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8�s-�aaoozo Cify af Zephyrhills Permit Application Fax-813-780-oa7� <br /> Bullding Departmant _ <br /> J <br /> Date Recelved Phone Cantact for Fermlttin � (��� �3 oZ— �^�,G <br /> Owner's Name "�� 1� � Owner Phooe Number ���-^` ��t3 c� �~� <br /> Owner's Addrass o�.�� G�/'() /�v Owner Phane Number � � <br /> Fee Simple Titleholder Name • Owner Phone Number � � <br /> Fee Slmple titleholder Address <br /> JOB AbORESS (e�� �J ��/\,1 /V � o LOT# [� <br /> susoivis�oN �i�UE'�1 �..�,�.-�"� PARCEL ID# 3 � �l �l�C� GryDI�l.�B �,3�a <br /> (QBTAINEQ FROM PROPERTY TAX NOTICE} <br /> WOiiK PROPOSED � e NEW CONSTR� ADD/ALT Q S1GN• Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PR4POSED llSE Q 3FR � COMM � OTNER <br /> TYPE OF CONSTRUC"170N Q BLOCK � Q FRAME ['�� STEEL Q <br /> DESCRIPTION OF WORK �L�+ � � G',,�{74- G�--d LL.� � /O/l,J � � aNG.A�r� � <br /> � C� �. - ��p-�,���� , <br /> � <br /> BUILDING SIZE � 5Q FOOTAGE MEIGH7' <br /> _ .,,_ � <br /> QBUi�DING � � 1/ALUA710N OF TOTAI.CONSTRUC710N _ <br /> QELECTRICA� �� AMP BERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMSING �� <br /> QMEGHANtCAL $ .�f�J ,q (�r. —� •: VALUATION OF MECNANICA�IRISTALLATION '�,,��� � <br /> ! 'Zw �, � � <br /> ��s � �aoFiN� p s�EciA�.rr 0 OTHER <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZQNE AREA C]YES NO <br /> BWLDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r� � <br /> ELfCTRICtAN , � COMPANY <br /> SIGNATURE REGI5TERED Y/ N FEE CURRE� Y/N <br /> Addre�a Ucense# �— I <br /> PLUMBER � COMPAMf <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �� �� <br /> MECHAi�11CA1. c Q.. ���� -� COMPANY �l r�,,1'S r'f3 /�Y��' S�"`"'��' <br /> SIGNATURE REGISTERED Y/� N FEE CURRE� Y/N <br /> Address �1�� 1 f} lenl �' �l�>L`-S License# ��"�-��� / `7'G�� <br /> OTNER COMNANY <br /> SIGNA7URE REGI37ERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> RESIDEN'�'iAL� Attach(2)P..tof Plans;{2}sets aE:8uilding'P1ans;{1}se#of Eriergy�Forms;R-O-W Permit for new consfructton, <br /> Minimum,ten,_(10),working,days-after.subrnittal date. Requlred onsite,Constructlon Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanifary.,Eacili8es&-1:dumpster,.Site Wark�Perm[t for subtlivislonSAarge pro]ects <br /> COiYlMERClAL Attactt{3)cori�plete sets of Building Plans plus a t,tfe Safety Page;{1}set of Energy Fosms.R O-W Permitfar new ca�structton. -- <br /> Minimum ten(10)working days after submittal date. Required onsite,Canstruction Pians,Stormwater Plans w/Silt Fence installed, — <br /> Sanitary FaclliUes&1 dumpsfer.Site Work Pertnit tor ail new projeats.Aii commerclai requlrements must meet comp{lance <br /> SlGN PERMIT Attach{2)sets of Engipeered-Plans.: � <br /> ""`PROPERTY SUR1/EY requlred for a0 NEW canstrucUon. <br /> Directions: <br /> Ffll out applicaHon completely. <br /> Owner&Canhaotor slgn back af appl{cation,natarized <br /> If over 5,2500,a Notice af Commencement is required. (A/C upgrades ov�r 57504) <br /> " Agent(for ttie contractor)or Power of Attomey(fo�tha owner}would be someone with notarized letter from owner authorizing same � <br /> �VER THE CQUNTER PERMIITING (Front of Appiication Oniy) <br /> Reroofs if shingles Sewers Service Upgrades AJC Fences(PIoUSurvey/Footage) <br /> Drivewaya-Not over Counter If on pubiic roadways..needs ROW <br />