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813-780-OOZO City of Zephyrhills Permit Appiication rax-a�a-rau-vv�r <br /> Building DeparEment <br /> Date�teceived• phone Cantacf far Permitfing <br /> Owner's Name �v 1���� �� ��'� Owner Phane Number <br /> Owner's Address• �l10(j iG� �k • Owner Phone Number�M� � <br /> Fee Simple Titleholder Name Owner Phone Number�� � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS i9v�S (�=" v�• c�h�Y`�''t�(s � F(,,, ��J��Z. �ar# [�� <br /> su�nrv�siaN �Sb�'t � pa�c��ia# 4�' Zl�- 2l- or��d- Oe l�b-- d2bc� <br /> (08TAINED FROM PROPERTY TAX NdTICE) <br /> W032K PROPQBED e , NEW CONSTR e ADDlALT � SIGN [� MOVE Q DEMOLISH <br /> INSTALL REPAIf2 <br /> PROPOSED U5E [� 5FR [� CQMM Q OTHER � <br /> 7YPE QF CONSTRUCTION �] BLOCK 0 FRAME [� STEEL Q OTHER <br /> .�5�c.(la..�� 6� t�W � G'�c'�Y'- �,. ISZ�'�1.12 <br /> DESCRIPTION OF WORK � <br /> BUTI.DlNG SIZE �� � SQ FOOTAGE�V.�� HEIGNZ' � _� <br /> [� BUILDlNG $ VALUAT40N OF TC7TAL GONS3RUCl`tON <br /> �C�.�b � <br /> [� E�ECTRlCAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R,E.C, <br /> � ���—� <br /> Q PLUMBING ($ ��V� ' � ���� <br /> � j <br /> [� MECHANICAL $ VALUA710N OF MECHANICAL INSTALLATION � <br /> [� GAS [� ROOFING [� SPECIALTY [� ' OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO . <br /> �_,�—� <br /> BU!l.QEtt COMPANY <br /> 51GNATURE REGISTEREb Y I IV FEE CURRENT Y/N <br /> Address License# ���ii� + <br /> ELECTRlCtAN COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRENT Y/N <br /> Address License# � � <br /> PLUMBER COMPANY <br /> SIGNATURE REGIS'fEREq Y/ N FEE CURREN7 Y/N <br /> Address Lfcense# �� �� � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRENT Y J N <br /> Address � Llcense# � � <br /> OTMER ' ��fl` COMPANY 3� �7 {- '������ ° <br /> SIGNATURE REGiSTEREd Y N FEE CURRENT ' Y R7 <br /> Address ���(3 52 5N h -��(�s� �. 3��(( Llcense# �b� U�b�''I � <br /> RESIDENTIAL�___Attach(2)Plok Plans;_(2)sets of Buiiding Plans;(1)set of Energy Forms;Ft-O-W Permit far new construckion, . <br /> Minimum ten(10}working days after submittal dafe. Requiired on§ite,Cansfruction Plans,Stormwater Plans-wl-51lt Fence instalfed,-- __ <br /> Sanitasy Faclilti�s&1 dumpster;Sfte Work Permit for subdlvEsConsJlarge projects - <br /> COMMERGlAL Attach(3)sefs of Bullding Plans;{1)set of Energy Forms.F2-O-W F'ermit for new�construction. <br /> Minimum ten(10}working days affer submittal date. Required onsife,Consfruction Plans,Stormwater Ptans w/Silt Fence insfaHed; <br /> Sanitary Faciiities&1 dumpster.Site Work Permlt for all new pta}ects.Atl commerclal.requlrements must meet compilance <br /> StGN PERMIT Rftach{2)sets of Engineered Plans. <br /> "*"*PROPER7Y SURVEY required for all NEW constructfon. <br /> Dlrections; <br /> Fili out application completely. <br /> Owner&Contract6r sign hack of appilcafion,notarfzed <br /> If over$250Q,a Notice of Commencement is cequ9red. {A!C upgrades over$5000) <br /> ** Agent{far the contractor}ar Power of Attomey(for the owner)wauld be someone with notarized letter from owner authorizing same <br /> • � . <br /> 'OVER THE COlJNi'ER PfFtMiTTiNG (Frotit of Appifcation Only} <br /> Reroofs Sewers.; ,' Servlce Upgrades A/C Fences(PlodSurvey%Fbotege) , ` <br /> D�iveways-Not over Counter if on pubilc roadways_.needs EtOW � - .. � �, . <br /> • ,. ' . � , p , y • ', } .. <br />