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, _ � <br /> s��.�so•oozo City of Zephyrhills Permit Application Fax 813-780-()Q21 <br /> Building Department <br /> Data Received_ � '� <br /> Phone Gontact far Permlttin - <br /> Owner's Name ��� �5�5 ��`�--S Owner Phone Number S ��� �.�j C� �� <br /> � � �� <br /> Qwner's Address ��{1 G (} Gi�"�O 3'3S' OwnerPhone Number ' <br /> i <br /> Fee Simple Tltleholder.Name �� � Owner Phone Number �� � <br /> � <br /> Fee Stmple Titleholder Addres� ° <br /> JOB ADDRESS S�/a� ►"'r���-�' � � ' �'- ' ` * <br /> S t""L ,,�-�S�2-- LOT# <br /> f C._ <br /> SUBDIVIStBN b 3�S ��� �t S„ S�� � PAi2CEL ID# <br /> (88TAINED FROM PROPSRTY TAX NdTICEj <br /> WORK PROPOSED � NEw COHSTFt ADDtALT � S1GN Q Q DEMOLISH <br /> ' e INSTALL REPAIR <br /> PROPOSED USE Q SFR [� COMM [,� OTNER <br /> TYPE OF CONSTRUGTION [� BLOCK ' �Q FRAME [� STEEL CJ <br /> DESCRIP710NOFWORK �C�.��._ Gtl�-3k;+� �r����= �Q. P� f �03-�' �-- (,{�s�� 11�1' <br /> 8UilDING SfZE � t SQ FQOTAGE ��v�� HEIGHT C�,� <br /> 09UILDlNG ��� VALUATtt)N`C1F TOTAL CONSTi2l1CTIdN <br /> �QELECTRICAL � $ lJ ,. �,,,,�.,, RMP SERVICE Q PROGFtES5 ENERGY Q W.R.E.C. <br /> �/ <br /> QPLUMBING � • $ � �� <br /> r �� ��f�� <br /> �MECHANICAL $ VALUATIdN OF MECHANICAL INSTALLATION <br /> C]GAS [� ROOFING [� SPECIALTY C] OTHER <br /> FINISHED FLOOR ELEVATIQNS r�� FLOQD ZONE AREA [�YE5 NO <br /> � <br /> BUILDER �� ..__ �d'�P�9PAPIY <br /> SIGNATiJRE REGISTERED Y/ N FEE CURREA Y/N <br /> Add�ess License# � �� <br /> ELECTRICI ���d ,�. COMPANY� ��iG/I�' '�C..� <br /> StGNATURE ���� ' R�GISTERED / N FEE GURREA Y 1 N <br /> �d«� �Ucense# �� � <br /> ;�CPLUMBER �, d�� ��,�I��-�t�„ <br /> �71��i� CQMPANY <br /> SiGNATURE W REGI3TERED Y/ N FEE CURRE� Y!N <br /> Address l.lcense# � � <br /> MECHANICAL GOMPAMY <br /> SIGNATURE REGISTERED Y,/ N FEE CURRE� Y/°N <br /> Address I.icense# � "� <br /> OTHER COMPANY <br /> 51GNA7URE REGISTERED Y/ N FEE CURRE� Y/N . <br /> Address Ucense# �- � <br /> RESIDENI"iAL AHach(2):Rlot P.lans;(2)sets.of Bulidiing,`Plans;(1)sef of E'nergy"^Forms;;R-0=W Perr'►rnit.for new.,construction, <br /> Minimum�ten:(.10)working;days,aRer.subinittailiiate.�Required onsite,Constivcdan-Pians;�Stortnwater Plans w/Stlt Fence installed, <br /> Sanilary Facllitles&:1;dumpste_r.,;Slte>Work:Petmit for sutitltv�stbns!large projects. "`- <br /> COMMERCIAL Attach(3)compiete sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum#en(1b)working day�after submlttal date. Required onsite,Constnuctian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliNes&1 dumpster.Stte Work.Permit for all new:projects.All cammerdat requirements mvst mest compttance <br /> SIGN PERMIT Attach'(2)"sets of Engineered�Rlans.� � °-o� ' <br /> "*'PROPERTY SURVEY reyulred for aIl NEW construcBan. <br /> Directlans: <br /> Fiit out epplica8on completety. <br /> Owner 8 Contractor stgn back af appllcation,natarized <br /> If av�r 5250Q.a Notice af Cammencement is required. {AtC upgrades over�7500} <br /> " Agent{for the contrac'tor)ar Power of Attomey(fo�ttte owner)would be someone with notarized tetter from awner authartztng same <br /> DVER THE CQUNTER-PERMITTlNG- (Front of Appllcatlon Only} _ _ � - - '; ; , � , . <br /> Reroofs tf shtngles Sewers � Seryice Upgrades A/C Fences(PIot/Survey/Footage) ' . " " <br /> Driveways-Not over Counter if on pubifc roadways..needs f2QW , <br /> � <br />