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8��-�eo-oozo City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> � , � Bu3lding Departrnent . <br /> Date Received -�7 � �� ✓r � <br /> � Lfd' Phone Contact for Permtttin -� _,� a <br /> Qwner's Name �eYY%4 B�Z� Owner Phane Numbe� /� '1 t�a -v"'��V�7 <br /> Owner's Addrass o2� �Y,�lrz�/N� J7 zP � �'/�,flS D Owner Phone Number �' �� <br /> Fee Simple TltleholderName �� � � Owner Phone Number �� � <br /> Fee 3lmple Tltleholder Address <br /> JOB ADDRESS .� �Y'Y!'1�Li.v�t Y ..2e h Y/���/IS' �� c�3�a 7� LOT# h G� <br /> SUBDIVISION �� � PARCEI.ID# <br /> (08FAINED FROM PROPERTY TAX NOTICE) <br /> WBRK PROFOSED NEW CON5TR ADD/ALT [4� SiGN' Q Q DEMOLISH <br /> INSTALL � REPAIR ' - <br /> PROPOSED USE SFR Q COMM � OTtiER ti? <br /> TYPE OF CONSTRUCTION BLOCK ' Q FRAME �– STEEL [� <br /> DE3CRIPTIdN OF WORK � is/ v � ,� �p�,�.�QL/ �' aX' /d (,I,�d 0�~ <br /> �UILDING SIZE SQ FOOTAGE�� HEIGHT Ci � <br /> �B�S�'����' $ f�Q'� VALUATION OF TOTAL CONSTRUCTION . <br /> QE�ECTRIGAI � � AMP SERt1tCE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPI.UMSING �y.� <br /> QMECHAPlIGAL �> VA�UATION t�F(t+tECHANtGAI INSTALLAi"ION .��1��jj 1 �J � <br /> �•: t� <br /> QGAS � ROOFtNG Q BPECIAI.TY [� OTHER <br /> FINISHED FLQOR ELEVATIONS � � FLOOD ZONE AREA QYE9 NO t ��°`� <br /> ll <br /> :. <br /> SUI�pER •�C MPANY <br /> SIGNATURE �'��^'t '� G+1 f.�J�Cl�'�� 4 REGISTERED Y/ N FEE CUItRE� Y/W <br /> Address S"�23 �+�r,�,��1�,�� �d'� ,� yy,%/s Ctcense# � � <br /> ELEC7RIClAN ' � COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa � �License# �� � <br /> PLtlMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N - <br /> Address License# �— � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIS7ERED Y,/ N FEE CUFtRE� Y/N <br /> Address License# � �� <br /> OTHER CBMPANY <br /> SIGNATURE REGI$TERED Y/ N . FEE CURRE� Y/N <br /> Address License# � � <br /> ItE81DENTiAt: �Aftach(2}P16f Plans;�2}sets-.of-Building Plans;{1)set of Energy�Fomss;R-O-W Permit far new construction, <br /> Minlmum,ten:(�10).working'days aftec_submittal dete. Requlred onsite,Canstructian Plans;Stormwate�Plans w/Silt Fence Installed, <br /> SaNtary�FaeiliUes.8r�1>dumpster.Slte�Wark Pertrtit for subtlivisionsAarg�proJects - <br /> - COMMERCIA�l. Attach(3}comptete sefs o#Bui1cltng Pians ptus a Life Safety Page;(1}set af Energy Forms.it-O-W Permit for new construodon. <br /> Minimum ten(10)working days after submittal date. Requtred onsite,ConstrucUon Pians,Stormwater Plans w/Silt Fence installed, <br /> SaNtary FaciliUes&!dumpster.81te Wotk Permit tor ail,new projects.Aii commercial requlrements must meet cornptfance <br /> SIGN PERMIT Attach(2}sets of�ngineered Pians.; � <br /> "`"PROPERTY SURVEY required for all NEW conshuckion. <br /> Directlans: �� � , <br /> Fffl out applicatlon compietely. ", ` � <br /> Owner&Contra�tor slgn baok of appl(cattan,notarized �� `. ' ' L, � ��-J�.',. <br /> ff over E2500.a Notice af Commsncement Is requl�ed:. (A!C upgraid�s'over 57500) "" - y. <br /> " Agent(for ttia contraator)or Power of Attamey(for the owner)would ba someone with natarized letter from ownee authorizing same <br /> DVER TNE COUNTER PERMITTING (Front of ApplicaUon Onty) �;r , _ . --- � ` �+ � � <br /> Reroofs if shingles Sewers �Service Upgrades_,A/C - Fences(PIoUSurvey/Foatage) � :. - ' _ • , • <br /> Driveways-Not over Counter if on pubi(c roadways.:needs ROW, :_ - ' „ ., '' • ' � l � - . � <br /> , , . t. . � -. - �...,...n.,.,� :�::�,-- .. <br />