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8��-�so-oo2o City af Zephyrhills Permit Applic '��— Fax-813asaoo2� <br /> Bui1d'sng Department � <br /> Date Fteceived phone�Contact for ParmitEin � �z 1 0 �� <br /> owner's Hame �', Z��� owner ne Humber �51� � —'Z 3�� <br /> Owner's Address � � �U� � C' LJ Z)� ��- Owner Phone Number <br /> Fee Simple Titleholder Name � � Owner Phone Number C� � <br /> Fee Simple Titleholder Address <br /> JOB AGQRESB CJ ��" (��LL t–U f� � � LOT# �� <br /> SUBDIVISION �__ � PARCEL ID# V <br /> (QBTAINE'Q FROM PROPERTY TAX NQT{CE} <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q S1GN Q Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE , � SFR � � COMM Q OTHER <br /> TYPE OF CONSTRUC'PION . Q BLOCK [�J FRAME C] STEEL Q <br /> q <br /> DESCRIPTION OF WORK T�rry✓r �u«-� Du'� �lL 1:tlL�ZL,/UG�-� �.L�-r/r�r � <br /> BUILDING SIZE ���� � SQ FOOTAGE 4 Z� HEIGHT �_____� <br /> �BUII.DthtG $ � � --„'��:" .. =`- <br /> ���p � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAI. $ � a �v � AMP SERVICE Q PRQGRESS ENERGY Q W.R.E.C. �� <br /> �PLUM8ING � °_� � � 1 N��' �.�i� �°�G <br /> �`��� <br /> �tViECHANIGA� $ j Q �� � ` VALt3ATIdN OF MEGFtA1+E1CAl(NSTALlATION ��V�� <br /> OGAS Q Rt�OFING Q SPECIA�TI �� OTHER � ��c.!/" <br /> FINISHED FLOOR ELEVATIQNS FLOOD ZONE AREA QYES NO � <br /> �, BUILQER r - COMPANY C9I I.� ��-�{f�,.j�j�/L� �..C <br /> ' SIGPIATURE REGI$TERED / N FEE CURRE� Y/N <br /> Address �-i��if L� �2.CSt�L �r �4- 1'L Gcense# G�� 11� `l�-1? I � <br /> ��EC1"RIClAN COMPANY �-��i'L-�S GL'fi��-tS1�L.,1�13 �"j✓l1 � . <br /> SIGNATURE � P REGISTERED Y/ N FEE CURREA Y/N <br /> Address �S' 10 �, LUGu S J ` �'A'1PA ucense# .-,"�oo�� l�!(o � <br /> �UMBER � f COMP,ANY <br /> SIG AT�t` (� f A �� � REGISTERED Y/ N FEE CURRE� Y/N <br /> z��l;� <br /> �'�'�� ; License# <br /> MECHAEtICA1. /f��� � Je��t ��ii� COMRIINY � V�/����� /c'' <br /> SIGNATURE REGISTERED Y/ N h'�E cuRtten Y/N <br /> � Address� ��} 1`r ti � �3 �License# ��� ���7 cJ '�~� � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N. <br /> sddress License# �— �� , <br /> RESlDENTIAL Aftach{2)P!o#�P1ans;(2}sets af:BtiiEding`P1a�s;{1}sefof Energy Forms;R O-W Permit for new canstructian, <br /> Minimum ten.(10),working?days after,subr►iittal date. Requlred onsite,Construction Plans,Stormwater'Plans w/Sllt Fence installed, <br /> SaNtary Eacili8es,&1;dumpster°Site'Work�Permit for s►ibdivislons!large pro�ects <br /> COMMERC(A� Attach{3)t�mplete sets af Buildirig Plans ptas a"l.lfe Safety Page;(1)set of Energy Famts.R-O-W Permit for new construc�tion. <br /> Minimum ten(10)wrarking days after submittal date. Required onslte,Constructlan Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facititles&1 dumpster.Site Work Permit for aU new projea#s.Rit commerciai requlrements must meet campliance <br /> SIGN PERMET Atiach"{2)sets of Englneered Ptans. . <br /> "`"PROPERTY SURVEY required for all NEW canstrucUon. <br /> Dlrecflans: � <br /> `� ' ��', <br /> FIII out appflca8on completely. '�. ' , <br /> Owner&Contraotor sign back of appifcaflon,riota�iied;;�� _ '`..'Y'. - _..._._ _._. �: �'4 <br /> If aver E2508,a Notice af Commencement is required. ,(A/C opgr'ades over�7500) . ;'" ., � -' <br /> `" Agent(for the c:ontractor)or Power of Attorrmey(for,the owner),wauld be so�ieone with natarized letter from ownet authoHzing same . <br /> CiVER TNE COUFITER PERMi1TING: (Front of i4pplica#ion Only) • ' � " , - � , <br /> �I Reroofs if shingles Sewers �' Service Upgradas A/C., _ Fences(PIoUSurvey/Footage) � � - . � , <br /> Drivewrays-Not over Counter if on pubiic roadways..needs ROW <br />