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a�s-�ao-ooza City af Zephyrhills Permit Application FaX-s�aaso-ooa� � <br /> Suflding Qepartment <br /> Date Received � 1�j �j Phone Contact far Perm�kting �� t� ��� — ���� <br /> pwner's Name ���r�. {,9,,� �.t,i�_ Owner Phone Numbar 0` �� �113` (�1�t� <br /> Owner's Address g W� Owner Phone Number � � <br /> Fee Simple Titleholder Name � � Own�r Phone Number � � <br /> Fee Simple Titieholder Address <br /> Jd8 ADDRESS � ��1 o Vv � n.� -�0,,.>.f� LOT# �_�� <br />� SUBDIVtS18N � ��' ���q-�� pARCEL ID# a z. �L�O' �' ' ���q17����(���Sc�1� <br />; �� <br /> (OBTAINED FROM PROPER7Y TAX NOTICE) <br />; WORK PROPCtSED e NHW CONSTR 8 ADDJAlT � S1GN Q Q DEMOUSH � <br /> INSTALL REPAIR �� <br /> PROPOSEd USE Q SFft Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ~ l,.c,,I (� � �,� �J, p����I fa <br /> BUfi���NG s�ZE � � SQ F007AGE HEIGHT �_----� <br /> � <br /> �B�i�'���� � � VALUATION OF TOTAL CONSTRUCTION <br /> L�. <br /> QE�ECTf21GAl. � � AMP SERVtCE Q PROGRESS ENERGY Q W.R.E,C. <br /> QPLUMBiNG r>� � �'^��a '� <br /> L � <br /> [�MECMANlCAI $ �f y��!_ VA�UATION OF MECNANtCA�INSTALIATION <br /> r � tr� <br /> C]c�as 0 RoaF�N� 0 sp�c��a.�nr � o�rH�� <br /> FINISHED FLOOR EIEVATIONS ��� FLOOD ZONE AREA QYES NO <br /> BUtCDER _� COMPANY <br /> $IGNA7'URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r� � <br /> ECECTRtC1AN COMPANY <br /> SIGNATURE „ , ,^ REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address License# � � <br /> PLUMBER C4MPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURI2E� Y/N <br /> Address License# �� � <br /> IVIECNANICAL �,(� � . COMPAt�lY ���}1@ti,!S. i'T�. t tR�C, Gonl.y <br /> SIGNATURE 'ti �` REGIS7ERED Y/ N FEE C RE� Y/N <br /> Addre�s License# �� � <br /> OTHER CQMPANY <br /> $IGNATURE r., REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address Cicense# �- � ' <br /> RESID�Ni'IAL Attach{2}Plot Plans;(2)sets of Buiiding Plans;{1)set af Energy Farms;R-Q-W Permit for new constructian, <br /> Minimum ten(10)working days after submittat date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisionsAarge projects _. - - <br /> G4MMERCIAL Attach(3}compiete se#s of Bu3lding Plans plus a�ife Safety Page;{1}set af Enet�gy Fo�rns.R-Q-W Permit#ar new cans#ructian. <br /> Mlnimum ten(10)working days'after submittal date. Required onslte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance <br /> SI�N PERMIT Attach{2)sets of Engineered P1ans. i <br /> "'•PROPERTY SURVEY required for all NEW constnacGan. <br /> Dlrectlons: <br /> FiD out applicallon completely. <br /> Clwner&Contractor sign back of appl(catton,notarized <br /> if over$250d,a Notice of Commencement is required. (AlC upgrades over�7580) <br /> `" Agent(for the contractor)or Power of Attomey(fcir the owner)would�be someone with natarized letter ftam owner autharizing same <br /> OVER THE COUNTER PERMt7TING ; (Front af Application t)nly} r ' <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plat/Survey/Footage) <br /> Drtvewayt�-Nat over Counter if on public roadways.:needs ROW -- •�~� � <br />