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a�s-ysaoo2o City of Zephyrhills Permit Application Fax-813aaaoo2� <br /> Bu9lding Deparfinent <br /> . . . <br /> Date Recelved Phane Contacfifor Permtttin <br /> Owner's Name {,G� t d t 7 Owner Phone Number '7 7 7` t �Z ' 3'�� <br /> l�wne�'s Address Owner Phone Nember � � <br /> Fee Slmple Titleholder Name � � Owner Phone Number �— � <br /> Fee Stmple Titleholder Address <br /> JOB ADDRESS �� 3'3 ��h A V t' LOT# �,,� <br /> SUBDIVISION �4 � PARCEL ID# � <br /> (OSTAINED PROM PROP@RTY TAX NQTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> P320POSED tISE k SFR � Ct3MM [� OTNER <br /> TYPE QF CONBTRUC710N . BLOCK � Q FRAME Q STEEI. Q <br /> . <br /> DESCRIPTION OF WQRK � C �w � ��v� '�1-ie�� �� GO�a"1 _ ,�CCr"' <br /> BUILDING SIZE SQ F001'AGE���. MEIGHT �_---� ���!����L�r <br /> 4m�-.:.�,� ._��_. <br /> QBUII,D1RtG � � VALUATION C1F TOTAL CONSTRUCTION <br /> QELECTR1CAl � � AMP SERViCE Q PRQGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING �� <br /> �MECHAi�lICAL $ 7��' �, VAlUATION C}F MECHANlCAI.INSTALIATION <br /> J <br /> OGAS Q ROOFiNG Q SPEGIAI.TY [� OTHEft <br /> FINISHED FLOOR EI.EVATIONS ��� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNA7URE REGI$7ERED Y/ IV FEE CURREA Y/N <br /> Address Ltcense# r� � , <br /> ELECTRICIAN ' � COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CUFtRE� Y./N <br /> Address License# � I <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAI. COMPAFiY IM 1 S � d � � ' rr t�lrc C I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ <br /> Address i Z r1� C�,c $tC cn� � ��C �, License# �d"'�C (�j�p yy � <br /> OTNEft COMPANY <br /> SIGNATURE REGISTERED Y/ N . FEe cuR�n Y/N <br /> Address License# � _ � <br /> RESIDENTIAt. Attach(2}ptot Rlans;.{2)sefsofi Buitding Pians;{1)set of'Energy�Forms;R O-W Permi#far new cansbvotion, <br /> Minimum,ten(10),working;days after.submlttal date. Requlred ansite,Constiuctlon Plans,Stormwater'Plans w/S(It Fence installed, <br /> � Sanlfary Faciiities&1 du;r�pster,Sfte Work•Permlt for subd3visionsllarge projeats <br /> COMNiERCiAL Attach(3)complete sets of Buitdirig Plans ptus a Life 5afety Page;(1}set of Energy Forms.R-Q-W Permit for new construc8on. <br /> - Mlnimum ien(10)'working days after submittal date. Required onsite,ConstrucUan Plans,..Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fac1l�Bes&1 dumpster.Sfte Work Permtt for all�ew projects.Aii commerclal requErements must meet compiiance <br /> SIGN PERMiT Attach(2j sets of Engineered Flans.. <br /> •«"»PROPERTY SURVEY required for all NEW canstructian. <br /> Dlrectlons: , � , <br /> FIII out applica8on completely. , � <br /> Owner&Confiactor slgn back of applicatton,natacized` � , � � � � , q , ` <br /> If ovar$2500,a Notice af Commencementis required. (A/C upgrades over E7500) = '_ -' ; � <br /> " Agent{for the contractor}or Powec of Attomey(forthe owner)woutd�be someone with notarized letter from owner authodzing same:- � <br /> DVER THE COUNTEFt PERMITTING ,(Front of Application:Only);,` ' ° � ' , � ' � - <br /> Reroofs if shingles Sewers • Seroice Upgrades.A/C; Fences•(PlotlSurvey/Footage) . , ' ' <br /> Drlveways-Not aver Counter if on public roadways:.needs ROW� � °�� �° µ~ <br />