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1 <br /> � aw�aao-oozo City af Zephyrhills Permit Application Fax 813aso-0021 <br /> ` Building Department <br /> DateReceived �' � ` phone-ContactforPermittin — <br /> Owner's Name �L/�'� y � Owner Phone Num er ����� 7c��Q �( <br /> Owner's Address ��� l�"h� �"cs/��T? �tZ r Qw�e�Phone Numb � <br /> Fee Simple Tltleholder Name �� � Uwner Phone Number <br /> Fee Simple 7ltleholder Address <br /> J08 ApDRES5 �°3� �/�''�' r4 oC',��� �JZ r o5 E Z �j /l��.S �,� L07# �� <br /> SUBDIVlSfON c.°'���.�1� r�f��'l6 PARC�LtD# <br /> (OSTAINED FROM PRBFERtY TAX NQTtCE} <br /> WORK PROPQSEQ NEW CONSTR ADDJA�T � SlGN Q Q DEMOLlSH <br /> e INSTALL 8 REPAlR <br /> PROPOSED USE. Q � SFR C] CdMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCI{ " Q FRAME � STEEL Q <br /> DE3CRiPTION OF WORK � .f��'��I�.'� ✓t�.��lGvPr.� �i9�I d:J�'Sl�t? ' �C� O J�' �r �� • �bZfS <br /> - <br /> � � 0 C, � <br /> BUlt�DlNf SiZE � SQ FOOTAGE HEIGHT <br /> 08UlLDING $ j���` � VALUATIOi�f OF TOTAL CQNSTRUCTION �� ��� ��rL ��.��ej ` <br /> ��� T �� � <br /> �]ELECTRICRI. r$ AMP SERVICE Q PRQGRESS ENERGY C] W.Ft.E.C. <br /> L��_� <br /> QPLUMBING ($ �� <br /> L� <br /> OMECHANICAL $ VALUATION OF MECHANICAI.INSTALLATION "'f� <br /> � ��� � l � <br /> QGAS Q RQOFING [� SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER L�/,�/f � �.� COMPpNY ��KJ/�� �'�I�1 �� <br /> SIGNATURE " �� REGISTEREQ Y/ N F@E CURRE* ,Y/N <br /> Address License# � � <br /> ELEGTRICIAN GClMPANY <br /> StGNA7URE -' REGISTERED Y/ N FEE CURREt� Y/IV <br /> AtfdresS Llcense# � � <br /> PLUMBER � GOMPANY <br /> ^�IGNATURE REGISTERED Y/ N FEE CURREl� Y/N <br /> Address License# � � <br /> MECHAfdICAL COMPANY <br /> StGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llrsnse# C � <br /> QTHER COMPANY <br /> SiGNATURE REGISTERED Y/ N , FEE CURRE� Y/N <br /> Address - - - - - - License# �— � <br /> RESIDENTIAL• Attach(2)PIoCPlans;(2)sets of Building�Plans;(1)set'of Energy�Forms;R-O-W Permit for new conshuctlon, <br /> Minimum;tem(10}working'days after.submittai date. Required ansite,Construction P1a�srStormwater Plans w/Silt Fence Installed, <br /> Sanftaiy Facili6es&1 dumpster Site Work;Permit{or subdivislo�s!large pra)ects <br /> COMMERCIAL Attach(3)complete sets of Buildirig Plans plus a Life Safety Page;(1)set of Energy Forms.R Q-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construcdon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Santtary Fac3t9Ues&1 dumpster.8ite Wark Permit for ali new projects.All cammerciat requirements must meet compliance <br /> SIGN PERMIT Attach{2)sets of Engineered Plans.., • - <br /> '""PROPERTY SURVEY requfred far all NEW construcUon. <br /> directlons: <br /> Ftll out applica8on completely. <br /> Owner&Contractor sign back of appEicatlon,natarized <br /> If over$2500,a Notice of CommencemenYls required. (AtC upgrades over�7500) <br /> '* Agent(for the conttactor)or Power of Attomey:(fo't"tti�:ownerj would be someone with notarized letter from owner authorizing same <br /> ,}• , , ., <br /> DVEEt THE CQUNTER-PERMlTTING (Front of Appllcation-0niy}A-;, �" ' <br /> Reroafs if shingles Sewers `; Service Upgrades.AI'C�' � Fences(Plot/SurveylFootagej <br /> � Qrlvewaya•Not over Gaunter if on pubfic roadways::nee�s E201tV '� <br />