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�;�3-yso-oozo City of Zephyrhills Permit Applica#ion F�X-s�aaao-ooa� <br /> Bu3lding depattment <br /> Date Received � �� � Phone Contact far Pennittin ' ��3 - � J� <br /> Owner's Name �� O.$ Qwner Rhaste t+iurrtber <br /> Owner'�Address �o� �� �"f.3 Owner Phone Number � � <br /> Fee Slmple Tltleholder Name � Owner Phone Number �� � <br /> Fee Simple Titleholder Address �� " <br /> JOB ACIQRESS �( ..�-� � LOT# � <br /> �',r <br /> SUBDIVISION ��. PARCEL ID# f �a� ` ~� . O OC7c7_ Q(�(O <br /> (08TAINED FROM PROPERTY TAX NOTICE} <br /> WORK PROPdSED � NEW CaNSTR ADDlALT �� SIGN [� Q DEMOLISH <br /> e INSTALL. 8 REPAIR <br /> PROPOSED USE.„_ Q SFR [� CQMM � OTHEFt <br /> 7YPE QF CONSTRUC710N . Q BLOCK � Q FRAME C� STEEL Q <br /> 4 <br /> L <br /> DESCRIPTION QF WORK <br /> BU�LDtNG SIZE � � SQ FOOTAGE HEIGH7 C�,� <br />, QBUII.DING $ � �t2..... -�`�_._- M`==� <br /> VALUATION QF TOTAL COWSTRUCTION <br /> QELECTRICAi� �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �QALt1MSING $ � _ �j�fj�� <br /> �i QMECHANICAk. $ � VALUATION C?F MECHANtCA1.INSTA�IATlON <br /> �' 4 V��� <br /> � QGAS � ROOFING Q SPEGIAI.TY �'_] QTHER <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO <br /> BUIE.DER COMPANY <br /> 51GNATURE REGIS7ERED Y/ N FEE CURRE� Y/N . <br /> i <br /> , Addres� Llcense# r� � <br /> ELEC7RiC1AN n COMPANY <br /> 81GNATURE REGISTERED Y/ N FEE CUFtRE� Y/N <br /> Address • Ucense# � � <br /> � PLtlMBER COMPANY <br /> SIGNATURE REGI3'i`ERED Y/ N FEE CURRE� Y/N <br /> � Address License# <br /> MECHANfGAL COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE�- , Y/N, <br /> Address License# � � <br /> OTHER a��7k=�' }-����` COMPANY � <br /> SIGNATURE �'LJ REGISTERED Y/ N . FEE CURRE� Y/N. <br /> Address Z- �.,�J � �'- License# �cc-�S?? �-f 2- � <br /> RESiDENT1At; Attach{2)Plat Plans;(2)sefs of.Sailding:Plans;{1)set af Energy°Forms;R-O-W Permit tor new construc�an, <br /> Minimum,ten(10):wo�icing days,after.subr►iittal date. Required onslte,Constiirction Plans,Stormwater`Plans w/Silt Fence tnstalled, <br /> Santtary Facili6es&1.dumpsfer Slte'Work�Rermii for subdidistons/large pro�ects l � ' <br /> COMMEl2CFAL Attach{3}complete sets af Buitding'Plans plus a�ife Safety Page;(1)set af Enercjy Fartns.R-O-W Permit for naw conshvc6on. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facili@es&1 dumpster.Site Work Permit for aN new projects.Aii commerciat.ret}uirements must mest comp4fance <br /> SIGN PERMIT Attach{2}sets of Engtneered Pians.- • ' <br /> "`"PROPERTY SURVEY required for all NEW canstrucUon. <br /> Dlraatians: <br /> Ftll out appl(catlon completely. <br /> Owner&Cantractor slgn back of applica�on,natadzed <br /> If over 32500,a Notice af Commencement Is required. (A!C upgrades over$7500) <br /> '" Agent(for ttia contractor)or Power af Attomey(for the ownerj wauld be someone with notarized IeBer ftom owner autho�izing same <br /> DVER THE COtiNTER PERMITTING (FroM of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fenaes(Plat/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br /> � <br />