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F <br /> e�saeo-oozo � City of Zephyrhills Permit Application Fax 813-780-Op21 <br /> Building DegaRment.y - _ ., _...�_.... � . - - <br /> Date Received �� �{a Phone Contac#for PermlEtin ' — <br /> 7 <br /> Qv+rner's Nam� 4JH.�QS �"'{l�.L ` 'Qwrner Phone�Numbar , ��.+ y." , <br /> Owner's Address J T3� ����`� , Owner Phone Numher r� � <br /> Fee Simple Titleholder.Name � � Owner Phone Numbar � � <br /> � <br /> Fee Simple Tltleholder i4ddress ' <br /> JOB ACIDRESS v�'f 3( - �� `�'�'�� ,�>> '� � LOT# �_� <br /> suBo�v�sioN �� � PARCEL ID# 1 �2,G '2!-oo r o- (;f o� -o�� <br /> (QBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPt3SED `�NEW CON5TR ADD/ALT � SIGN Q Q DEMOt,ISFi <br /> e INSTALL 8 REPAIR <br /> PROPOSED.USE Q SFR Q COMM � OTHEFt <br /> TYPE OF CONSTRUC'1'ION � Q BLOCK " Q FRAME � STEEL Q <br /> DE3CRIPTION OF WORK Y'�,O/k�Z ; �.. � <br /> BU1tDiNG SiZE SQ FOOTAGE (4t S �S�THEIGHT C�,� <br /> QBUI�DING � f � �� ti,;.:._�a.�. x <br /> VALl1ATION OF TOTAL.CONSTRUCTION <br /> QELECTRICA�. $ AMP SERVIGE Q PlZOGRESS ENERGY Q W.R.E.C. <br /> , � �`�' �'3� <br /> QPLUMBIRIG $ �l� . ( /�j/„� <br /> � � � U/ <br /> OMECNANIGAL $ VALUATtflN OF MECHAPlICAL INSTR�CATIC}N <br /> QGAS �� ROOFli�iG Q SFECIA�TY � OTHEi2 <br /> FINISHED FL40R ELEVATIONS ��� FI.00D ZONE AREA QYES NO <br /> 8U1l.DER COMRANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREF Y/N <br /> Address - License# � � <br /> EI.ECTRIClAM COMPARiiY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> P�U�IIIBER � COMPAh1Y <br /> SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N <br /> Address License#.�` � <br /> MECHAi+11CAL � COMPAt�1t <br /> SIGNATURE REGIS7ERED Yl N FEE CURREP Y/N <br /> Address License# � � <br /> OTHER 1.1✓�����} �Y �� CQNlPANY l C�!� t t� <br /> SIGNATURE � REGI$TERED Y/ N . Fee cuR�ten Y-/.N. . <br /> 1�iddress r Z- �1V @:. �...� �� License# �.��— �}S�'� 7'�- <br /> RESlDENTiAI: Attach 2 Plot Rlans; 2 sets�af Bu1ldin Plans; 1 set af Ene Farms;R-O-W Permif fa�new.canstniction, <br /> � } ..{ } ' �' { ) �y; <br /> Minlmum;ten(1_0);working:'days after_submittal date. Requlred onstfe,ConstFuc�on-Plans;Stormwate�Plans w/5ilt Fence Installed, <br /> Sanitary Faoilities&=1,;dumpster;,Site Woric.Rermit for su6divisions/large projects : _"� <br /> COMMERCIAl. Attach{3}cbinplete sets rrf 8ulld�ng"P}ai4s ptus a Llfe Safety Page:{1}set af Enargy Forms.R=0-W Permit far new construction. - ____._..._ <br /> Minimum ten(10)worlcing days'after submitNal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> � Sanitary FaciliGes&1 dumpster.Site Work Permtt for all neinrproJeets.All commercial requisements must meet compllance <br /> SIGN PERMIT Attac�ii{2}sets a#Eingineered Plans..;- ::� . <br /> •"•PROPERTY SURVEY,reguired for all NEW canshuctian. <br /> D#rectlons: <br /> Fiil out applicatfon completely. - <br /> Owner&Contraotor sign back of applicatEon,notarized <br /> If over 5250d,a Notice a#Commenaement is required. {A!C upgrades over�T500) <br /> `" Agent(for the contractor)ar Povuer of Attamey(for the owner)would be someone with natarized letter from owner authorizing same <br /> DVER THE COUNTER RERMITTiNG tFront of Applica#ion Oniy) <br /> Reroofs If shingles Sewers Service Upgrades A/G `Fences.(PIoUSurvey/Foatage) <br /> Driveways-Nat over Counter if on public roadways..neads RdW <br />