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a�s-7eaoo2o C�ty of Zephyrhills Permit Appl�cation Faat 813-780-0421 <br /> ,�. ., :� BuUding Qapartment <br /> Date Received ' phone•Gantai:t"far Permlttin - <br /> Owner's Name A'1 C�'` Owner Phone Number <br /> Qwner's Address � � '�� Qwner•Phone Number � �� <br /> Fee Slmple Tlttehoitler Name �� � Qwner Pfione Number � � <br /> _ �--- <br /> Fee Sfmple Tltiehoider Address " <br /> JOB ADDRESS �� � � �� � lOT# �"� <br /> 5U801VISIQN � � PARCEL ID# � <br /> � (08TAINED FRQM PROPERTY TAX NO'T�CEj <br /> WOitfC NROPOSED � NEW CONSTR ADDJAI.T C� SIGN [� Q DEMOLISH - <br /> , e INS'FfU.L 8 REPAfR <br /> PROPOSED USE [� SFF2 Q COMM � ClTHER <br /> TXPE OF GONSTRUGTION Q BLOClt ' Q FRANiE Q STEEI Q <br /> � ` <br /> DESCRIRTION OF WORK ��! " I'�ra <br /> BUII.QING Si2E �� � SQ FOOTAGE C-__� HEIGHT �,_� <br /> �8�������' L . � VALUATION`OF�TOTAL CONSTRUCTION <br /> [�]E�ECTRICAL $ ,-- �� AMP SEi2ViCE Q PROGRESS ENERGY Q W.Ft.E.C. <br /> L.���=,.� � <br /> OP�UMBlNG ($ � <br /> i` �� � �t � � <br /> QMECHANICAL $ VALUATlON QF MECHANICAL INSTAl.LATlO�!j�c 1 � <br /> I <br /> � OGAS [� ROOFlNG Q SPECIALTY Q 03HER <br /> F!NlSHEQ FLOOR ELEVATtONS �� FLOQD ZONE AREA QYES. NO <br /> � �._„ <br /> BUi1.DER COMPANY <br /> SIGNATURE REGlSTERED Y 1 N FEE CURRER Y I E2 <br /> Addres$ Ltcense.# � � <br /> �� —� • �!� <br /> ELECTRiClAN ,�,—,.,—..� —��.�- COMPANY '�7i''��'l L=! Y/G. <br /> SlGNF.TURE '�� � REGISTERED Y i N F6E CURitER Y I N <br /> ' Addres� � �v ..37 '�-+"t' � Licen'se# � �G/3d�%��'ft""J I <br /> PLUNIBER �COMPANY <br /> SIGNATURE REGlSTEREQ Y t. N FEE CURREh Y t N <br /> Address License# � I <br /> , <br /> MECHANiGAl. COMPANY <br /> SIGNATURE REGISTERED Y/ N PEE GURRE[+ Y 9-N� " <br /> Address License# �- � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED .Y/ N . FEECURREA Y%N <br /> Address i - � ' Llcense# r � <br /> �.� <br /> RESlRENTIAL Attach{2).Rlot Pians;{2)sets of:BuNdlhg'Plans;(1}sef of Energy�Foims;R-0=W Perm,it far'new canstruc�on, <br /> Minimum�ten:(1.Q)working:days after,.submittal date.�Ri�quired onsite,�Construction Plans;�Stormwater Plans w!Silt Fence installed, <br /> Sanl#ary FaciliUes&1,dumpste,r,,Si#e_Woric>Permit for subdivi`sibnsflarge pro]ects`�. `' - ' <br /> C0�9MERGlI�t Attach(3)'camplefe sets of Buliding Ptans pius a tEfe Safety Page;(1}set of Energy Fartns.R-O W Permit for new construc�on. <br /> Minimum ten{10)warking days after submittal date. Required onsite,ConstrucUon Plans,Stormwaler P.lans w!Silt Fence instafled, <br /> Sanitary Facifides&1 dumpster.:Site Work:Permit for ail neinr proJect's:All commercial requlrements must meet compllance <br /> 31GN PERMIT Attacli(2)'sets of Englneer.ed=Plans:� , <br /> """PROPERTY SUR\!EY requlred f�or.al!NEW construction. . <br /> Dire�tlons: - - - <br /> FAI ouk applicatlan comp{etely. <br /> Owner&Contractor sign back-af applfcatlon,notarized <br /> if ovar 52500,a Notice of Commeacement is requlred. (AIC upgradas over$7500) <br /> "' Agent(Ear the contraotor)or Pornrer of.Attomey(for ttie owner)woutd be sameone wifh notarized letter from owner authorizing same <br /> t�VER THE COUNTER..PERM11?iNG -__,_�(Ftont.of:Applica6on Onljr},`' ,. <br /> Reraofs If shingtes Sewers ' �Seivice�Upgrades RtG � Fences{PtaUSurveylFoofage} <br /> Driveways-Not over Counter if on pubtic roadways..needs ROW� <br />