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o,,�-,ou-vU�� City of Zephyrhills Permit Application Fax 813-�r8o-oo2i <br /> Building Department <br /> Date Recelved p�'�";�� Phone Contact for Parmitting �j A '3 — ����� <br /> Ow���'s Name c.,1���"" Q��;— Owner Phane Number �,�'"'7��" �� <br /> Owner's Address �7�I� �l/��0� �" �'�'� �/`f J��.�Wner Phons Number _ ,_, <br /> Fee Simple Titleholder Name �` � Qwner Phone Humber � <br /> Fee S9mple Tltlehotder Address <br /> JOB ADDRESS �7,✓� � G.S�� L.OT# � <br /> suaa�vrsioN � � PARCEL iD# d�"��o�",I- �0/!1-��'�pc� - ,p o�O <br /> (OBTAINED FROM PROPERTY TAX NOTlCE} <br /> WORK PRQPOSED e NEW CONSTR 8 ADDtALT �� SiGN' CJ Q DEM�L.ISH <br /> INSTAL� REPAfR <br /> PROPOSED USE Q SFR Q COMM C� QTHER <br /> TYPE OF CONSTRtlCTIQN [� BLOCK [� FRAME C� STEEL Q <br /> DESCR�PTION OF WORK �¢� �D4'�'" /��G ,.S�i ,G �T� �.�t L'/t.�/Or.*4� � �' <br /> BUILQING SiZE �� � SQ FOOTAGE�� HEIGHT C�� <br /> QBUILDING $ � � � VA�UATION OF TOTAL CONSTRUGTION <br /> [�ELECTRICAL ($ --_� AMP SEF2VICE � PROGftESS ENERGY Q W.R.E.C. <br /> � <br /> OPLUMB�NG ($ —_� <br /> L_ ,� ��� <br /> QMECHANICAL $ VA�UATION OF MECHANICAL lNSTALLATlON �� � <br /> QGAS � ROOFING Q SPECIALTY � 07HER <br /> FlNISNED F1.00R E�EVATfOP1S � � FLOOD ZONE AF2EA QYES NQ <br /> BUILDER �� — ` CCIMPANY <br /> SIGNATURE �_ REGtSTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGiSTEREd Y/ N FEE CURRE� Y/N <br /> Address Ltcense# �— i ] <br /> PLUMBER � COMPANY <br /> SIGNATURE REGtSTEREO Y J IV FEE GURREh Y I N <br /> Address License# �` � <br /> MECHANICAt. �� . CdMPANY <br /> SiGNATURE ____`� REGISTERED Y i N FEE CURRER Y J N <br /> Address License# � � <br /> �l'H�R COiriPrgPlY �r/ ��C�y'o(,d/l�Odt�j�'•s '�iv, G � - <br /> St6NATURE � REGISTEl2ED Y! N FEE CUftRE� Y I I�I <br /> Address �^yQ ' �- �" �1 �'�?�'r�11 � ��;�,� License# ������1�e7l� � <br /> RESIDENTIAL. Attach(2}Plot Plans;(2}sets of Buitding Plans;(1)set of Energy FoRns;R-O-W Permit for new conshuctian, <br /> Minimum ten(1d}working days after submlttal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fencs instailed, <br /> Senitary Facilities&.1 dumpster,Site Woric Permit for subdivisionsAarge projects <br /> COMMERCIA� Aftach(3}camptete sets of Building Ptans plus a 4ife Safety Page;{1)set of Energy Famts.R-O-W Permit for new consfn�c8on. <br /> Minimum ten(10}woricing days after submlttal date. Required onsite,Construction Plans,Siormwaier PEans w/Siii Fence instalted, <br /> Sanitary Facitities&1 dumpster.Site Work Perrnft for all new proJects.All commercia!reqairements must meet campliance <br /> SiGN PERMIT Attach(2)sets of Engineered Plans. <br /> __ "'*PROPERTY SURVEY required for all NEW constniction. <br /> Dtrections: <br /> Fil{out apptication completety. <br /> Owner&Contractor slgn back of appllcat(on,notarized <br /> if over�2500,a Notice af Commencement is raqulred. (A!C upgrades over$7500) <br /> " Agent(for the contraotor)ar Power of Attomey(for the owner)woutd be someone wifh notarized tetter from owner suthorizing same <br /> DVER TNE COUNTER PERMITTING (Front of Applicatian Only} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PloUSurveylFootage} <br /> Driveways-Not over Counter if on public roadways..needs Ft4W <br />