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s��-7eo-oo2o City af Zephyrhills Permit Application Fax 813aso-oa7� <br /> Building Depar#ment <br /> Date Recc�[v�d � �� Phone Contact for Permittin ��� �! 'i' - . .5 <br /> qwnsr's Name ! � j �Y�.,. Qwner Phaae Number _ <br /> Owner's Address ���S Z- � 2 � - �r `c� ` . Ow�er Phone Number �, � <br /> Fee Simple Tltleholder Name � Owner Phone Num6er � � <br /> Fee Simple Tltleholder Address � <br /> JOB ACIDRESS ���S�-- I ��-�' �� LOT# �� <br /> SUBDIVISIOId �� � PARCEL ID# � -�.��4r� c�)5 3Ka O -~ �` � <br /> � (QBTAlNEO FROlN PRQPERTY TAX N4T{CE) <br /> WORK PROPOSED NEW CONSTR ADDlALT �] S1GN � Q DEMOI.ISH <br /> e INSTALI. 8� REPAIR <br /> PROPOSED USE „ Q SFi2 [� COMM �] +OTHER <br /> TYPE OF CONSTRUCTION . [� 940CK , [� FRAME [� STEEI. Q <br /> � <br /> DESCRIPTION OF WORK /�'{ � <br /> BUfLDING SIZE �- �� SQ FOOTAGE�� HEIGHT ..� <br /> QSUit,DiNG $ oCJ -<,.'"���`+:� .�N�ry <br /> �Q�� ,_,,,,.� VALUATION QF TOTAL CONSTRUCTION <br /> .J <br /> QELECTRiCAL � _� AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C. <br /> �P�uMs�u� $ �,�-1p�10 <br /> OMECHANICAL �4�, VA�URTION tJF MECHANlCAI.INSTA1.lAT10N �%� <br /> i� <br /> QGAS � ROOFING Q SPECIA�TY �� OTHER � �j�t,�sr��/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��� <br /> � <br /> � <br /> BUILDER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L(cense# �� � <br /> �LECTRtC1AN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r— � <br /> PLUt+IIBER GOMPANY <br /> SIGNATURE REGI$TERED Y/ N FEE CURREA Y/N <br /> Address License# �— � <br /> , <br /> MECHRNICAI. �p�pqNy <br /> I SIGNATURE . REGISTERED Y/ N FEE CURRE� Y/-N <br /> I <br /> Address License# � � <br /> ' OTMER { / � COMPANY ���^Q-~"�. <br /> ' $IGNATURE l REGISTERED Y/ N . FEE CURREA Y/ � <br /> 1 <br /> Address Z �� ,,,`,, �..,J .�.- License# C.�'�� -�.5���"�---� <br /> RES1DENi'iAl; Attach{2)Ptat Pla�s,{2)sets ofiBuililing'Plans;{1)set af Energy�Porms;,R-O-W Permit for�ew canstruction, <br /> Minimum,ten(10)working days aRer,submittal date. Required onsite,Canstruction Plans;Stormwater Plans w/Sflt Fence installed, <br /> Sanifary FaclliSies.&1:,dumpster,Site Work•Permit for subdivistonsAarge projects <br /> COMMERCIAI. Attach{3}cbmpiate sefs of Bulldirig Plans plus a�ife Safety Page;{1}setof Energy Forms.R-O-W Permitfar new construction. <br /> Minlmum ten(10)working days after submittal date. Required onsite,Construcdon Plans,Stormwater Plans wl5ilt Fence installed, <br /> SaNtary Facfiitiss&1 dumpstsr.Site Work Permit for aif new projects.All cammetclai requlrements must meet compiiance <br /> SIGN PERMlT Attach(2}sets of'Engineered Ptans. � ° <br /> •`""PROPERTY SURVEY required for all NEW constructlon. <br /> Directlons: <br /> FIII out applicaUon completely. <br /> 4wner&Contractar sign back af appiicaUon,notarized <br /> If over E1'500,a Notice of CommencemeM is required. (A!C upgrades over 57500) <br /> `" Agent(for the contractor),or Power of Attorney(Wr the ownerj would be someone with notarized tetter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatiom On�y) <br /> Reraofs If shingles Sewers Service Upgradas A/C Fences(Plot/Survey/Footage) <br /> Drivewaya-Not over Counter if on pubiic roadways..needs ROW <br />