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e��-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> a Buiiding Department <br /> ' � Date Received Phone Contac!tar Pertnitting <br /> � 1�p (� <br /> Ownel's Name �1 J�1��1 � �G 12— Owner phone Number D 13�`�O lf/�'� 1�41 <br /> Owner's Address � �� �fl�'� l�YV G Owner Phone Number � � <br /> Fee Slmple TlUeholdQr Name �� �� Owner Phone Number �i� <br /> I <br /> Fee Slmple TfGeholder Address <br /> JOB ADDRESS �}C)Z� X}�h �'~ LOT# �� <br /> sua�msiata ��tQ41U� l�F1����� PARCffi.lD# I 2-Z.c�, =2i-c�o;a-Do t aa-�3k� <br /> (087AlNED FROM PROPERTY TAX HOTtCEy <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMQLISH <br /> I INSTAL� REPAIR <br /> PROPO5ED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FRAME � STEEL Q <br /> DESCRtP7tON OF WORK �U��-'" �'i� kJ�-ft� G.� ``�t�("� �j IC�i(.� 'T" <br /> BUIt.DlNG StZE � �� SQ FQQ7AGE� t{6�GHT �� <br /> QBUIL.DING � VALUATION OF TOTAL CONS7RUCTlON <br /> QELECTRICAL �$ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> QPLUMBIN� �$ -� ��� ��� <br /> QMECHANlCAI. I$ VALUATION OF MECHANtCALlNSTALLATtON <br /> �g0"7 <br /> OGAS Q ROOFING Q SPECIHI.TY � OTHER /l� D� <br /> FIN{SHEd FI.00R ELEVATIONS FLQOD ZdNE AF2EA QYES NO ! <br /> . . .. . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . <br /> IBUII,pER COMPANY � <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> , Address License# � � <br /> ' ELEG7RIClAN � � COMPANY � <br /> i SIGNATURE REGISTErrFo Y J N FEE CURRER Y I N <br /> Address License# �i � <br /> PLUMBER COMPANY � <br /> SIGNATURE � REGISTERED Y/N �CURREn Y/N <br /> Address License t! �— � <br /> �/�-^� COMPANY � �' � �� <br /> �S(GNATURE � ` t �~�" REGiSTERED �N FEE cuFutEn Y t N <br /> Address License# _V'W,� �2.�'t�1�� � <br /> OTHER � � COMPANY II <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address License# �—�� <br /> Illllllllllllllllllllllllllllllllllllllltllllllllllllllllllltllllll <br /> RESIdENT1AL Attach(2}Ptot Plans;{2)sets of Building Plans;('1}set of Energy Forms;R-4-W Permit ior new consWction, <br /> Minimum ten{10}working days after submittal date. Required onsite,Canstruction Plans,Starmwatar Ptans wl Slt Fence instalted, <br /> Sanitary Facilities d 1 dumpster,Site Work Permit for subdivisians/large projects <br /> COMMERCIAI. Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new wnstruction. <br /> Minimum ten(10)working days after su�mittai date. Required onsite,Gonstructian Pians.Stormwater Plans wt Silt Fence instalied, <br /> Sanitary FaciliGes&�dumpster.Site Work Permit for all new projects.A(I commercial reguirements must meet compliance <br /> SIC,N PERMIT Attach(2)sets of Engineered Plans. <br /> ' ""PROPERTY SURVEY required for all NEW conslruction. <br /> ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 6irections: <br /> Fill out application completely. <br /> Owner&ConVactar sign back ot applicaUon,notarized <br /> If over;2500,a Noflce of Commencement is requlrsd. {A!C opgrades over;7506} <br /> " Agent(far the contractor)or Pawer of Aflomey(for khe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUDlFER PERMIT7ING (Frflnt of ApplicaUan Qnly} <br /> Reroots if shingtes Sewers Service llpgradss NC Fences(PIoUSurvay/Footage) <br /> prlveways•Not over Counter H on public roadways..needs ROW <br />