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s�s-�eaoozo City of Zephyrhills Permit Application Fax 813-78aaaz� <br /> Bu3lding Department <br /> Qate Received.,, � <br /> =Rhot�e-Ccntact.far Permlt�n -� — <br /> pwner's Name ' ('p. �71M . Y Qwner Phane Numbar f � -3� b T� . <br /> Owner's Address fOZ� � Q/ � . � Owner Phone Number �� � <br /> Fee Simple Titleholder Name � � � Owner Phone Number � ' � <br /> �7� � � <br /> Fee Simple Titleholder Address �' <br /> JOB AbpRESS z� G Q�C"' LOT# �___� <br /> SUBD1YtSiON � ��. � ' PARCEL ICI# - � <br /> � (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPC3SED '°NEW tONSTR ADDIA�T Q S1GN' Q Q DEMOIISH <br /> INSTALL REPAIR <br /> PROPOSED<t1$E Q SFR 'Q COMM �] OTF{ER <br /> TYPE OF CONSTRUCTION� � Q BLQCK "` �Q FRi4ME Q $TEEL Q <br /> pE3CRIPTION OF WORK � 4 t I�� �l �"� � <br /> BU1LDiNG StZE :� � ��FOOTAGE ���-� . , HEIGHI' �7 j � • <br /> ��,��- s«r._. <br /> 0����'����' $ �"�, ���j�(}(j VALUATION.CIF�'fOTA�CONS9`RUCTION <br /> QE�ECTRICAI: �� AMP SEF2VICE `� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBlNG �� . �� <br /> . <br /> .�j �2 <br /> QMECHANICAL $ ,,, 11 VALUATION OF MECHANICAI.tNSTA1.�P►TIC}iV <br /> � � <br /> QGAS � ROOFING :� SPECIAl.TY �,.� - OTHEf2. • <br /> �, FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA [�]YES NO <br /> � <br /> I� <br /> ; �su��.��� conn��r L' e JIC� <br /> � SIGNA7"URE REGISTERED Y/ N �e cutt�� Y/N: <br /> , <br /> � Address *.��� G! (GI� �✓U • � License# � � <br /> �� �LECTRIClAN - COMPANY - - � <br /> SIGNA7URE }' REGISTERED Y/ N FEE CURRE� Y/N <br /> � . � 4 <br /> Address " • License#� � <br /> • Pl.UMBER - GOMFANY - <br /> � SIGNA7URE � �REGIS'fERED Y/..N- � Fse cuwtEn- Y/N <br /> Address ` License#G� � <br /> MECHANlGAl.' � , COMPAt1Y 4. <br /> ' �SIGNATURE ' ��isTEr�o _ � Y./_N FEE cu�n Y/N <br /> Addrsss � � Llcense# � � <br /> � OTHER _COMPANY . <br /> SIGNATURE�� " ' � " `REGI87ERED' Y/ N... _ F6E CURREA Y/N' , <br /> Address -- �'�� , ' . _ t'icense# � � <br /> : RESIDEId'IYAR:,:�'At#ac�t(2};PIot:P..lans;.,(2):sets:of'8titlldtng"Plans;{:1)'sst-of Ertiergy.Forsris;�Ft=O-=W Peiiiniffcr naw�construc�,on, _ _, ' <br /> , � Minimum•.ten�(a1.0)wwo,rking;days�after subrrilttal date.;Requl`red.onslte;�GonsWoBon Plans;Stortriwater'Plans w/Silt Fenca installed, <br /> _ ....,._ <br /> ' �Sanitaiy FacillUes;&��1 Sdumpster�Sit�;Work:Permit�fcr subdivislons/Iarge proJects `:�.•�'"� :� ` ' � . <br /> COMMERCIAL Attach(3);cbmplete'sefs'o't"Buitding'Flans plus a E:lEe Safety Page;(1)set of Energy Fotms.F2-O W Permit for new construc�ian. _ <br /> Mtnfmum ten(10)waricing days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllitles&1 dumpsier rtSite Work Peantt for al!new projeats:All commerclal requlremenis must meei camp8ance <br /> SIGN PERM!'F Attacti'{2)`sets af'Engtneered;Plans.,;�,>:=::�,.;,�-.�: ,„- . _._ „ , . <br /> ,••• _� _. ,._.Y..Y reguired„for all„NEW_construcdon._ <br /> PROPERTY SURVE __ - <br /> Direattons: :�a,,, _ , <br /> F(II out applicadon completely. <br /> Owner&Contractor stgn back af appllcatlon,notarized <br /> tf aver�250d,a Nottce of Commencement Is required. (NC upgrades over 5�500) <br /> '" P`qent(for ttie�contr'acta'rj or Power af Attoriiey(fo�;the owrier)would be someone with nptarized lettar from owner authorizing same <br /> DVER TtiE COUNTER�PERM11"fING-. .,�. .(Front of.Application bnly)��,.� • , <br /> Reroofs if shingles Sewers Service Upgrades•A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubilc roadways..needs ROW_ _ : ',_ <br />