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.�-� <br /> � � <br /> a��-7aaaa2o City af Zephyrhills Permit Applicatian Fax-a��-7so-ooz� <br /> `,` Building Department <br /> • �,y� <br /> Date Reaeived <br /> �-2,.Z � Phone Cantact for Permitting 'g�3 �'"t'08 _� 13 �� <br /> 1 i � i t 1 � 1 1 1 1 � t <br /> Owner's Name �C���E T�EQ Owner Phane Number �5 13" ��8� 6326 <br /> Owner's Address 3.5�1 �FR y�- �'� Owner Phane Namber � � <br /> Fee Simp[e Tiflehotder Nacne � � Owner Phone Number �� � <br /> Fee Simpte Tiflehalder Address <br /> JOBADDRESS t3�2J �E'Q''r� ^"� � LQ7# L�L_� <br /> SUBDlVlSION EM�RAe,c7 Pa ,„�?�' PaRc��i� �'����'�(-aeaza-�000�,- oG 9 0 <br /> {08TAlNED FROM PRQPERSY 5AX NQTIGE} <br /> WORK PROPOSED NEw CONSTR� ADDlALT � SIGN [� Q pEMOLISH <br /> INSTI�LL REPAIR <br /> PFt4POSED USE SFR � COMM � OTHER �,„�r7 B t�/ <br /> TYPE 4F C4NSTFtUCT{QN 8L4CK � FRAME � STEE� � <br /> DBSGRIPTION QF WORK �E�PL AG� "� �A�YI� Sl� !�t/ ��U'r�o 4�S <br /> BUILDING SIZE �� � SQ FOOTAGE� HEIGHT �� <br /> �BUILDING $ S�GS � VALUATION OFTCITALCONSTRUCTION � � ���'v <br /> QELECTRICAL ��� AMP SERVICE Q PROGRESS ENERGY Q W.R,E.C. <br /> QPLUMBING �a � � ��,! �� <br /> O ����� <br /> QMECHANICAL $ VALUATION OF MECHAN(CAL INSTALLATION ����5�1�' \ <br /> � �v.i <br /> QGAS Q ROaFING Q SPECIALTY � OTHER � �Q�� <br /> FINISHED FLOOR ELEVATIONS �—_-� FLOOD ZONE AREA �YES NO � <br /> .. . . . ... . . . . . . . . . . . <br /> , �j�r J�? <br /> BUILDER � COMPANY ����E� ��'G' �� NtapW,f <br /> SIGNATURE R��isTeaa� Y/ N FEE CURREN Y/N <br /> Address � � (_.otwNf�L(t TAMnA�',36o License# �G� )S/SrSy/ � <br /> HLECTRICIAN � CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# �- —� <br /> PLUMBER CdMPANY <br /> SIGNATURE RE�1sr�tzED Y/ N FEE CURREN Y/N <br /> Address License# �^T � <br /> NtECHANICAL � CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# �� �� <br /> OTHER � CON►pAPty <br /> 51GNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# � �� <br /> Illlltlllllltlllllllilittllllllllllllllllllillll. 11lllll � llllillllll <br /> 42ESlDENTiAi. Attach{2}P4ot Plans;(2)sets of Building Plans;{1}set of Energy Farms;R-0-W Permik for new construc#ion, <br /> Minimum fen(10)working days after submittai date. Required onsite,Consfruotion Plans,Starmwater Pians w/Silt Fence installed, <br /> Sanita,ry Facilities 8 1 dumpster;Site Work Permit for subdivisians/large projects - -- <br /> CQMMERCIAL " Attach{2}compie#e sets q�BuEtdi�g Plans pius a Life Safety Page,(1)set of Energy Forms.F2-O-W Pe�cnit for new canstruction. <br /> Minimum ten(10}working days afteT submittal date. Required onsife,Construction Piaris,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach{2)sets af Engineered Plans. <br /> "•'PROPERlY SURVEY required for all NEW construction. - <br /> _ Y ■ • • ■ • • •..■ • • Y • • �....■ 1 ■ ■..■ .■_.■ • • • • • � • • • ■ � • ■ <br /> l�P� ■ ■ ■ ■� �� � � �� � � i � M � � � � ��� ������ <br /> Direcfions: <br /> Fili out application compfetely - r. , -� ���'� <br /> Owner 8 Contractor sign back of application,notarized ��"�" --�--� - �' � � • <br /> If over$2500,a Notice af Comrr�encement is rec}uired. {AtC upgrades aver$7504} <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> QVEft THE COUNTER PERNItTfING : (copy of contraot required} <br /> Reroofs if shingles Sewers 5ervice Upgrades A/C Fences(PIoUSurvey/Foatage) <br /> Driveways-Nat over Counter if an public roadways..neecSs ROW <br />