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��s-7aa-oozo C�ty of Zephyrhills Permit Application Fax-813•780-0021 <br /> Bullding Department - <br /> Date Recelved f Fhone Contact for Parmittin �j°J �1 'C - ��3 <br /> Owner's Name `✓Yt/l.,t� �•c1i�1'OS Owner Phone Number ,_,_,,,_ <br /> Owner's Address �( �.S� Owner Phone Number � � <br /> Fee�imple 71tleholder.Name �— � Owner Phone Number � `� <br /> Fee Sfmpte Tttlehotder Addrsss <br /> JOB ADDRESS 3 � �-��'� �� <br /> SUBDiVISIQN � � PARCEL ID# �� `�� �e`Z. --(t�d`� �CA` 210 .- '��g r <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORif PROPBSED NEW CONSTR ADD/ALT [� SIGN Q Q DEMQLtSH <br /> � e iNSTAi.L H REPAIR <br /> PROPQSED�USE , Q SFR Q COMM [� QTHER <br /> TYPE OF CONSTRUCTION _ Q BLOCK ~ [� FRAME � STEEI Q <br /> , <br /> DE3CRIpTION OF WORK � � <br /> Bti1LDING Si2E �� � SQ FOOTAGE�� HEIGHT ��_] <br /> QBUlLDING $ �.�.7� VALUATION OF TOTAL CONS7RUCTION � ��i'�C�l� <br /> L ti <br /> [�]E�ECTRtCAi. �> —� AMP SEF2VICE [� PFtOGRESS ENERGY Q W.R.E.C. <br /> QPLUMBfNG �i� <br /> QMECHANICAL $ VALUATtQN OF IVIEGHANICAi.t1�iSTAL.LATlON �" �� � ' <br /> � � c��� <br /> QGAS � ROpFING Q SPECfALTI Q OTHER <br /> FlNISHEQ FLOQR ELEVATtQNS �—� FLQOD Zt?NE AREA QYES NO <br /> BUII.DER COMPANY <br /> SIGNATURE REC`aE3TERED Y t N FEE CURREt+ Y!tV <br /> Address Cicense# � � <br /> ELECTRlCFAN ., CQMPANY <br /> 51GNATURE REGISTERfQ Y 1 N FEE CUI2RER Y 1 N <br /> Address License# � i� <br /> PLUMB�R �_-M-� CdMPANY <br /> SIGNATURB Re��s�Rea. Y/ N FEE GURREt� Y I N <br /> Address License# � � <br /> MECHANlCAL COMPANY <br /> SIGNATURE ttEGtS7Et�B Y/ N FEE CURttEtti Y f N <br /> Address� i License# <br /> O7HER � �j )� , COMPANY Y , <br /> SIGNATURE � ��.�/ REGlSTERED Y/ N PEE CURREi� Y/i�l . <br /> Address 9 '�i �Z- ' -i�';� �r.. License# Ca C C-�7$'rj L7�z- � <br /> RESlDENT{AL Attach{2)Flot Plans;(2}sets of�Buliding'Pians;(9)set of Energy-forms;R-O-W Permlt for new canstruction,.. <br /> Minimum ten,(1Q)waricing,days,aftec,submitital date. Requtred onstte,ConstrucGon Plans,Storn►water Plans wf Spt Fence installed. <br /> Sanitary Facilitles&1.dumpste,r,�Site,Work-Permit far subdWistonsflarge projects � <br /> COMMERClAL Attach{3}comptete sets af Buittlltig Plans ptus a Life Safety Page;(1}set of Energy Fotms.R fl-W Permit for new consUucBon, <br /> Minimum ten(10)worlcing days after submittal date. Required Qnsite,Construo8on Plans,Stormwater Pfans w!S11t Fence instatled, <br /> Sanitary FaclliNes 8�1 dumpster.Site Work Permtt far all new projects.All commeraial requirements must meet compUance <br /> SIGN RERMlT Attach(2)sets of Engineered Rlans. ° <br /> «"••PROPERTY SURVEY requtred for all NEW construckfon. <br /> Qlrectlons: <br /> Fil!out applicatlon co�stpletely. <br /> Owner 8�Contractor sign back of applfcatlon,notarized <br /> If over$2500,a Notice of Commencement is requlred. (A/C upgrades over$7500) <br /> '* i�gent{for the can'tractor)or Power of Attomey(for the owner)would be sameone with notarized�etter from owner authorizing same <br /> CiVER THE COUNTER PERMI'i'TIFiG , (Front of Appfitcation Only} <br /> Reroofs if shingies Sewers Serv3ce Upgrades A(C Fences(PIoUSurveylFootage} <br /> Drlveways-Not over Caunter if an pubilc roadways..needs ROW <br />