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a��-�ao-aozo City of Zephyrhills Permit Applica#ion Fax-813-780-0021 <br /> Build'mg[Iepartment <br /> pate Received I phone Contad for Pertnitting � 1 <br /> [ ! 1 t � [ � 1 'f"*T�"�CO='JJ.� � � � � � � 1 1 TI-i' <br /> Owners Name 4�hC f1 t'""� Qvmer Phone Number � <br /> Qwnefs Address �QT S� ; Owner Phane Number �� � <br /> Fee Simple TiUeholder Name �! � Owner Phone Number � �� <br /> Fee Simple Titleholder Address <br /> d08 ADDRESS ai� � tS L.+ LOT� � <br /> SUBDlVISION C���S��Y I PARCEL ID# {Oarattaeo�mut PRaP�tn'Ttix cuOZtCE} <br /> WORK PROPOSED e NEW CANSiR� AQD/ALT O SIGN Q Q DEMOUSH <br /> INSTALL REPAIR � <br /> PRBPOSED USE Q SFR Q COMtN � dTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL. Q <br /> DESCRIPT(ON OF WORK '�! Y� �^�t�i/i"� �L� ~ I���� <br /> BU1LQlNG 3iZE SQ FQOTAGE�—� HEIGHT I� S�L� <br /> �BUILDING �� VALUATION OF 70TAL GdNSTRUC710N <br /> QELECTRICAL ($� AMP SERVICE � Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING � � <br /> MECHANlCAI �� VALUATION OF MECHANICAL INS7ALLATION � ����� <br /> � � � � <br /> �GAS � RQOFING Q 3PECIfLL,TY Q OTHER <br /> FlNISNED�IOOR ELEVATIONS �� PL040 ZClNE AREA QYE$ NO <br /> BUtLDER � � COMPANYi �— � <br /> SIGNA'I`URE aecls7�rteo, Y/ N Fee cuRREn' Y/N <br /> Address License# � � <br /> i <br /> ELECiRlCIAN � � COMPANY <br /> $ICa[�SATIlRE REGI5TERE i Y 1 N F£E CURREP Y t N <br /> Address License# <br /> i � <br /> PLUMBER � � COMPANY �� <br /> SIGNATURE J REGISTEREO Y/ N FEE CURRE� Y/�^ <br /> � i <br /> Address ttcense�#�— � <br /> � �� <br /> MEGHRNSCA3: COMpANY �_l!���T I I� �`!""� <br /> StGNATUR REC�sr�o �[ Y 1 N �cuRrt�r. Y!N "�— <br /> q�d Liwnse# �— I <br /> OTHER COl�'1PAb1Y � <br /> SIGNATURE �^ � REGISTEREO Y/._N FEE CUF2RE� Y/N <br /> Address License#�� � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllillllllllltllllllllllllllll <br /> RESIDEM3lAl. Attach{2}Piof Pfans:{2)sefs of Buitding Plans:{t)set of Eneigy Farms:R-O-W Permit tor new canstruction. <br /> Minimum ten{i Q)wark'sng days after submittat date. Required ansite,Canstrue6on Pians.Stormwater P1ans w!SiSt Fence instatted, <br /> Sanftary Faeilities 8 1 dumpster;SRe Work Petrnit for subdivisionsllarge projects <br />� COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely Paga;(1)set of Etiergy Forms.R-O-W Permit for new conswction. <br /> i Minimum ten{1 p}worKing days after submittat date. Required onsita.Cons{ruetion Piafls,Stotmw8ter Ptans w!Silt Fence installed, <br /> Sanibry Faalities 8 7 dumpster Site Wock Perm3t for aH new projects.Ali commeraat requirements must meet compflance <br /> SIGN PERMIT Attech(2)sets oT Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction.; <br /> I <br /> Directions: <br /> �II out application cpmpletery. <br /> t7wner&CoaVactor sign back of appliqtion,noiarixed � <br /> (f aver 525Q0,a Notice of Commencemeryi is reqaired. {WC upgrades aver 57500} <br /> " Agent(for the contraGtor)or Power oi Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> .OYER THE COUNTER PERMSTf7NG4 {copy af canbact roqu3red)• � <br /> Reroofs fishingies Sewers Service Upgrades AtC Fences(PtotJSucveylFootage) <br /> Driveways-Not over Counter it on pubfic roadways,.needs ROW <br /> I <br /> I _"_, <br />