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i <br /> a,a-7ao-oozo City of Zephyrhills Permit Application Fax-et3-7so-oo�i I <br /> Build'mg Departrnent <br /> , __i�Received Phone Contad for Permitfin 3 2 19�_ <br /> o ���—�� <br /> Ovmers Name V���.C`(� ,'Q� b'T� Owner Phone Numher � ' 1� �` a 'r-� <br /> Ownet's Address J Oirner Phone Numher <br /> Fee SImRle Titlehdder Name O�wr�er Phone Numher <br /> Fee Simple Titlehdder Address <br /> �og�o�� ��S�D�T �c e Or• 2e — �� LOT�t 0 <br /> SUBDIVISION PARCEL IDM <br /> (OBT�INED FROY PROPFRiY TAl(N0T1� <br /> WORKPROPOSED e NSTALL RB REPAIRT Q SIGN � Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �'m�JQ an {�� �i�'� ��,n��"C� w� ��m��t�� <br /> BUILDING SRE SQ FOOTAGE HqGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTF2UCTION ,�y ���SO,�� <br /> �1 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE_C. <br /> OPLUMBING $ ��(_ / <br /> t' _ r �! � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �!,� I /^ 1 <br /> t ��S .� <br /> QGAS � ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS ROOD ZONE AREA �YES NO + /L / <br /> �; .� � <br /> BUILDER �J((�1L �� �_ CONPANY Fv51'�vS Qpb'h`rl' �y. . <br /> 51GNATURE I " � � rtE��rtEo Y/ N �ctut�n /N <br /> �d� ��# C.L �3 c�I b� <br /> ELECTRICl/Ul COMPMIY <br /> SIGNATURE rtEG�srERE� Y/ N FEE curtREn Y/N <br /> Address �iaense# <br /> PLUMBER CONPANY <br /> SiGNATl1RE REGISTERED Y/ N FEE CURF�� Y/N <br /> Address License# <br /> MECHANICAL CONPANY <br /> SIGNATURE r�uier� Y/ N rg cuw�n Y/N <br /> Address Litense# <br /> OTHER CONP/WY <br /> SIGNATURE rtEc,�srEa�o Y/ N �ctra�n V!N <br /> Addrcss License# <br /> i1i1111111111111t1111111111111t111111111111111111111111111111111111 <br /> RESI�EHTIAL Attach(2)Plot Plans;(2)sets of Buildng Plans;('I)set of Energy Fom�s;R-O-W PrJmit for new construcUon, <br /> Minimum ten(1U)warking days aftersu6mittal date. Required onsi[e,Construction Plans,Stormwaler Plans w/Sift Fence installed, <br /> Sanitary faca7ides 8 1 dumpsta;Si[e Work Ppmit far subdrvisims/large projeds <br /> COMNERCIAL Attach(3)camplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fotms.R-O-W Permi[for new canswction. <br /> Minimum ten(1a)work'u�g days aftv submittal data Roquired onsi[e,GansUuctlon Plans,S[ormvrater Plans w!Sd[Fer��e installed, <br /> Sanitary FadGties&1 dumpstef.Site Work Pertnit fw all new proje4s.All commercial requ'vements m�at mee!compiiance <br /> SIGN PERNIT Attach(2)sets of Engmeered Plans. <br />' ""PROPERTY SURVEY required far all NEW construdion. <br /> Oi2ctions:• <br /> Fill out applintim mmpleteJy. <br /> Owner 8 Contractor sign badc af application,nolarized <br /> tf over 52500,a NaUce ot Comm�canmt ts requlred. (AfC upgrades over S73Q0) <br /> " Agent(for the contrzctor)or Power of Attomey(for M�e owner)wauld 6e somenne wilh notarrzed letter from w�n�authariang same <br /> OVER THE CUUNTER PERRIfTT1NG (Front a/AppGqdon Only) <br /> Re�oofs if shingles Sewers Service Upgrades A!C Fences(PbUSiuvey/Footaye) <br /> Driveways-Not over Counter i(on public roadways..needs ROW <br />