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s�s-7saooza City of Zephyrhills Permit Appfication FaX-az�-7so-ooa� <br /> Building Department <br /> Date Recelved~ 2_ 12..��, Phone-Contaet for Permltt4n 3 S �� _ (1 <br /> Owner's Name i n� LZ l� Owner Phone Number <br /> Owner's Address �'LOt,... Gwner Phone Number �� � <br /> Fee Simple Titleholder Name � .�t/��Q � Qwner Phone Number �� � <br /> � <br /> Fee 3fmple Titlehalder Address � <br /> JOB ADDRESS 2 ,, � �,' L07# � <br /> SUBDIVISION �� � PARCEL ID# <br /> (OBTAiNED FROM PROPER7YTAX NOTICE) <br /> WORK PROPQSED � NEW CONSTB ADD/ALT SIGSV [� Q DEMOLtSH <br /> ' e INSTALI 8 REFAIR � <br /> PROPQSED USE SFR Q CQMM Q tJTtiER <br /> TYPE OF CONS�i2UC1'ION � B�OCK ' Q FRAME � STEEI Q <br /> DESCRIPT'ION OF WORK l , Y'- i /UCJ�b CfGP C//C. _ � . /.�L � " <br /> BUILDING SiZE �� � SQ FOOTAGE HEIGHT <br /> �8U1l.DING $ r � � VAI,UATION`OF TOTAL CQNSTRGCTION <br /> QELECTfttCA� �� AMP SERVICE [� PROGi2ESS ENERGY Q W.F2.E.C. <br /> QPLUMBING �� <br /> OMEGHANICAL (�>� VALUATION flF MECNANlCAl.INSTALLRTION <br /> L <br /> QGAS Q RQOFING Q SPECIALTY Q OTNER <br /> FlNISHED FLOOR ELEVATIONS (��� Fl.OQD ZOI�fE AREA QYES NO <br /> L <br /> BUIIDER � C4MPANY /'' � ! � <br /> SlGNATURE REG1STEftEC1 Y/ IV FEE GllRREl� )� , <br /> Address I ���Gi �Z"ilrG�', �' Llcense# � ^ , <br /> ELECTRICIAN COMPANY <br /> SIGNATURE y REGiSTERED Y J N PEE CURREh Y/�1 <br /> Address License# �� � <br /> PLUMBER � � COMPANY <br /> SIGNATURE REGlS'TERED Y 1 N FEE GURE2ER Y t N <br /> Address License# � ` � <br /> MECHRNICAL COMPANY <br /> SI(3NA7URE REGtS7ERED Y/ N FEE CURREE Y 1 N <br /> Addre�s � License# � � <br /> 07HER COMPAt+1Y <br /> SIGNATURE REGlSTERED Y/ N FEE CURREi+ Y-t-N <br /> Address ' Ucense# � �� <br /> RESIDENTIAL - •�Attach{2):Plot�Plans;.(2)sets.of=Buitding Plans;{1)set of Eriergy`Farms;R-O-W Perinit far nerni constructian, <br /> MinlmumFten,(.1,0)working days,after.submlttal date:•Required onsice,Construoflo�Plans;Stormwater Plans w/Silt Fence installed, <br /> __ Sanitary Facilities&,1_dumpster.Stta Work:Rermit for subdidisionsAarge'projects <br /> CQMMERCIAt. Aftach{3}camplete sefs of 8uliding Plans plus a�ife Safety Page;{1}set of Energy Forms.R-O-W Permit for new constcuz�tion. <br /> Minimum ten(1Q)worictng days after submlttal date. Required onsite,Construotion Plans,Stormwater Plans w/Silt Fence lflstall+ed, <br /> Sanitary Faaititles&1 dumpstec Site Work Permit for afl new proJects.All commercial requlrements must meet compliance <br /> SlGN f'ERMIT Attacii{2}sets of Engineered Plans., . <br /> "••`PROPERTY SURI/EY requlred fir all NEW constructian. <br /> Directians: <br /> FUI out appllcation c,ompletely. ' <br /> Owner 8 Contractar sign back of applicaUon,notarized <br /> if over 52500,a Notice of Commencemant is requlred.�(A!C upgrades over 57500) <br /> i r. �~: ; <br /> Agent(for the contractor}or P6Vuer of'Attomey(fo�the owner)would be someane with natarized letter from owner authorizing same <br /> � C3VER THE COUNTER.PERMITTING (Front of Appilcation Only) <br /> Reroofs!f shingies Sewers ServEce Upgrades AtC Fences(PlotlSurveylFootage} <br /> driveways-Not over Counter tf on public roaduvays..needs ROW ` <br /> i',��_ - <br />