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��-oozo City af Zephyrhills Permit Applica#ion �aX s��-�saoaa� <br /> Y 8uilding Dep�artment <br /> ,i! Phane Contact for Permtttln - <br /> ame <br /> � 'lA� Qti,� � �.t� �� ' Owner Phone Namber � ��`�� b� `� � <br /> Ps Address ���^1� Q�� �� �i � Owner Phone Number �� �: "� "I� ��� "��^1 <br /> e Slmple Titleholder Name �- � Owner Phone Number � � <br /> / <br /> /Fee Slmple Titleholder Address <br /> f ����J JOB ACIDRESS � �-1 ` d�.�`� ��' '� 'i LOT# <br /> � <br /> 1 ' - c��.^Zb�21�c��. s t��9 �b �.b��t � <br /> SUBDIVISION ��1���+C�� � PARCEL ID# I <br /> I (QBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP{>SEd NEW CONSTR ADDlAIT � SlGRI Q [� DEMOLISH <br /> , e INSTALL 8 REPAIR I <br /> PttOPOSED USE Q SFR [� COMM [� OTHEE2 <br /> TYPE QF CONSTRUGTION Q BI.00K '� Q FRAME � STEEL Q <br /> DE3CRIPTION OF WORK � Cti C�- � ► U�1,�S� � `J�Z�. / S�Z L <br /> . <br /> BUILdING SiZE SQ FOOTAGE � �� � HE�GHT ��� <br /> QBl11LDiNG �� �-1-r� VALUAT�ON OF TOTAI.CONSTRUCTION <br /> J � <br /> QELECTRtCAI. ��-� ATVIP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING C � � ,��,..,,�1 l <br /> QMEGHANtCAR. $ VAIUATtON OF MECHARIlCA�INSTA�IAi'iON , <br /> ����' I <br /> QGAS Q RQOFING � SPECIA�TY ; OTHER <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA [�YES NO <br /> I <br /> BUlLDER r�'� COMP� �� �{r <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Addres� Ltcense# � � <br /> El.ECTRICIAFI COMPANY <br /> �I SIGNA7URE w� � REGISTERiD Y/ N FEE CURRE� Y/N <br /> Address License#' � <br /> _ I <br /> PLUMBER COMPANY <br /> SIGNATURE REG157ERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address License# �� � <br /> ! <br /> MECMAPlICAE. CdMPANY <br /> I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> �� Addrss� license# �� � <br /> � � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Addres� ticense# � � <br /> i <br /> RESIDENTIAt. Attach(2}Plat Plans;{2}sets af Buliding"Ptans;{1)set af Energy�Fonns;R-O-W Permlt far new canstruc#on, <br /> Minimum ten(1.0)working`days after submittal date. Required onsite,ConsUuctian Plans;Stormwater Plans w/SIIt Fence installed, <br /> Sanitary Facilities&1 dumpste.r,Site Work=Permit for subdivislonsllarge proJects <br /> COM9V(ERCtAt,. Attach{3}cdmplete sets of Building Plans plus a l.ife Safety Page;{1}set of Energy Fatms.E2 O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Canstruction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster.Sit�a Work Permit for all new proJects.All cemmerela!requlremenfs must meet compliance" <br /> StGN P�RMfT Attach{2)sets of Englneeced Plans. � � <br /> "`"PROPERTY SURVEY required for all NEW constnicUon. i <br /> Dlrectlons: � <br /> Fill out applicaUon completely. <br /> Owner&Contractor slgn back of appiicatlon,notarized a <br /> if aver 52500,a Notice of Commencement is required. (A!C upgrad�s over$T500j <br /> `" Agent(for the contractor)or Power of'Attomey(for the owner)would be som'eone with notarized letter ftnm owner authorizing same <br /> CtVER THE COUNTER PERMITTING (Front of Application Only) � � � � � ' '"'�� ' � '` '�' � - ° <br /> Reroofs if shingles Sewers Service Upgrades. A/C �--Rences•(PIoUSucvey/Footage) ; , ,, �, � � .� ' � • <br /> .� - - ,,. �•, ,u `-'" . � =� j . , , , ' <br /> Driveways-Not over Counter if an puEsHc roadways..neeci`s RdW ` _ ' " . , , , , , ' . � <br /> ' _.�. . 1 i. ' �(:� 0. ,,�` ._ ,.. ."_ ' ' •' . .-. ..�- .'_'�lr .. . '" ' <br /> ;, v � , . �. .v, .._. ... _v�,« ».,I-' ' <br /> I <br /> I <br /> i <br />