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elsaaaoozo ' City of Zephyrhills Permit Application raX-��a-���-�uz�� <br /> Building Department _ <br /> i}ate ReGetved � �_ ` � Phone Contact for Permitting <br /> Owner's Name ��\��e. � ` � Owner Phone Num6er <br /> Owner's Address �,�CJ 1 �� Owner Phone Number� � <br /> Fee Simple Titlehoider Name Owner Phane Nom6ar� � <br /> Fee Simpte Titiehotder Address <br /> JOB ADDEtESS ���� 1�� � i 1 ���1 1� �+ �� ��� LOT# �� <br /> suso�vtSEo� [! � PARc���o# c� o� C�C� o� C�d 01 C'SO <br /> {OB7AIHEO FROM PROPERTY TAX NOTiGE� <br /> WORK PROPOSED e NEW CONSTR e ADDIALT Q SIGN C] MOVE Q pEMOLISH <br /> tNSTAI.L REPAIFt <br /> RROP05ED USE 0 SFR � • COMM Q OTHER <br /> TYPE OF G4NSTRUCTtON Q SLOCK 0 FRAME [� STEEL Q OTHEFt <br /> DESGRIPTION OF WORK �c�i ' e-!\WS� � S� `��t � I��,`� � � <br /> BUILDING SIZE � � SQ F007AGE� � HEIGHT <br /> ! 0 BUILDING r�/"�E /�� VALUATION OF TOTAL CON5TRUCTION <br /> ' � � V v <br /> � ELEC7RICAi, �$ � AMP SERVtCE [+� PROGRESS ENERGY C] W.R.E.C. <br /> � <br /> � PLUM6ING �$ � , ��� G� <br /> � �;{r�' � <br /> 0 tv1EGNAi�lICAL � � ALUATION OF MEGFtAFJlGA�IAlSTALLATtON �! <br /> �►�i�.�o <br /> � GAS Q ROt7F1NG SPEGlALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLCIOD ZONE AR�A QYES QNO <br /> 8U1Li}ER GOMPANY <br /> SIGNATURE REGIS7ERE0 Y/ N FEE CURRENT Y!N <br /> Address License# �� � <br /> ! ELEGTRlGlAN COMPANY <br /> SiGNATURE REGISTERED Y J IV FEE CUI2RENT Y J N <br /> � Addres� � �icense# �� �� <br /> � <br /> ' PLUMBER COMPANY <br /> S16NA'1'IIEtE REGISTEftEi} Y/ �I �E$CURREiJT Y/N <br />� Address License# � � � <br /> MECHANICAL COMPANY <br /> SlGNATURE REGISTEREO Y/ N FEE CURRENT Y!N <br /> Address Llcense# r V��_ � �,fJ`1�Ck. � <br /> OTHER COMPANY <br /> SIGNA7UR REGISTEREO Y/ N FEE C RENT Y/N <br /> Addre / �.�.�� b t � -e �"�„()�1 �i�/'�. Lfcense# � � <br /> RESiDENTiAI. Aftach(2}Plot Plans;{2}sefs of Buildiag Pians;{1)set of Energy Forms;E2-O-W Perrnit far new construction, <br /> Minimum ten(10)working days after su6mittal date. Required onsite,Construckion Plans,Stormwater Plans w/Silt Fence installed, <br /> a�'anftary Facilities&1 dumpster;Site Work Permit far subdivisionsllarge projecks <br /> GOMMEFtGiAi. Attach(3}camplete sets of 8utfding Plans plus a Llfe Safefy Page;{i)set oE Energy Forms.R-O-W Permit for new consWctlon. <br />—�-�-- �- ,- - PJlinimum,•ten(10)�r�orking days-after submittal-date:-Required onsite,-Construction Plans,Stormwater P_lans w/Silt Fence installed,_ <br /> 8anitary Factlikies 8�1 dumpster.5ite Workc Permit for al!new projects.A!!commercial requirernents must meet compqance � <br /> StGN P.ERM�'i" Attach{2}sets of Ertgineered P1ans. <br /> ""'PROPERTY SURVEY required for all NEW constnaat(on. ' <br /> Directians: - <br /> Fifl out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> i#over$25QQ,a Notice of Cammencement is requlred. (AIG upg�ades over$SUOQ� <br /> "' Agent(for the contractor)or Power of filtarney(for the owner)would be sameone with notarized letter from owner authorizing same <br /> I OVER TFtE GOUNTER PERMITTING {�rant oFApplication Oniy} <br /> Fteraafs Sewers Service t,ipgrades AIC 'Fences(Ptot/Survap/Footagej � <br /> Driveways-Not over Counter if op pubiic roadways.:needs ROW <br />