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, <br /> 813-780-0020 City af Zephyrhills Permit Application Fax 813-780-ao2� <br /> - Building Department <br /> Date Received Ph'one•Cai�tact for Psrmltttn <br /> Owner's Nanne ��"��' � ' K�����`'�� Owner Phone Nurnber <br /> Owner's Address �32� 5�I V� �"� �� Owoer Phane Number �� <br /> Fee Slmple Tltleholder Name �� � Owner Phane Nunnber � � � I <br /> i <br /> Fee Slmple Titleholder Address � , <br /> JOB ADDRESS �3 ZO `��t de/"� �G�-�G-S '{3 r. i �h���n�{��, �c. 3 3 5�-i�Z LOT# ��� I <br /> �V�.r {�x.tC�, Ph. 9-. � <br /> su�o�visio� �� pnRC��i� b 3- 26- 2�- a!2.t� - O�c�c�-o t-t a <br /> I (OBTAINED FR4M PROPERTY TAX NOTICE) <br /> WQRK PRdPOSEd NEW tONSTR ADD/Al.T SIGN Q Q DEMt��ISFi � <br /> e INSTALL 8 REPAIR li '�� '��p•C,'rr� ' <br /> PROPOSED USE Q SFR Q GOMM � OTHER � <br /> TYPE O�IF CONSTRUCTION Q_ BLOCK Q FRAME� � STEEI. Q � <br /> DESCRIPTIdN OF WORK �ea''� �}�'�- `�- fe� '���� �t�� � . ��l � <br /> BUItDING SIZE �� � SQ FOOTAGE� HEIGHT � � <br />' QBUIt,DfIVG {"$"''' ? <br /> 1 (..�,(.(���' VALUATiON QF TOTAL CONSTRUCTION <br /> L_ � <br /> j QELECTFtICA� $�'� � AMP SERVECE � [� PROGRESS ENERGY Q W.R.E:C. <br />' �------ I �J,�, <br /> QP�UMBlNG $ � I � ��t�^'/ <br /> ' � � <br /> QMECNANICAI $ � VACUATION OF MECNANICAC tNSTALt.AT10N ' �°'j <br /> i i � 3'�J <br /> �I QGAS � ROOF!(�tG Q BPECIAI.TY iC� OTHER � <br /> �I <br /> , FINISHED FLOOR EI.EVATIONS �____� FLOOD ZONE AREA QYES NO ' <br /> I,i <br /> t�� � I <br /> i <br /> BUtI.DER CBMP� <br /> SIGNATURE RECaISTERED Y/ N FEE CURRE� Y/N ' <br /> Address ' License# �� � <br /> E�EC7RICIAN! COMP� <br /> SIGNA?URE REGI$TERED Y/ N FEE CURRE� Y/N <br /> Address � � <br /> � <br /> Lfcense# �� � <br /> P�UMBER COMP� <br /> SIGNATURE REGI37ERED Y/ N FEE CURRE� Y/N <br /> Address ( Llcense# � � <br /> I <br /> i <br /> MECHAN3GAL C{�MPAR+IY <br /> SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address ; license# �� � <br /> .�.„ „ I <br /> OTHER ' � COMPANY � �-�1 <� � �L ' <br /> S1GNA7URE REGISTERED Y N . FEE CURRE� Y �N <br /> � <br /> Address �10� 1� �S(Z- '�� �J t"1�i t(�. -{�'�,- �3�`t f'�, Ucense# �C. t 32.55t�Sr � <br /> ��5;63�Ca'T��:. „fiQaw'��{Z},YIO[CI�tiS�tL)SBIS Ot.Btll��((3�`PEBttS;{1}set of Energy=Forms;R-0-W Permit for new cansfruotioa, <br /> � Mlnimum.ten.(1.0)woiicing:daysafter subtntttal date. Requlred onsite,Construction Plans,StormwaterPlans w/S(It Fence installed, <br /> Sanitary�acil(des.&1 dumpster,�Slte Work:Permit for subdiVisionsAarge proJects� <br /> COMMERCtAL At#ach{3}complete sets of Bu1ldlrig�Plans plus a E.[fe Safety Page;{1}set of Energy Fonns.R-O-W Pennit#or new canstn�ction. <br /> Minimum ten(10)working days after submlttal dake. Requlred nnsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Senitary Facil(tles&1 dumpster.Site Wark Pertnit for all new projects:All commercial requirements must meet compliance <br /> StGN PERMI'f Attach{2)se�of Engineered-Ptans. � <br /> """PROPERTY SURVEY required for all NEW aanstructlan.� <br /> DErections: I <br /> FIII out applicadan completely. � <br /> Owner&ContracMr sign bacic of applicatlon,nofarized <br /> if cver=2500,a Natice af Commenaement Is required. (AtC upgrades�ver 57500j <br /> " Agent(fqr tha contractor)or Power of Attomey(tor the owner)would be someone with notarized letter from owner authorizing same . <br /> DVER THE COt3NTER.PERMITTiFiG, (Front of,Applicatton;Oniy) � ' <br /> Reroofs if shingles Sewers � Service Upgrades;A/C'- ":. Fences(Plod3urvey/Footage) , � <br /> Driveways-Not over,Counter.if on public roadways.;needs�ROW � <br /> ,. , � <br /> , ,,, �,� ;iro��: . : " ' �_ . _ _ . <br /> " . . -.. ._ u, ..��• .,;,1,,�,.., : .._ �. . _ <br />