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e�saao-ooao City af Zephyrhills Permit Application Fax-818-780.0021 <br /> � �' Bu3lding Qegartment <br /> Date Recetved Phone•Contac#for Permitting - <br /> Owner's Mame ����Q � ��'Q Owner Pbane Number <br /> Owner's Address � ` �( lti✓ � � Owner•Phone Number � � <br /> Fee Slmple Tltleholder Name Owner Phone Number � � <br /> Fee Simple Titleholder Address ' <br /> JOB ADDRESS j0 �( � kJ � LOT# �� <br /> SUBDiWSiON �- � PARCEL iB# '���.�,.te-.�) - C�a3�-- o o a�d-- o Z O <br /> (OBTAINED FROM PROPERTYTAIX NOTICE) <br /> WOEtK PROPC}SED � NEW CONSTR ADD/A1.T �� S1GN Q Q DEMO(.iSH <br /> INSTAI:L REPAIR <br /> RRQPpSED,USE Q SFR [� COMM Q 4THEE2 <br /> TYPE QF CONSTRUCTION • Q BLOCK ' Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK OYL_ c� f- �'"�'"�-�._ <br /> �UILDtNG SIZE � � SQ FOOTAGE +�� � HEIGHT C�� <br /> ����`���G � "���; (�U' VALUATIOIV`Z)F TOTAI CONSTRGC`fION <br /> .J <br /> QEI.ECTRlCAi. � � AMP SERVICE Q PRqGRESS ENEFtGY Q W.R.E.C. <br /> QPLUMBING [$� � . ����� <br /> � � <br /> �MECNANICRL $ VALUAS[ON OF MECHMltCA�INSTALG4TION <br /> QGAS � ROQFING Q SPECIA�TY Q OTHER <br /> FINISHED FLOOR ELEVATIQNS ��d� FLOOD ZONE AREA QYES. NO <br /> ` BUli.DER COMPAI�tY <br /> SIGNATURE REGISTERED Y/ N FEE CUItRE� -Y/N ' <br /> ( Address License# �� � <br /> � ECECTRICIAN � COMPANY <br /> i <br /> SIGNATURE ,, � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ` � License# � �� <br /> PIUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# �_ � <br /> ( MECNAPi1GAt. CpMpq�y <br /> �, SIGNATURE REGI$TERED Y./ N FEE CURRE� Y/N' � <br /> Address License# � �� <br /> . ., <br /> I� QTHER �..@�� lp��l,ti%t�' COMPANY � N�� '3 . .t•.V <br /> � SIGNATURE REGISTERED Y/ N FEE cuRFtEn Y/N <br /> Address �t j Z. �t,•r.,�� , L-lt}� License# ��'-�-'- �S 7���.,.._� <br /> RESID�NTIAL Attach{2)ptat Plans;.{2)sets_of BuElding Plans;"{1)set af Energy=Fa�ns;�F2-O-1N Perinit far new constructian, <br /> Mintmum;ten,.(•1,0)working,days:after submittal date. Requlred onsite,Construction Plans;Stormwater'Plens w/3tlt Fence installed, <br /> Sanifary Facilides:&;,1,dumpster,51te.Work Rermit for'subdiyisionsAarge proJects _ , <br /> COM{If1ERC1AL Attach(3)cainplete sefs of Builillrig P1ans ptus a l.ife Safety Page;{1}set o�Energy Forms.R-t?-W Pernnit far new construction. <br /> - - Mlnimum ten(10)worktng days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/$flt Fence instailed, <br /> Sanitary FacilfUes 8�1,•dumpster.81te._Work Permit for all neinr'proJects,All commercia!requirements must mee!compliance <br /> SiGN PERMIT Attact�"(2}`sefsof Engi�eered Rlans;. ;� -' <br /> """PROPERTY SURVEY requlred for.all NEW constructlon. <br /> Dlrectlons: <br /> Fill out applicatlan completely. <br /> Owner 8 Contracka�sign back.of appllcatlon,notarized <br /> If cver�25d0,a Notice pf Camrnenaesr�ent i�requi�ad. {A/C upgrades avet�7540) <br /> `" Agent(for the cantraotor)or Power�of,Attomey(for�tFie ovuner)wauld be someone with notarized letter from owner.autharizing same,. <br /> DVER TFFE COUNTER PERMI'FTiNG'• " {Front of.Appltca#bn Oniy). .. � '. , .f <br /> Reroofs if shingles Sewers "Service Upgr'ades,tA/C., :Fences(PIoUSurvey/Footage) ,. , <br /> _ , - . ,t <br /> Driveways-Not over Caunter if an public roadways::needs-RflW ` . ., .- ., .,, , <br />