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I <br /> ' � 813-��� ' City of Zephyrhills Permit Application F������� <br /> • emiding oepamnern <br /> oam rt�t�ea — —' phone Contact for Permiming �l3 3 3 _ �'�/3 <br /> Owners Name '( z 1� s4' �45�-� Ormer Phone Number o C3�G'"z'T���'L I <br /> o�rer6 aaa� ��- �O �`� � � � Oxmer Phorte Numher '� <br /> Fee Simple Titlehotder Name Owner Phorre Number <br /> fee Simple TiiteholderAddress <br /> JOBADDRESS a �� � .c7 . ZePr�, F�,l.� . � ��Z LOT# � <br /> SUBOIVISION PARCELIQtt Qz,"��—ZI--DO��—p(�'p.�-�G I <br /> (OBDIWED FRaM PROPERIYTAX N0710E) I <br /> WORKPROPOSED NEWCONSTR� ADD/ALT � SIGN Q Q DEMOUSH <br /> INSTALL REPAIR �i <br /> PROPOSED USE SFl2 Q COMM � OTHER o �l— t�/G. <br /> TYPE OF CONSTRUCiION � BLOCK Q FRAME � STEEL Q � i <br /> OESCWPTION OF WORK ��� �� �C'7'��L � ( �ff� T�� L l�r��'z--l��� r <br /> � p p� <br /> BUILDING 517F L�a✓n �'�g/ SQ FOOTAGE 7 D� HpGHT 2 0{�-• <br /> �HGILDING $ ��� VALUATION OF TOTAL CON5TRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.EC. <br /> V <br /> QPLUMBING $ � A f�� � <br /> 0� <br /> QMECHANlCAL � VALUATION OF MECHANiCAL INSTALLATION �YV�� <br /> OGAS Q ROOFlNG SPECIRLTY Q OTHER �� � � ?�" <br /> � /� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE i►REA QYES NO � <br /> BUILDER � �J �MP�� � �=�vu��' -��pp�-��-'�'=iiL� wi:C�O'�Ct.�� <br /> SIGNATURE L`-'� _ t�cisTEam Y/N �cu�atEn Y/N �� <br /> Address ��t t7s��'�' ����s ��`�. f�� License# �C C���'S Q�L� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REws7Eft� Y/N �Ecu�t� Y/N <br /> Addtess License�� <br /> PLUMBER COMPANY <br /> SIGNATIJRE REclsT�aID Y/N FEE wr� Y/N <br /> Address License� <br /> MECHANICAL � COMPANY � <br /> SIGNATURE r�cisr�� Y 1 N �E qlrs�n Y/N <br /> Address License� <br /> O7HER COMPANY ' <br /> SIGNA7URE REcisrt�Eo Y/N r�curtREn Y/N <br /> Address Lic�se$ <br /> IIt1111 / � IIIIIIIII� � IIIIIIIIII � III� II� IIIIIIII � IIIIII �I � IIIIIIIIiII <br /> RESIDENTIAL A1taGi(2)Pbt Ptans:(�sets of Bw"Iding Plmis;(1)sei af Energyr Forms;R-O-W Pertnit for new canshudion, <br /> MiNmum ten(10)wwidng days after suhmdbi date. Requu�onsite.Constructlon Plans.Stormwater Plans w/Silt Fence instaDed, <br /> Sanitary Far�I'rties&'I dumpster,Sfte Wmk Perrtdttorsu6dnusiw�sA�ge projerJs - <br /> COMMERCIAI. Attach(2)camplete sefs of Building Plans ptus a liFe Safely Page:(1)set of Energy Fortna R-0-W Permit for new consWction. <br /> Mtnimum ten(1�woifcing days after submitlal date. Required ansite,CansUuction Plans.Sto�mwater Pians w/S�t Fence instaped, <br /> Sanitary Fae��81 dumpster.Site Work Pemut for all new projects.All cormnertrttiaal requUemems must meei compiiance <br /> SIGN PERMIT ACach(2)sets of Engineered Plens. <br /> ""PROPERiY SURVEY required far ail NEW construcUon. <br /> • 1 1 " �1 1 1� • <br /> DiYectlons: <br /> Ffll out appficatim completely. <br /> Owner 8 Confractor slgn badc of appLcation,notsraed <br /> If over s2500,a Notice of Commencemertt is required (AIC upgrades over:75QD) � <br /> " Rgent(for fhe contracto�ar Power of Attomey(fw the owneh wauld 6e saneone w�lh notaraed Ietter from rnmer authorrztng same <br /> OVER THE COUNTER PERMITTiNG (copy of contrad require� <br /> Reroofs if shinglPs Sewers Service Upgrades A/C Fences(PIottSlirveylFoofage) <br /> Driveways-Not over Counter if on puhlic roadways.needs ROW <br />