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^ ;�� e��-�so-ooao City of Zephyrhills Permit Application Fax 813-7aaoo7� <br /> Buiiding Department _ <br /> Date Recelved Phone-Contaet for Parmittin - <br /> Ownar"s Name �1 {� Q ik bQ �-�- Owaer Pho»e Number � �""��^tD �. <br /> Owner's Address '�1��J �E'-�-1,�c.1� (��C`- Owner Phone Number f�� 3 "��� " (��2� <br /> Fee Simple Tltleholder Name � —� Owner Phone Number � � <br /> Fee Simple Titleholder Address � ��- �'1 �` !� '~-� �3� �" <br /> JOB ADDRESS �� oS �h N'l . r �I S , ,~� �J� -! G�- LOT# C__� <br /> SUBDIVISION � � PARCEL ID# <br /> (Q87AlkEQ PROM PROPERTY TAX NQTICE) <br /> WORK PROPOSED �NEW CONSTR ADDJALT � SIGN 'Q Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROP03ED:USE , Q SFR Q CCiMM � OTHER 11 G� <br /> 7YPE QF CONSTRUC710N , Q BI,OCK � �] FRAME [�] S7EEL Q <br /> « <br /> DESCRIPTION OF WORK �Q �•�.r' �a� 'G 2(�.Ce C� '�C��2.. k.l <br /> BUILDING SIZE � � S4 FOOTAGE C�, HEIGHT ��� <br /> QBUILDtNG �$--- Q 4``�'�..:", ,•�'��� <br /> �j_ /�/� a � VALUATION OF TOTAL CONSTRUC710N <br /> ��.L� �J <br />� QELECTRiCAL �� AMP SERVICE Q PRQGRESS ENERGY [� W.R.E,C. <br /> QPLUMBlNG �� <br /> QMECHANIGA� ��_ VAl.UATION OF MECHAt�ICAI.thlSTALLATlON <br /> QGAS Q ROQFING Q SPECIA�'TY �� OTHER <br /> FINISHED FLOOR EL�VATIONS ��� FLC70D ZQNE AREA �]YES NO <br /> ( _..-"`, <br /> , BUILpEit ' COMpANY <br /> '' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N . <br /> '� Address Cfcense# C� � <br /> ELECTRICIAN ., COMPANY <br /> � SIGNATURE REGISTERED Y/ N PEE CURRE� Y/N <br /> Address � License# r� —� <br /> i PLUMBER - COMRANY <br /> ' SIGNATURE REGISTERED Y/ N FEE CUFtRE� Y/N <br /> iI <br /> ' Address .License# � � <br /> MECMRNIGAL COMPANY <br /> SIGNATURE REGISTERED � Y/ N FEE CURRE� ' Y/N ' <br /> Addres$ License# � � <br /> OTNER COMPANY � �,� <br /> SIGNATURE REGISTERED Y/ N. „ FEE CURRE� . : Y L N <br /> = _ <br /> Address ' L'icense# � �� <br /> RESlDEIVTIAi: Att�ch{2)Pldf P}ans;(2}sets of�Building`P1ans;(9}se#af Energy�Forms;R-0-W Pemiit for new.congtruction,. <br /> , Minimum;ten,(1,0),rnrorking days after.subriilttal`date. Required onsife,Constiuctibn Plana;�Stormwater`Plans w/Silt Fence tnstailed, _ <br /> San!!ary Eacllitlesc&-1,dumpster.,Site WotkrP.,ermit for subil(vislotisttarge proJeots � , , <br /> COMMERCI�U. Attach{3}c�mpfete sets'of Builclirig`Plans plus a L'ife Safety Page;('!)set of Energy Forms.RA-W Permit for new canstrucUon. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,ConsUucdon Plans,Stormwater Plans w/Sfit Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all neinr'projecEs.Aii commerciaLrequirements must meet comp[fance <br /> 81GN PERM17' Attach{2}`s`ets of Erigineered�Ptans._� �, _ <br /> •••*PROPERTY SURVEY requlred for all NEW canstructlon. <br /> Dtractions: <br /> Fill out appiicadon completely. <br /> Owner&Contractor slgn back of appticatlon,natarfzed <br /> if over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> '" Agent(for ttie contrac4or)or Power of Attomey(for the owner)would be someone with notarized tetter from owner autho�izing s�me <br /> OVER THE COtiNTER PERM11TfNG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveway�-Not over Counter if on public roadways..needs ROW <br /> � — <br />