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813-?84-0Q2Q City af Zephyrhills Permit Appiication Fax-843-78Q-�021 <br /> , , , Building Department <br /> Date Recalved � �°'���'Z,.,p� �. phone Gontaat for Permlttfn j�'� �� — ���7 <br /> 9 � �� <br /> Owner'�Name ,�-r-R�/t Owner Phone Number �� �7 7�v <br /> Ownar's Address � r� d u�- ��� �° Owner Phone Number � � <br /> Fee Slmple 7ltlehalder Mame �— �� t?wner Phone Number � � <br /> � <br /> Fee Simple Titieholder Address ' <br /> yj � /� ��.� <br /> JOB ADDRESS �J7 O/ S� c�.f`LOT# � <br /> SUBDIVI810N � � PARCEL ID# <br /> (OBTAiNED FROM PROPERTY7AX NOTiCE) <br /> WORK PROPOSED NEW CONSTR ADD/AtT [� SIGN Q Q pEMOI.ISH <br /> e "INSTALI. 8 REPAtR <br /> PRQPOSED USE C] SPR C] GONIM [� OTHER <br /> T1fPE QF COMSTRUCTfON Q BLOCK ' [� FRRME [� 5i'EEi. Q <br /> DE3CRIPTION OP WORK V / 1 � v�'v`"" <br /> BUtLDING SiZE �--� SQ FOOTAGE�� HEIGHT L�� <br /> [,�BUIl.QING ffi � �"''' � VALUATIQN'i7F'1`OTAL CONSTI2UCTION <br /> � _.� <br /> [�ELECTRICAL ��-�� AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QP�UMBING �$��� '� � <br /> ��_ �U <br /> QMECHANICAL $ VAIUATIQN OF MECtiANtCAI IN�TALIAZION �� � � <br /> [�GAS [� ROOFING �J SPECIAL.TY � OTHER <br /> FINISHED FLOOR ELEVA710NS �-� F�OOR ZQNE AF2EA QYES Pi0 <br /> � y� <br /> BUILDER � � , L`��� C�COMPANY Cl W�� <br /> SIGNATURE REGi$TERED Y 1 N FEE GURRE� Y/N, . <br /> Address , - Ltcense# �� � _ <br /> EI.ECTRICIEW jf"�y �, L�i�'-S COMPANY t,���'��✓f`'j <br /> SIGNATURE � REGISTERE4 Y f N �E cui�tte� Y I N <br /> Address � Llcense# ��� "� <br /> P�UMBfR � � COMPANY <br /> SIGNA7Uf2E ( REGlSTERED Y f N FEE CURREt� Y!N <br /> Address License# �� I <br /> MEGHANICAL CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE GUi2REt� Y/IV <br /> Address- l.icense# C�` � <br /> OTHEfi COMPANY <br /> S�f3NATUFiE ' REGl57ERED Y! N _ fEECUR�� , YlN. <br /> Addresx �" License# � � <br /> RESfDENT1AL Attach(2),Plot Plans;.(2)sets�.af Building'Plans;(9)set of Energy Fdrms;.R Q-W Permit for new canstruction, <br /> Minimum:ten(-1.0);working.days after.subrriittal date: Required onsite,Construction Plans;Stormwater Plans w/Silt Fenae tnstalled, <br /> Sanitary Facilitie,s&,1,dumpster Site Work•Permit for subdidisionsllarge project� � <br /> COM!'1�ERCIAl. Attach(3}compfete seis af Buitdlrig Pians ptus a�ffe Safeiy Page;{1}set of Energy Forms.R Q-W Permtt#or new canstnsction. <br /> Mlnimum ten(10)work(ng days'after submittal date. Required onsite,Constructlon Plans,Stortnwater Plans w/Silk Fence lnstalled, <br /> Sanitary Facilitles&1 dumpster.Site Work Pertnit for all,new project's.Al)commerciai.requlrements must meet compliance <br /> St�N PERMIT Attacti(2)sets of Erigineered.Pians....� ; �� . <br /> ••"«PROPERTY SUR1/EY required for all NEW conshuctton. <br /> Qirections: <br /> Fill out application campletely. <br /> Owner 8�Contractor sign back of applfcatlon,notarized <br /> if ovec 52500,a Notiee of Commencement is required. (NC upgrades ovar 57500j <br /> '� Agent(far the contrac#or)or Potiver of Attomey{far the owner)-wautd.be someane with notarized tetter ftom owner authorizing same <br /> OVER THE COUNTER'RERMI'fTING i: (Fronf of Applicatiom Oniy}' " <br /> Reraofs ff shingles Sewers Service Upgrarles AlC , Fences.,{PIoUSurvey/Faotage) <br /> Driveways-Not aver Counter if on public roadways..,needs ROW.,, ,... <br />