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813-78Q-0Q24 Gity of Zephyrhills Perm;f Application Fax 813-780-Op21 <br /> Butiding Qepartment <br /> ,:: • ' <br /> : , � � y � <br /> pate Recelved phone Gontact'for Permlttln <br /> qwner's Name l V 1 v � . Owner Phone Number _ _ <br /> flwner's Address Owner�Phone Number � � <br /> Fee Simple Titleholder Name � � Owner Phone Number � � <br /> �-- <br /> Fee Simple Titteholder Address " <br /> JOB ADDRES$ � T LOT# C� <br /> SUBOIVISION � I PARCEL IQ# <br /> jdBTAINED FROM PROPERTYTAX HOTIGEf <br /> WORK PROPOSED � NEtN CONSTR ADD/ALT [_� S1GN � CJ DEMOLISH � <br /> , e If+lSTAlL 8, REPRiR <br /> PROPQSED USE Q SFR Q COMM [� C?TNER <br /> TYPE pF CONSTRUCTlON Q B�QCK ' Q FRAME [_� STEEL Q <br /> DESCRIPTION OF WQRK V� �C�Y� � G ' <br /> BUIGDING SIZE SQ FOOTAGE C_�� HEIGHT ��� <br /> �BL}!l.QING �6� VALUATION'OF�TQ`TAL CONSTRCJCTION <br /> [�ELECTRICAI $ —� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBlNG �/�� <br /> v � <br /> G]MECHANICAL $ , VAI.UATlON OF MECNANlGAL INSTALLATION <br /> ,_,_,�� <br /> QGAS Q ROOFING Q SPECIALTY �] QTHER <br /> FINISHED FLOOR ELEVATlONS �� FLOOD ZONE AREA QYES. NO <br /> BUti.DER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE GURREt+ Y!E! <br /> Address License# � � <br /> ElECT'RiC1AN COMPANY <br /> SIGNATURE �' REGlS7ERED Y! N FEE CURREh Y J 1V <br /> Address �License# t � <br /> PLUMBER CQMi?ANY <br /> SIGNATURE ' � REGISTEREO Y/ N �E cuw�� Y!N <br /> Address Llcense# i ---� <br /> MECNANICA! GQMPAMY <br /> SICiNATURE REGIS7ERED Y/ N FEE GURREl+ Y/N� <br /> Address License# � � � <br /> OTNER � COMPAt�tY a1� �" � t Y i <br /> SIGNATURE � � � REGIS7ERED Y/ N FEE GU REA /N <br /> Address � Llcense#• c�� � ��� � � <br /> r A. <br /> . . .. �- .0 ,.- . 4 . . <br /> RESIDENTIAL Attach(2�Plot`.P.lans;(2�sets:af=Bullding'Plans;(1)set of Enetgy°Forms;R-O;W Petnilt for neix.construction, . <br /> Minimum:ten:(1.0,);working;days.after,submlttal date.. Required onsite,ConstruoBon�Plans;StormwaterPla�s w/Stlt Fence Instaped, <br /> 5anitary Faciltties�8�;=1,dumpster;,v�ite Waric�Rermik fbr`sutidlvisions�arge pmJects -� " ' <br /> CdMM�RCIAL Attach(3)`cotitplete sets of Build(ng`Plans plas a`L1fe Safety Page;(1)set of Energy Farms.R-O W Pettnit tor new construcUon. <br /> Minimum ten(10)working day5 after submlttal date. Requlred onslte,Construcdae Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facil�#es 8�1 dumpster.Site Work Permit for atl new pr6jeots.Ail commerclal reguirements must meet compilance <br /> SlGM PERMIT AtGacti{2)seis ot Englrieered Rlans., �. - <br /> "`"PROPERTY SUR1/EY required for:all NEW construcUan. <br /> Direatlans: <br /> FIII aut eppltcaUon completely. <br /> Owner&Contractor sign back of appticatlon,notarized <br /> tf over�2504,a Notice af Camcnenc�ment ta regulred. {AtC upgrades over 57500j <br /> " Agent(for tha corttractor}or Povrer of Attamey(for the awner)would be someone with nota�ized letter from oumer authorizing same <br /> �VER TME GOtlHTER PERMIT71idG {Front af Apptication On{y) <br /> Reroofs!f shingles Sewers Servlce Upgredes A!G Fences(Plot/Survey/Footage) <br /> QNvewsya-t+jat over Caunter if on pubtic roadways..needs ROW <br />