(2)Plot Plans;(2}sets of Building Plens;(1)set of Energy�Forms;R-O-W Permit for new construcUon, <br /> � Nllnfmum ten{10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FacfUUss&1 dumpster;Site Work Permit for subdlvlsions/large pro]ects <br /> � CBMMERCIJ4L Athach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit far new canstrucUon, <br /> Minimum#en(10}working days after submittal date. Required ansite,Construction Plans,Stormwater Pians.w/Siit Fence installed, <br /> Santtary FaciltUes&1.dumpster.Sife Work Permit•for alE new proJ�cts.Ail corrtmercia!requlrements must meet comptience <br /> SiGN PERM�T Attach(2)sets af Engineered Plans. � <br /> � ""PROPERTY SURVEY reguired for ati NEW canstruction. <br /> Directtons: <br /> � Fffl out appticatlon comptetely. <br /> Owner 8 Contractor sign back of appEicatlon,natatized <br /> If over�2500,a Natice of Commencement Is required. {A/C upgrades ovar�$750Q� <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized Istter fram owner authorizing same <br /> � DVER THE COUNTER PERMIITING (Front of Applicatian Only) <br /> I Reroofs if shingies Sewers Servlce llpgrades A!C Fences(PlobSurvey/Faotage) <br /> i <br /> Driveways-Nok over Counter if on publfc roadways.needs,R01N ��" �� � - . r <br /> i ' ? 1 <br /> . „ i . <br />