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- a��-�so-oozo City of Zephyrhills Permit Application Fax 813•T80-0021 <br /> $uflding Department <br /> Dats Received, ��1� Phane-Contact for F'ermltt[n �l� ��� - j �7 <br /> Owner's Name �-!^ "vw� � Owner Phone Number ���""` 7� o !�✓ <br /> �7 �1 � / i <br /> Owner's Address /J�' D �'f����/'����L�� ��..� � Owner Phone Number <br /> i <br /> Fee Simple Titleholder Name � � I Owner Phone Number �- � <br /> i <br /> i <br /> Fee Simple Titlaholder Address I <br /> JOB ADDRESS S�">'yI,�-'' i LOT# �__�� <br /> SUBDtVIStON ��-�5�/l ECt] �I LL� PAFtCEL ILi# l <br /> � (pBTA1NED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR AbDtALT Q SIGN Q Q DEMOLI�H <br /> � INBTALL 8 REPAIR I <br /> PROPt}SED USE Q 8FR Q COMM � t?TFIE{2 t�' <br /> TYPE OF CONSTRUCTION Q BL.00K � Q FRAME � $TEEL Q r���� � <br /> DESCRIPTION 4F WORK �NS��'[(/ ���t �1�1�1 ,(,�C✓�� ��iV� �'"��'✓L f.� <br /> BUiLDING SI2E �� � Sp FOOTAGE�_�; HEIGHT � j ^� <br /> i <br /> OBUII.DING � -ry�/j � VALUA710N OF TOTAL.CONSTRUCTION ���p�� � <br /> .G�7�P � <br /> QE�EC'iRIGAi. � � AMP SERtltCE � Q FROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBtNG � � I t !Q rJ� <br /> � ��� (/ <br /> L <br /> QMECHAiVICAI $ � VALUATION OF MECHANfCAC.lNSTA�LATION <br /> QGAS Q ROOFING � SPECIAk.TY � t}THER '���v <br /> � <br /> FINISHED FLOOR ELEVATIONS . � FLOOD 2QNE AREA QYES NO <br /> � <br /> � <br /> i <br /> Btt[CDER COMP� <br /> I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> ' Address i License# �� � <br /> � <br /> - i . <br /> ( ELEG7RECIAfi1 COMPANY <br /> ' SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N <br /> i � <br /> Address � Ltcense# �- � <br /> � <br /> P�UMBER � COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address � License# � <br /> ! <br /> i <br /> MECHANtCAL COMRANY <br /> , SIGNATURE REGIS7ERED Y./ N FEE CURRE� Y/-N <br /> � � <br /> 1 <br /> Address License# � � <br /> C}TNER COMPAN� f�" ��� ��f1/L�'�v <br /> SiGNATURE "^-� REGI57ERED Y/ N FEE CURRE� Y/N <br /> Address c�/l1� �101/}� �� �_!�t/�5� � •� ! License# � � <br /> RESIDENTIAL. Attach{2)P1ot.Plans;(2}sefs af Biaildtng`Plans,{1}set of Energy>Forms;R-a-W Permlt tor new c�ns#ruc�an, <br /> Mfnimum.ten,(10)warking;days after.submittal date. Required'onsite,Construction Plans,Stortnwater Plans w/Silt Fenae installed, <br /> Sanitrary FaciliUes_&1:dumpster,Site_Work�Rermi!forsubdivisionspar�s�projeats= --.--=----- --"`- -��"� " - -- ��- <br /> COMMERCIAl. Attac�(3}comPfete sefs�4f Bullditig Plans plus a I.ife Safe#y Page;(1}se#of Energy Forms.R O-W Pertn3#far new c�nstruction. <br /> Minimum ten(10)wa�icing days'after submfttal date, Required ionsite,CansUuctian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster,Site Worli Partnit far all new projects.All commercial requlrements must meet compliance <br /> SlGN PERMIT Attacti{2)sets of Engineeted f'lans. , <br /> ""PROPERTY SURVEY required for all NEW construcUon. j <br /> . <br /> biractlons: - <br /> FIII out applicaUon completely. � <br /> ' Owner 8 Contractor slgn back of appfica8on,notarized � <br /> if aver$2504,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> � <br /> `" Agent(for Uie contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> dVER TNE COUNTER PERMITt7FiG (Frant of App!lcatlon Only) � <br /> Reroofs if shingles Sewers 8ervice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> , Drivewaya-Not ouer Counter if on pubiic roadways..needs ROW i <br /> i <br /> I ("� <br /> I � - --- \ <br />