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e�saso-oozo City af Zephyrhills Permit Application FaX-a�a-�aaoaa� <br /> � Buitding Department <br /> Date Receiv�� " Phone-Contact for Permtttln � l�� - ��u� <br /> pwner's Name v�- C1 Owner Phone Number ��-�" �J"� G�' <br /> Owner's Address � � �/!l.'�' {� � Owner.Phone Number �� � <br />', Fee Simple Titleholder Name �� � Owner Phone Number �� � <br /> Fee Slmple Titleholder Address <br /> JOB ACIDRESS C.�'�`,��/ Q�//lJ�12 ��K� �� I.OT# C� <br /> SUBDiV1SION � � PARCEL Iq# �^3 � �l ���� ��� f��� <br /> (0@TAINED FROM PROPER'IY TAX N0710E} <br /> W012K PROPOSED e NEW CONSTR� ADDlALT � SIGi3 Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR [_] COMM � OTh[ER <br /> TYPE 4F CONSTRUCI'ION Q BLOCK � Q FRAME � S7EEL Q <br /> DESCRIPTION OF WORK l�f+L-"S�7a�@AI�Y!�I',j �,�� C�/�i`N L�DG[� 3 �N Z Cl�7d`) Dq,��/� <br />'i BUiLDiNG S1ZE <br /> � � SQ FOOTAGE C�� HEIGHT C_� <br /> �B�«'���� �_� VALUATION OF TOTAL CONSTRUCTION _ <br /> ..�1 <br />, �El.ECTRICAi. $ AMP SERVICE Q PRQGRESS ENERGY [� W.R.E.C. <br /> QPLUM8ING �� <br /> QNIECHANICA� $ ��-fy�/ �� . VA�IlATlON OF MECNMIICAI.iPISTA[.IATtON <br /> �� <br /> QGAS Q ROOFIPlC`a Q SP�CIAI"iY � QTNER <br /> FINISHED FLOOR ELEVATIONS ��� FI.QOD ZONE AREA QYES NO <br /> BUiCDER COMPANY <br /> 31GNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �! � <br /> EI.ECTRlCIAi�t _, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Licensa# �- � <br /> P�UMBER COMPANY <br /> SIGNATURE Re�iStEREo Y/ N ��e cu�t�n Y/N <br /> , Address License# �� � <br /> . j� �j <br /> ' MECHANICAL �������.tp/)LLI,� C�MAAI�iY ��3��/7��`i'�1l��Lj�"�`%t-''.,-T�� <br /> I 51GNATURE REGIS7ERED Y./ N FEE Cu�RE� Y/N <br /> Addrsss� 7'i��f ��l�R� ��. �/'�j/��S � License# �����3,/� � <br /> t}THER COMP,AlriY <br /> 51GNATURE REGIS'I'ERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# � � <br /> EtES1DENTiAt Attach{2}Ftof Plans;{2)sats of=Building'Plans;{1}set of Energy~Forms;R-tJ-W Perinit for new t�nstructian, <br /> Minimum.ten�(10)watking days aftec;subrrilttal date. Required onsite,Construction Plans;Stortnwater Plans w/Sllt Fence installed, <br /> Sanitary Facil(Ues&1.dumpster;Slte Work:Rertnit far subdivlstonsAarge proJecis � , ''L _ <br /> G01VINf�RCiAL Attach{3)complete se#s of Bu3ldtag f'lans plus a�ifet,Safety Page;{1}set of Energy Focros..R Q-W Permit for iiaiN construi:Uon. <br /> Minimum ten(10)warking days'after submittal date: Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facllitles&.1 dumpsler.Site VVorlc Pertnit for all.new projects.All commercial requirements must meet camptlance <br /> SIGN PERNt1T Aftach(2}set`s af Engineered-Plans.�. � <br /> "••PROPERTY SURVEY required for all NEW const[uctlon. <br /> Directtans: <br /> Fill out applicatlon completely. <br /> Owner 8�ContracMr sign back of appifca8on,notarfzed <br /> If aver E2500,a Natice of Commencement is required. (A/C upgrades over b7580j <br /> MM Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with notarized letter from owner authodzi�g same <br /> t3VER'YtiE COUNTER.PERMIT[ING - {Front of Applicatlon Only) <br /> Reroofs if shingles Sewers 8ervice Upgrades A/C Fenaes(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roedways..needs ROW <br />