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a�s-�ao-oo2o Cify of Zephyrhills Permit Application F�X-s�a-�aaoo2� <br /> Buflding Department - <br /> Date Recetved � � � i°� Phone-Contact for Permittin – g�� <br /> Owner's Name ; S Owner Phone Number V���ot�`'"��`��q <br /> Owner's Addrsss 1X� � � �C1. �' � Owner Phoae Number � � <br /> Fee Simple Titleholder Name �� � Owner Phone Number � � <br /> Fee 5lmple Tltleholder Address <br /> JOB ADDRESS �aI"�� �'����' �1`�S �,. ��CJ u Ot LOT# �� <br /> suaoivis�oH � � P�c���a# l`) �a`�1.+'"c�1'-�i-�a(� -�(�v -;b 1'�� <br /> (OSTAINED FROM PROAERTY TAX N0T10Ej <br /> WORK PROPQSED NEW C4N5TR ADt?lA�T �� SiGN' Q [� DEMOL#SN <br /> � INSTALL 8 REPAIR <br /> PRQPOSEp USE Q SFR C] COMM �] OTHER <br /> TYPE OF CQNSTRUCTION Q BLQCK � Q FRAME [� STEEL Q <br /> DESCRiPTtON OF WORK � I�-�'Q-� �� '�C..����� `--��7t�� <br /> BUtl.DIN�SIZE �� � SQ FOOTAGE C� HEtGHT �,.�,__,� <br /> QBUILQING $ —� VACUATIdN OF TOTAL.CQIVSTRUCTION . <br /> �ECTRICAI. $ �l 5„7 U� �� AMP SERV{CE �� Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ `�� ���^^� <br /> � �„ s��O/� <br /> QMECHANICAL $ VALUATION OF MECHANIGAL INSTALLA710N ���r��� � <br /> .� � �/� <br /> QGAS [� ROOFING Q SPECIALTY 0 OTHER ��� / <br /> �� ���,�-" <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NQ � <br /> � <br /> ,_„„ <br /> BUILpER � �/, �` ��` COMPANY t4�.i�(� �Q �� <br /> $IGtdATURE � 1 � M Jv\ REGIStERED Y N FEE QURR A Y/ <br /> Address �l� . �C� � License# I�� ��35�� <br /> ElEGTRIClAN � CCtMPANY <br /> 81GNATURE REGISTERED Y/ N FEE CURRES+ Y/N <br /> Address Llcense# I � <br /> PLUMBER COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# i � <br /> MECMANICAL GClNIPANY I <br /> StGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Licen&e# r— � ' <br /> OTHER C4MPANY <br /> SIGNATURE ' REGIs7ER� Y/ N . FEE CURRED Y/N <br /> Address tJcense# � � <br /> RESIDENTIAL Attach(2)Plaf Plens;-(2)sets of�Building Plans;(1)sef af EriergyFarm's;R O-W Pertnit for new canstructian, <br /> Mintmum.ten(1A)warking days;rafter.subriittta�date. Required ansite,Constiuc�on Plans;Stormwater Plans w/Silt Fence fnstalled, <br /> Sanita'ry Factlltles.&.1,dumpster,Site Work•Permit for subd{vistons/large pro)ects <br /> _ COMMERCIAL Attach(3)complete sef"s of Buildirig Plans plus altfe Safety Page;{1)set of Energy Forms.R Q-W Permit for new constru�tlon. <br /> Minimum ten(10}working days after submittal date.:Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> $ani#ary Facilit#es&4 dump`ster:Siti�1tVark Permit for all�neinr projeats.Alt cammereiai requirements must meat compliance <br /> SIGN PERMIT Attach'(2)sets af'Eriginesred-P..lans.:.; ',� . <br /> ""'PROPER7Y SURVEY requir�d for all`NEW icanstruction. <br /> Directlons: <br /> Ffll aut applicadon complekely. <br /> t3wner&Contractor sign back of applicaUon,natarized <br /> !f aver�2504,a Notfce of Comroencement i$requlr�d. (AIC upgrac3ss over Sr7500) <br /> "" Ageni(for�ie cantractor)ar P.ower`of�Attijmey;(focthe ownerpwautd be someane with notanzed letter from owner authariz�ng same <br /> OVEE2 THE COUNTER PERMITTtNG '-'�>�(Firr'nt of Apptica6on Qnly). .:' � <br /> Reroafs if shingles Sewers n Service lJpg"rades A!C ' •:Fences(�lot/SurveylFootage) <br /> 1. .� . �" - .r-�V'�w�4'._ <br /> Driveways-Not over Counter if on pubilc itiiaduvays.needs ROW <br />