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r--. _.- <br /> s�,��-�ao-oo�o City af Zephyrhills Permit Application Pax 813-780-0021 <br /> . � <br /> BuElding Department . <br /> Date ReGelved Phone•Contact for Permtftin — <br /> Qwner's Name '`� 1� /�V "�= �--�--G Qwner Phone Numbar /.3 -^ �!r <br /> Owner's Address � N `�-��`°'S�� 1'4-L (:��� Ga OwnQr Phane Number ���� <br /> Fee Simple Titleholder Name � � Owner Phone Number � � <br /> Fee Simple Tltleholder Address <br /> JOB AbQRESS ���ls �Q-r✓"��4 S"�" LOT# �_� <br /> SUBDiVISION � —� PARCEL tD# Z �'�G`�� � �� ��''���'~�O� <br /> (QBTAINEp FROM PROPERTYTAX NQTICE) <br /> W4RK PROP03ED NEW COtVSTR ADD/ALT � SIGt�F Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PRQPOSED.USE Q SFR � COMM Q CJTHEF2 <br /> TYPE QF CONSTRUCTION Q BLOCK " [� FW4ME � STEEL [� <br /> DESCRIPTIOW OF WQRK � � � .�� � 3 � + � i <br /> BUILDING 31ZE �+�� 3�+ �.SQ FOOTAGE 3� HEIGHT � 'Z- � <br /> QBt11�DiNG � � r�-„ ac� VALliA710N�-CIF`T'OTA�CONST'RUGTION <br /> �-r �a � <br /> QE�ECTRICA� � � AMP SERVECE Q PROGRESS ENERGY [� W.R.E.C. <br /> [�PLtJMBING �� <br /> QMECHANtCAI ��� �VALUATiON OF MECNANIGAL ENSTA�IAi'!ON �� <br /> [�GAS Q RC7QFING Q SPECIAt,TY �] OTHER " <br /> FINISHED FLOOR ELEVATIONS �_.� FLOOD ZQNE AREA QYES. NO <br /> ,,, �_„_,,,_ <br /> 8UILDER "� �. ,�� COMPANY C�+��.•� �+rC�-�../�S �� `'�` �`1j.� <br /> SIGNATURE I' REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address «C3-�� �����-�-s--G �. License# �y � <br /> E�ECTi21C1AN COMPAt�tY <br /> $IGNATURE � REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> SIG AT URE � R O�ST�� Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address ticense# � � <br /> OTHER COMPAt�Ilt <br /> SIGNATURE � REGISTERED Y/ N . FEE CURi2E� Y/N <br /> Address � - License# �- -� <br /> RESIDENTtAl: Attach{2},Pibf Plans;{2)sets af Bullding'Plans;{1}se#of Energy Fonns;R O-W Permit for new canstruction, <br /> Minimum,ten;.(10)working,°days after�submittal date. Requlred onsite,Constniction Plans,Stortnwater Pians w/Silt Fence installed, <br /> Sanitary FaciltUes,&�.1>dumpste,r,Slte Worlc�Rertnit for subdfyislonS/large projects <br /> COMMERC1Af. Attach(3}comptete sets�of Buildirig Plaris ptus a I.ife Safety Page;{1}set of Energ}r Farms.R O•W Permit far new construc�on. <br /> Minimum ten(10),warking days after.submittal date. Required onsite,CanstrucUon Pians,Stormwater Pl�ns w/Silt Fence installed, <br /> Sanitary FaciliUes&�1�dumpster.Site-Work Bermlt far alt�new proJects:All commerciai requiraments must meat compllance <br /> S[GN P�RMIT Attacti{2)sets of Engineered•.Rlans..:. <br /> ""PROPERTY SURVEY required for all NEW consWctlon. <br /> D}rections: <br /> Fiil out appHcatlon completely. <br /> Uwnar&Contractor sign back of applicaflon,notarized <br /> if over�250d.a Notice aE Cammencement is requEred. (A!C upgrades over�T50d} <br /> '" Agent(for the cantractor)ar Power of AY#amey(fo�the owner)would be sameone with notarized letter from owner autho�izing same <br /> OVER THE GOUN'fER PERMI'i"EING �(Front af:Application Only)...;,;� j� <br /> Reroofs if shingles Sewers ServicerUpgrades,A%C,;,.; Fences(PIoUSurvey/Footage) <br /> ;;; . i- .._ .: - �.' ..- .. <br /> Drivaways•Not over Counter if ari,public roadways..neads�F2tiW�� -• , <br /> < .,.,:..� ,. . .. .,,,. ., .�,,�.--, ... ...,.. , <br /> \ <br />