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s�s-�8o-002o City af Zephyrhills Permit Application Fax 813-780-Qp21 <br /> � Building Department <br /> �: � <br /> Date Received Phane-Gorrtact for Permitting - <br /> Owne�'s Name Y�� -� ' YV1 Q �Own �Piiane (umber <br /> Owner"s Address OwnerPhane Number � � <br /> Fee Simple Tltleholder Name �— �� Owner Phane Number �� � <br /> � <br /> Fee Simple Titleholder Address ° <br /> JOB ADDRESS !c�'� I r lI�`P�U Q• � LOT# C1���� <br /> SUBDIVISiON �� � AARCEL ID# .�.9�J :.2 '� -' � -G��j�a <br /> (OBTAINED FROM.PROPER7YTAX NOTICE) <br /> WORK PROPOSED a NEw CONSTk AOD/ALT �',� StGN [� [,� DEMOI.ISH <br /> INSTALL REPAIR <br /> RttQPQSED�USE Q SF12 � COMM C� OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK ' [] FRAME � STEEL [�J <br /> DESGRIPTION OF WORK ` P�P �j G'--�1� <br /> B13iLp1NG S12E � SQ FOOTAGE HEIGHT C�_____� , <br /> �����'����' � , � VALUATiON`C1F T0`fAL CONSTRt1GTION <br /> I.ECTRICRL AMP SERVICE I� Q Pt2t?GRESS ENEFtGY V4t.R.E.C. <br /> � � <br /> OPlUMBlNG �� �� ^ <br /> � ( � L� <br /> / <br /> QMECHANlCAL $ YALUATION OF MECHANICAI INSTRLLATlON <br /> QGRS Q ROOFING � SPECIA�TY [� OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES. NO <br /> BUi�pER COMPAI�iY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ECECTRtCtAN _� COMPAAttY /��� ^�" <br /> SIGNATURE I ��7 � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��( License# �p!>DD ���P�� <br /> PIUMBER COMPANY <br /> SIGNATURE REG�9TERED Y/ N FEE CURRE� Y/N <br /> Addre�s License# � � <br /> MECHANIGAL � COMPANY <br /> SIGNATURE REGIS7ERED Y�./ N FEE CURREP Y PN� <br /> Add�ess License# � � <br /> OTFiER COMPANY <br /> SIGNATURE REGISTERED Y/ N �FEE CURRE� Y%N'.. <br /> Address � " ` License# �� � <br /> RESiDENTiAi. Attach"(2)Pla#P1ans;.{2)sets.of.8uilding�F'lans;(1)set of Energy Farm's;R-Q-W Perrsilf for new,;construction, <br /> Minimum.ten:(40)working;days after_submittal date.•Required qnsite,CanstiucUon�Plans,�Stormwater Plans w/Slit Fence installed, <br /> Sanitary Fecilides�&.1:,dumpster Site Work Pertnit for subdivislonsAarge proJects . `= - ` ' <br /> - COMMERCtAI. Attach{3)complete sets'cif Suilcling`Ptart`s plus a Ufe Safety Page;(i}set of Enetgy Forms.R-O-W Permit#or new constnsctEon. <br /> Minimum ten(10)workfng days after submlttal date. Required onsite,ConstrucUan Plans,Storrnwater Plans w/Sllt Fence installed, <br /> Sanitary Facititles&1 dumpster.Site Wark Permit for all new;proJeoks:AO commercial requtrements must meat compltance <br /> SlGN PERMIT Atiactt{2}"sets of Engineer,edsPlans..� �� <br /> ""`PROPERTY SURVEY required for.all NEW r�nstruction. <br /> Qlractians: <br /> Ffll out applicatlon completely. <br /> Owaer$,Gontraotar sign back af app{icallon,notatized , <br /> If over 52500,a Notice af Corrimencerriei+t is required.;(NC upgrades ovar ST50Q) <br /> " Agent(for the contractor)or-Power of Attari�ey(fiur the owner):would b'e:someone with notarized letter from owner authorizing same <br /> dVER THE Ct3l1N'tER PERMITTING " (Frcjnt of'Application�Only}.�, �. <br /> Reroofs if shingles Sewers Service Upgrades--A/C• Fe�ces(PIoUSurvey/Footage) <br /> Driveways-htot aver Counter if on pubiic roadways..needs ROW <br /> I <br />