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shsaao-oozo City of Zephyrhills Perrrrft Application F�-ais-�so-oos� <br /> . Sui[dirrg.Department <br /> Date Received Phone Cnnfaetfor Permitlin <br /> . }�r �y , ((('''��� . i• <br /> Qwners Name I V (/ � Qwner Phone Number � � /� � <br /> _ ...... <br /> pw.3er•s Addtess !t�"�CJ 4-+�l �1 Qwner Phone Nnmtaer <br /> Fen Simple 7itleholder NamB Owner Phoce Number �-- � <br /> Fee Simple 7'nlehoider AddteSS <br /> J08ADORESS r I LTGa 6! jl•�'—* � fl r J L6T# [� <br /> SUBDIVISION �� PARCfiL.IpC //~G(��W�vIJI �I �L.G/`1� <br /> [087AiMED fiR61A PRVPEKiY TAX NOIFCE} <br /> WORK PROPOSED e NEW CONSTR B ADDfALT Q SIGN Q Q DEMOLISN <br /> qVSTALL REPAIFt <br /> PROPL}SED USE Q SFR Q COMM Q OTHER " <br /> TYPE OF COFISTRUC770N Q BLOCK Q FRAME Q STEEI Q <br /> DESCRIPSiON OF WORK lf c�.�"I� l/� Q� �"� <br /> BUILDtNG SI2E ���//{.�'/ . SQ FOOTAGE�J`"'� HEI6HT •�, <br /> �BUiLOtN6 $ S Dd Gj�I VALUATION QF TOTAL CONSTRUCTION <br /> � <br /> QELECTF?7CAL �. � AMP SEf2ViCE Q PRfJGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� . ���-'"�J ��� <br /> QMECHAMCAL 5 VA�UATiONOFMECHANICALlNSTALLATIQN �l / J � <br /> QGAS Q RQOFEt3G O SPECiA�TY�O OTHER �� "" <br /> FINISHED ROOR ELEVATIONS � FLO00 ZONE AREA QYES Np <br /> BUILOER � � COMPANY � � <br /> 31GNASUR� REfli8TERID Y1 N �curzaE� Y/N <br /> Atldress Licen.se�i � � <br /> E�EGTRlGiAN � � COMPANY � <br /> SIGNATURE REo15'{Eam V i M FE£CI1RREf� Y/N <br /> Address ticertse��� � <br /> PLUMBER � � COMpANY � <br /> SIGNATURE aEcisTERm Y/N F�cuFaEn Y 1 M <br /> Address license#i � <br /> 6tECHANiCAt � � COMPlWY � <br /> SiGNAT!!RE REG15SER£D Y 1 N FEE cuiutEn Y t Ft <br /> Address License� � � <br /> OTHER -�� �^------� COMPANY .. ,��3���, f7—I�IG � �__.--..G.J. <br /> SIGNATURE ~� r�a�sreaeo J N FEE Cl1RRE� Y 1 <br /> ,���SS ' � r ' I � ���a� G�G�l�l�5''�' <br /> �` , <br /> � � � � � � � � � � � � � � �:� � � � � � � � � � � � � � � � �► �� � � � � � � � � � � � � � � � � � � � � � � r � � � � � � � � <br /> RESIOEM1pL Attach(2)Plqt Plans;(2)sels of BUAdittg'Plarts;(t)sd at Energy Fams;R-0-W Permit far new cortstruttion, <br /> �tuTinimum ten�{t0}worls;ng days atter su6mittai date..Reqe�ired onsiie,Consvuction Ptans,Stoimwater Pians wl$iif Fenca in`stalled. <br /> Sanitary FaCiHtfes&1 dumpster,Site Work Permit for subdiv+sionsAarge projects <br /> GOMMERCIAL Altach(2)canplele seLs ot Building Pians plus a Ufe Safety Page;{1)set.of Energy Forms.R-0-W pertnit for new consWction. <br /> Minimum ten(1Q)worki�g tlays afte�aubmival claie_ Required onsite,Consirucpon Pians,Stortnwater Plans w)Silc Fence iiutaded, <br /> Sanifary FBCitiiies&1 dompster.Site UYaFc Permit icss ai!new projBCts.AY cc�rimerctat requirements must meet cqmpPiance <br /> SiGM AERtdtT AtMCh(2}SeLS Of Engineeted PIanS. <br /> ""'PROPERTY SURVEY required fa aA NEW cOnstructian. <br /> �.}�(CGG4(19: <br /> Fiit aut sppEiptipn comptetety <br /> Owner&Contractnr sign back ot applicalion,notari�ed <br /> It over 52500,a Notica of Commencement is required. (AIC upgrades over 5750�) <br /> "' A�nt(t4r the conuactorj or Prnver of Attomey tfa'tne a.vnerj vxiutd be someone 1vim notamred�etter fmm armer auth«ivrsg same <br /> 4VER THE CQUNTER PERMITTING (cqpy oF oontract required) <br /> Reroofs if shingles Sewers Servfce Upgrades NC Fences(plaUSurveylFootage} <br /> Ddv¢ways-Afat over Ccunter iE on pubBC roadway5..needs RpW <br />