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a�s-�eo-oozo City of Zephyrhills Permit Application Fax 813-780-002� <br /> ' � Building Department <br /> Date Recelved �.. -�� Phone Contact far Permittin - <br /> Qwner's Name l�� i�.i� L.�. �uvner Phone Number <br /> (�wner's Address �J� 0� 1 �-� `�- Owner Phona Number � , „ � <br /> Fee Simple Tltleholder.Name �� �s Owner Phane Number � � <br /> Fee Simple Titlehotder Address <br /> JOB AbDRESB C>p � 2 N,1`S �3� LOT# ��� <br /> SUBDIVISION �� � PARCEL Ib# . <br /> (OSTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTi� ADD/At7 �� SIGN Q Q DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED�USE , Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUC'T'ION , . [� � BI.00K � Q FRAME � STEEI. C] <br /> DESCRIPTION OF WORK �i G(]Q,,L�� C.�. SV.�+1� <br /> BUILDING SIZE ��� �t�- � �� ,,, ,t . � t� � <br /> SQ FOO7AGE HEIGHT �� S.�_• �r—"'' <br /> 08UII,DING $ �"'""�_"' --.' <br /> �s Q,p � VALUATION QF TO7AL CONSTRUCTION <br /> QEIECTRICAL $�'� �.�� AMP SERVICE � PRQGRESS ENERGY Q W.R.E.C. <br /> ��Ooa <br /> OPLUMBING $ ��(� � �� • � � �j � <br /> v�� J ��� �� <br /> OMECHAN1CAl $ ��„O VALUATt4N OF MECHANICA�.fNSTACLATlON <br /> r,. <br /> QGAS Q ROOFING Q SPEGIALTY � OTHER <br /> FINISHED FLOOR ELEVATIpNS ��� FI.00D 20NE AREA QYES NO <br /> BUILDER � <br /> C �PJ4131t 4�" c"�.'�3'�"� <br /> 51GNA7UR REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� C.5'►� ''�v � � License# �� � <br /> �A �Z <br /> ���cr�c��w ��`� ���%C�tC�,�� I�' `�oMPa�nr tY1{��i.� �,�,,,� �al r�7 <br /> 51GNATURE REGI5TERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PLUMBER COMP.ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � .License# �� � <br /> MECHAi+11CAL r <br /> `j'2-'� �= Y��?�'�'" �iMpt►t�ir a� � �C. <br /> SIGNATURE REGISTERED Y:/ N FEE CURREn Y/N ' <br /> ' Address License# � � <br /> {w <br /> ! �J <br /> OTNEFt COMP�WY <br /> SIGNATURE REGISTBRED Y/ N FEE CURRE� Y/N- � <br /> Address Llcense# � � <br /> RESIDENTIAL � Attach(2)Plot Plans;(27 sets:af Bultdtng Plans;{1)set of Energy�Forms;R-O-W Permit for new construction,., <br /> � Minimum�.ten(10);worl%ing.days aftec.submittal date: Requlred onsite,Constiuctlan Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&•1:dumpster Site Work�Pertnit for subdtvislonsAarge proJects <br /> COMMERCIAl. At#ach{3}camplete sets af 8uiidlrig'Plans ptas a�ife Safety Page;{1}set of Energy Farms.R-O W Permit#or new construc�tion. <br /> Minimum ten(10)woricing days'after submittat date. Required onsite,CansUuctlon Plans,.Stormwater Plans.w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site Worli Permit for aU�new�projects.Alt cammercial requlrements must meet comptfarice -,_,� <br /> SIGN PERM#T Aftach{2)sets of Engineered Plans. <br /> "`"PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out applicadon completely. • <br /> Qwner 8�Contractor sign back of appifcaUon,notarized <br /> If over S2SOd,a Nottce of Commencement is required. (A/C upgrades over a7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)wauld be someone with notarized letter from owner authp�izing same <br /> t3VER THE COUNTER RERMITTiNG (Front of Appllcation Ontyj <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PloUsurvey/Foatage) <br /> Driveways-Not over Counter if on pubtic roadways..needs ROW <br />