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s��-7ao-oo2o City af Zephyrhills Permit Application Fax-813-T80-0421 <br /> � 8ulldi�g beparkment <br /> � ,r�.c,� c S `�tti� � � <br /> Dats Recelved Phone-Contact forParmittin Z � . - � 3.�� <br /> Ownsr'�Nams i/L Ownsr Pt►one Number _, <br /> Owner's Addre$s 7 2 (� r (� Owner Phone Number �� � <br /> Fae Slmple Tttlehoide�Name �� � Ownar Phone Number � � <br /> Fee Simple Titlehotder Address <br /> JOB ADbRES3 �OT# ��-� <br /> SUBOIVISIdN �� � � PAFtCEL ID# ��~� - 2 ^ - � C7�`�b b d � b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN' [� �] DEMOLISH <br /> V e IN3TAI.L 8 REPAIR <br /> PROPQSEd USE [� SFR � Ct)MM� � OTHER <br /> nr��o�corrs�rRuc�no�t 0 B�oc�c 4 [� �w�nnE � sTe�� � <br /> DESCRIPTIdN OF WORK `rt l"'� � t,t, Q iC. t,�, �2� �s�et <br /> BUILDING SIZE SQ FOOTAGE 2Z� HEIGH'f ��� <br /> QBUILDING $ (l'.�a� p� VALUATION OF TOTAL CONSTRUCTIQN _ <br /> {� <br /> QEI.ECTRICA�. � —� AMP SERViCE Q PROGRESS ENERGY Q W.R.E.G. <br /> QPLUMBlNG r>� ,Y `����'� <br /> L 1SK <br /> OMEGh#ANICAt. r$ VALUATIQN OF MECHANiCA�INSTA�LATION <br /> L�,.._�: <br /> QGAS Q ROOFING Q SPEC1AlTY Q OTHER <br /> FINISHED F�OQR E�EVATlONS {��� F104D ZONE AREA QYES NO <br /> L <br /> BUILDER COMPANY <br /> SlGNATURH �E��srEr�a Y! N �E CURRE� Y/N <br /> Add�ess L`icense# ! '� <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE 12EC.,iSTERED Y/ N FEE CURREh Y/M1I <br /> Address Lfcense# � �'� <br /> PUlMBER � ` �. COMPANY <br /> SIGNATURE REGisTE�tEo Y t. N FEE CURREt� Y t itii <br /> Address ` License# � � <br /> MECHANlCAC COMPAt�IY <br /> SlGNATURE REGISTERED Y I N FEE Cut�Et+ Y!N <br /> Address License# �� y� <br /> OTHER ° .COMPANY I � a0-t �`V� L,G Ll <br /> SIGNATURE � REGISTERfD Y 1 N. �� t��R Y t N <br /> Address � �. � �' � License# f C cc'1�s�2 t�� � <br /> RESlDENTIAt: Attach{2)Plot Pians;{2)sets.of:Buiidfng"Plans;(1}set af-Energy�Forms;R-i3-W Parmit for new construction, <br /> Minimum:ten(10)working days aftar.submlttal date, Requlied onstte,CanstrucUon Ptans;Stormwater Plans wt Sf1t Fence Instailed, <br /> Sanitary FaciilNes.&�1,dumpster,S1te�Work;Rermft far subdivislonsAarge proJects <br /> COMMERCFAL At#ach(3}complete sets of Buiicling Plans plus a Life Safety Page;(1}set of Energy Forms.R-O-W Permit for new construotion. <br /> Minimum ten{10)working days after submtttal date. Requfred anslte,ConstrucUon Plans,Stannwater Pians w!Siit Fenca instailed, <br /> SaNtary Facilides&1 dumpster.Site Work Pertnit far all new projects.All cammercial requlrements must meet compliance <br /> StGN PERMIT Attach(2)'sets af Engliteered-Ptans..� �;� <br /> ""PRQPERIY SUR\tEY reguired for al!NEW_constructtan. <br /> Dlrec#tons: ` . <br /> y <br /> FIII out appllca8on completely. - ,`f. <br /> Owner&Contraator slgn baok of aQpltcaUon,noWrized _, ' ' � - <br /> If over E2508,a Notice af Commencement ts required. (AlC upgrades ovQr 5T500) � ��- � . -� „ � , <br /> " Agent(for the contractorj or Power bf Attorirey(for the owner}would be someone with notarized letter from owner au#horizing,same�,.,,. - -•-°:f , <br /> dVER THE COUWTER.RERMtTTING (Front of Appllcation Only) �. �- �-i~�'. ' :;"�.' � ' <br /> .^'i•, ' �.r <br /> Reroofs ff shingtes Sewers Servlce Upgrades AtC Fences(PtatiSurveylFoatage) . : . ..�•. �`'' ; _ "�.:�,'�.`-. <br /> � �. , .. ,.�:,,,.�. . <br /> briveways-Not aver Counter if on public roadways..�eeds ROW ,,, , � ^" ; ' ' � . -, ° �-� <br />