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, a�3 xeo-oozo City af Zephyrhills Permit Application FaX a�3-�saoa2� <br /> 8ullding Department <br /> II Date Recaived Phane-Contact for Parmittin <br />�I <br />', Owner'a Name ����'J���e /7€�11Y7� Owner Phone Numbet _ <br /> Owner's Address ���s f��S 1� �J �- Ow�er Phone Kumber �- � <br />' Fee S(mple Titleholder Name Owner Phone Number r- � <br /> Fee Simple Titleholder Address. � <br /> JOB ACIDRES� (o �! ��'� p /f?GrJ ��t.�� I.OT# C� <br /> SUBDIVISION PARCEL ID# (�OZ o2 ro oz �p�.. c�a O D O C�D O d t7 C� <br /> ' (OBTAlNEO PROM PRQPERTY TAX NQ7lGE} <br /> WORK PRdPOSED �NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTAtL e REPAIR <br />� PROPOSEO USE � Q SFR Q COMM � OTHER <br /> TYPE OF CON3TRUC710N . Q g BLOCK � Q FRAME C� 87EEL Q / <br /> DESCRIPTION OF WORK (� � !'L� ,S�veC!('C�' �t'��'"fJ CC h,T" (iv.1� / �Cv C-'�'' <Sc� �/'` ! V <br />� BUILDING SIZE � � SQ FOOTAGE C�� HEIGHT ��,i.� <br /> . QBUILpIRlG ($ � ��:�.;x._... _=_. <br /> I VALUATION OF TOTAI.CONS7RUCTION <br /> L�_ <br /> ELECTRICAL $ p _ AtNP SERViCE � PROGRESS ENERGY [� W.R.E.C. <br /> QP�UMBING � � <br /> QMEGHANICAC $ VALUATION OF MEGHANICAI.INSTAI.LAi'iC?N ��J��� <br /> �� � ],,�� <br /> QGAS Q R{30FING Q SPECIA�TY � QTHER j� j f`�' <br /> FINISHED FLOOR ELEVATIONS �� � FLQOD ZONE AREA QYES NQ <br /> g���-a�� COMPANY <br /> '�IGNATURE REGISTERED Y/ N FEE CURREn ,Y./N . <br /> Addres� Lfcense# r� � � <br /> Ei.£CTRtC1AN ,� ., COMPANY � /���"'�c�I�c T 2 i'Ca'�C�"c�uJ�'1; <br /> SIGNATURE �.'���— REGISTERED Y N FEE CURRE� Y/N <br /> Address D SG� ��f�/'�"' �' ��'o�`� •License# � G- 1.3b�D .5,�8t"�I <br /> I PLUMBER - � COMPANY <br /> SIGNATURE REGISTERED Y/ N �EE cu�tEn Y/N <br /> �� Address License# � � � <br /> I <br /> MECH,ANIGAL COMP,At�tY <br /> SIGNATURE REGIS7ERED Y�./ N FEE CURRE� Y/N• . <br /> Address License# r � <br /> qTHER COMPANY - - <br /> SIGNATURE REGISTERED Y/ N . Fee cuRrtEn Y-/N <br /> Address License# �— � <br /> �RESIDENTIAL Attach�2}Rlot P.lans;�j2)sats af:8u1lding:F'larts;`{1}set af Energy�Farins;�R-O-W Perrr�it for new ccnstruction, <br /> Minimum.ten°(�1.0):woricing;days;aftec,submittal-date. Required onsife,Construction�Plans;Stormwate�`Pians w/Silt Fence installed, <br /> Sanitary Facilitles.&�1:,,dumpste_r,Ske Wark;Rermit far sutidivistonsllarge proJeGts - � ° � <br /> - C�i�l�EiZ�if;i. Attach{3}camplete sets'of Builc�irig Plans plus a Ufe Safety Page;(1}se#of Energy Forms.R-O-W Permit for new cansUvc:tion. <br /> Minimum ten(10)warking days after submlttal date. Requ(red onsite,ConsUuctlon Plans,Stormwater Plans w/Silt Fence fnstalled, <br /> Sanitary FacElitles&1 dumpster.Site Work PermEt for ait new pro�ects.Aii ccmrnerciat.requirements must meet comptlance <br /> SlGN PERMIT Attactt{2)'se#s of Engineered Plans.; :�. . <br /> ••••PROPERTY SURVEY required fnr all NEW construcUan. <br /> ` Directlons: . ' <br /> Fiil out applfcatlon completely. <br /> Owner d�Contsactar sign baak of applicatton,notarized <br /> If aver E2500,a Natice of Commencement is required. (A!C upgrades over ffi7500) . <br /> `" Agent(far tlia contractor)or"Pbwer af Attomey(for the owner)would be someone with notarized letter ftorri owner autho�izing same " <br /> OVER THE COUNTER_PERMITTING (Front of Appiicatian Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubilc roadways..needs ROW <br />