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a�aaeo-oo2o Gity of Zephyrhills Permit Applica#ion �a�c-s��-7aaoa2� <br /> Building Departmant <br /> , � . <br /> Date Recelved phone Contacf for Permlttln <br /> Owner"s Name Owner Phone Number <br /> Owner's Address '�1� G Si Owner-Phone Number � <br /> Fee Simple�Titleholder Name � � Owner Phone Number �i � <br /> �— <br /> Fee Simple Titleholder Address " <br /> JOB ACIDRESS �� 2 I t/�� J/. �� 6�� �l 1 L07# [� <br /> SUBDtVIS10N �� � PARCEL Iq# �-{� �-t �01 D J�L p t7 (,'7 O�-((,? <br /> (dBTAlNED FROM PROAERTY TAX NOTICE) <br /> WORK PROP{>8ED ° NEW CONSTR ADDlALT �� S1GN Q Q DEMOLISH <br /> � e INSTALL 8 REPAIR <br /> PRQPOSE[!USE Q SFR Q COMM ��� OTNER <br /> TYPE OF CONSTRUCTIOiN Q BLOCK ` Q FF2AME [� STEEI Q <br /> DESCRIP110N OF WO}tK � � G/� sFLti�^� L/N/�• <br /> BtltlD2NG S#ZE •� � SQ FOOTAGE E� HEIGHT ��� <br /> QBt}lLQING $ a j}�t�„ � VAI.UATiON�:OF TQ`fAL CONSTRUCT'ION <br /> /[f <br /> QELEGTRlGAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> [�PLUMBING $ � <br /> J�� <br /> QMECHANICAL $ VALUATION OF MECHANICA�INSTALLATlClN ; j �! <br /> , � <br /> QGAS �] ROOFING [� SPECIALTY � QTHER � � �7 <br /> FINISHED FLOOR ELEVATIONS Fl.00D ZONE AREA QYE3. NQ � <br /> BUILDER COMPANY <br /> SIGNATURE REGIST�RED Y/ N FEE CURREt+ Y/N <br /> Addre$s Ltcense# � �� <br /> E�EGTRICIAN COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE GURREN Y!N <br /> Address �License# i � <br /> PL.UMBER COMPANY �S,S��Y/C� Gf,�G?X� .T-?�G• <br /> SIGNA7URE REGISTERED Y/ N FEE CURfiE� Y!N <br /> Address ���2^ Ll,f�'o� rY� �'�"�� GI' ) License# I L.�F� 1�.�7'��'/��� <br /> MECHANICAL CQMPANY <br /> StGNATURE REGISTERED . Y./ N FEE CURRE� Y/•N , . <br /> At!$C988 LICet1S9# (� `� <br /> OTHER COMPANY <br /> SIGNATl1RE ' REGISTERED Y/ N - FEE CURRE� Y/N <br /> Atldreas License#�� � �� <br /> RESIDENTIAL AtNach(2)PIot:Plans;(2)sets:of�Building;Plans;(1�'set of Energy°Forms;R-O-W Perriiitfar new.,con.stniction, <br /> Minimum.ten:(1.0};worittng;days:after,�submittai'da#e.�Requlted onsite,�Construc�on Plans,�Stormwate�Plans w!Stlt Fence Installed, <br /> Sanftary Fa�tftles&1.dumpste,r,°Sfie�Work:.P.ermit for sutidlvi'slons!lat+r�e proJects �':' <br /> COMMERCIAL Attach(3)`complete sefs of Bulltling'Plans plus a�Ufe Safety_Page;{1)set of Energy Fomts.R-O-W Permit far new constructian, <br /> Minimum ten(10}working day�after submltta�date. Requtred onsite,ConstrucUan Ptans,Stormwater Plans w/811t Fence installed, <br /> Santtary FacfiiUes 8�1 dumpster._Stte,Work�Permit far all new prdjects.AH carnmerdat requir+ements must meet compttence <br /> SIGN PERMIT Attacti(2)"sets of Engineec,red�.Plans':�.: �.~ <br /> "'"'PROPERTY SURi/EY reyulred for ali NEW consWctlan. <br /> Directlonss <br /> Fiil out appilcatlon completely. , ' <br /> Owner&Contractor sign back of applicatlon,natarized � <br /> !f av�r 52500,a Natice of Commencestent ia requtred. (AtC upgrades over S7S40) :� , <br /> " Agent(for the contractor)or Power of Attamey(for tha owner}would be someone with notadzed letter from owner sutho�izing same <br /> DYER THE COUNTER PERMITTING- � (Front of App!lcation'Only) - <br /> Reroois If shtngles Sewers ; Senrice.Upgrades'A/C , Fences(PlodSurvey/Footage) <br /> Drlveways-Not aver Caunier if on pubEfc roadways..needs ROW <br />