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� <br /> s��-�ao-oo�o City of Zephyrhills Permit Application Fax-813-780-0021 ' <br /> Buliding Department <br /> y � . <br /> Date Rsceived Phone-Contact for Permitt[n �U �� �l� � – ��� <br /> Owner's Name �! C l � �d � •v�.� Owner Phone Number � <br /> 1 <br /> Owner's Address Owner Phone Number � � I <br /> Fee Simple Tltleholder Name �_ I Owner Phane Number � —� <br /> s <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS �� � `I v � G�.�' t �'�1 L07# C__� <br /> SUBDIVISIQN �� � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> W4RK PR{3POSEQ � NEw CONSTR AUDIA�T � SIGN Q [� DEMOLISFi <br /> INSTALL REPAIR <br /> PRQPOSED USE Q SPR Q GOMM C� OTHEF2 <br /> TYPE OF C4NSTRUCTION Q BLOCK ' Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �V� � G--��YZ �U {��'�°C� <br /> BUILDING 31ZE �_ � SQ FOOTAGE��`� HEIGHT ��'�—� <br /> �g����iN�`' � � VALUATIOt�''fJF T07AL CONSTRt1CTION <br /> .J <br /> QE�ECTRICA� � � AMP SERViCE Q PFiOGRESS ENERGY Q W.R.E.C. <br /> �P�UMBlNG $�/��✓ . (�� <br /> / V <br /> QMECHAN2CAl �� VAt.UATIQN C}F MECHANlCAL INSTR�LATfON <br /> QG�S Q 12OOFlNG Q SPEClAI.TY � QTHEi� <br /> FINISHED FLQOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BlltI.DER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N . <br /> Address License# � . <br /> EI.EC7RICtAt� CQMPANY <br /> SIGNATURE µ� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � Ltcense# � � <br /> ��UMBER � � COMP.ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � � <br /> MECHANICA[. C{)t41�PAEtY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address� License# � � <br /> t" t.l�-��'" �� �Y�� '(�� • <br /> OTHER COMPANY <br /> SIGNATURE � REC�I3TEREd Y! N FEE CU n , Y <br /> ,,,,_.�,,,,_ <br /> Addrass � - Ucense# �� ���� � <br /> RESiDENTiAL :Attacti(2}Plot R1ans;(2}sets of BulldF'ng'Plans;{1)set'of Energy°FQrms;R-0-W Pertnl#for new canst�vstian, ' <br /> Minimum;ten-(10);working days after.subrriltta�date. Requtred ansite,Canstiuction Plans;Stormwater�Plens w/Silt Fence installed, <br /> Sanitary Facilitie&.&;,1a:,dumpster Site'Work_P.ermit for subdiv.isiansflarge proJects ' ' <br /> C4MMERClAL. Attac�{3}�riiplete sets"of Bulti3lcig'Plans ptiis s I.Ife Safeiy Page;{1}set of E�ergy FoRns.R-O-W PeRnit far new cons#nsc�on: - - <br /> Mfnimum ten(1p)worktng days after submfttal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Santtary FaclliBes&1 dumpster.Slte Work Permit for all new proJects:All c:ommercial requirements must mest compliance <br /> SIGN PERMIT Attacfi'{2}sets tlf'Engineer�Plans.§. . <br /> """"PROPERTY SURVEY requlred for all NEW construckion. <br /> D3racttans: � <br /> Fill out applicaUan completely. <br /> Owner&Contractor sign back of apptfcation,notarized ' <br /> If over S25fl0,a Notice of Commencement is required. {AJC upgrades over 37500} <br /> " Agent(for the contraotor)or Power of Aktomey(for the awner)would be someone with notarized letter from owner authorizing same <br /> dVER 7'HE COUNTER PERlVIITTING {Front o€Applica�on Onty} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Piot/Survey/Footage) � <br /> � <br /> Driveways-Nat aver Counter if on pu6ila roadways..�eeds ROW <br />