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� ' i <br /> s�3aso-oa2o , � Gity of Zephyrhills Permit Applicatian Fax-s�s•�sa-oaz� � <br /> , . . Building Department ` � <br /> . -. +�. ' . <br /> bate Received Phone Contaat for Permitting – <br /> Owner's Name (.?� �� /�'f!� 'l�/�' Chwner Phone Number <br /> Ow�er's Address 3 ` � l (J���� Owner Phone Number �_ � <br /> Fee Simple Tittehoider Name �^ � Ourner Phone Number � � <br /> Fee Simple Tit�eholder Address <br /> JOBAdDRESS ��� �� ��J� �� LOT# �__� <br /> SUBDIVISION � � PARCEL ID# #�' ���P y��rG�}-� ���� J�C�' �C�d� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) , <br /> WORK PROPOSED e NEW CONSTR 8 ADDlALT � S1GN Q Q DENtOCISN <br /> INSTALL REPAIR ' <br /> PROPOSEDtJSE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � S7EEL Q <br /> DESCRIPTiON OF WdRK �.0 ��G,� �oZ� 1�4L L-' C t irW?G"�' <br /> BUIIDING SIZE �� � SQ FOOTAGE E� HEtGHT ��� <br /> OBu����N� '"' r___i� VALUATIORI OF TOTAL CONSTF2UCTtQN <br /> L <br /> ELECTRiCAL $ . D�� AMP SERVICE �s �ROGRESS ENERGY Q W.R.E.C, <br /> �PLUMBlNG �i � <br /> �MECNANICAL �>� VRLUATIQN QF MEGHANICAL 1NSTA�IATfON �J �/'�L,�C 'i <br /> � j <br /> QGAS Q ROOFfNG Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES Nd <br /> BUELQER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I.icense# �` � � <br /> EI.EC7'RICIAI+! �f��"'7 GOMPANY ��`4.�',r f`C� ��G !���"" f vl��` j� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# f!:� �,�'.X�/�-� �} i <br /> P�UMBER � CONIPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# �� � <br /> MECHANICAL COMPANY <br /> SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> 07NER COMPANY <br /> SiGNATURE REGiSTE(2ED Y/ N FEE CURRE� Y/N <br /> ......�.. <br /> Address l.icense# �^ � <br /> RESIDENTIAL Attach(2)Ptot Plans;(2}sets of Building Plans;{1)set af Energy Farms;R-O-W Permit for new construction, <br /> Minimum ten(10}warkEng days aftet submittal date. Required onsite,Construction Plans,S#ormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&.1 dumpster;Site Work PeRnit far subdivisions/large projects <br /> COMMERClAL Attach{3}complete sets of Suifdirtg Pfans pfus a Life Safety Page;(1}set of Energy Forms.R-Q W Permit fior new constiisct'son. - <br /> Minimum ten(10)working days'affer submittat date. Required onsite,Construction Ptans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit far all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)ssts a#Englneered Plans. <br /> •*'*PROPERTY SURVEY required for ail NEW conskruction. <br /> Directfons: <br /> Fiit out application cc�mpletety. <br /> Owner&Contractor sign back of appl(cation,notarized <br /> If aver�2504,a Notice af Gommeneement is required. {A!C upgrades aver�T8d0) <br /> " Agent(for the contractor)or Power of.Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> C1VER THE CQUNTER PERMITTIN� �'"'(Ftarif of,4pplication;Onty}.; <br /> Reroofs if shingies 5ewers ;Service Upgrades�A/G -�• Fences(PIoUSurvey/Footage) <br /> , - , ,. -� <br /> Driveways-NoE over Counter if on public roadwa}rs..naeds ROW ' <br />