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813-78�-0420 City af Zephyrhills Permit Appiicatian Fax-813-780-0021 <br /> � ' Buitding Qepartment - <br /> Date Received phane-Contact for Permlttin 1� �a� - ���J <br /> Owner'�Name � l�- Owner Phone Number ��.3"��5''o�v� ,- <br /> Owner"s Address tG�� � l`-��i"t� Owner Phone Number � ' i � <br /> Fse 5lmpte TitleMolder Name � � � Owner Phane Namber �� � <br /> Fee Simple Tltlehalder Address <br /> JOB ADDRESS (d"�D � LC?T# �� <br /> SU9DIVISION �/�"l/E''/�, � PARCEL ID# (/�' � (,� � 1 � � ��D <br /> (OBTAINHA FROM PROPERN TA%NOnGE) <br /> WBRK PROPOSED , e NEW CONSTR� ADD/ALT � SIGN' Q [� DEMOLISH <br /> tNSi'Atl REPAIR <br /> PRQPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF GONSTRUCTIQN Q B�OCK � [� FRAME � STEEL Q <br /> DESCRIPTIONOFWORK � L• ��9' �-GLG� � lOA� �� (,y <br /> BUILDING SIZE �� � SQ FOOTAGE C� MEIGHT �__ <br /> QSUILt}ING $ � VAL,UATION OF TOTAL CONSTRUCTION <br /> C]ELECTRICAL ��-- —� AMP SERViCE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBtNG $ � <br /> QMECHANIGAL $ VALUATION OF MECHAPliCAI.INSTALIATtON <br /> ����;� <br /> QGAS Q Rt?OFING Q SPEC1AlTY � OTHSR <br /> FlNISHED FLOOR ELEVATiQNS (��—� FIOOD ZONE AREA �]YES id0 <br /> �_ <br /> BUiLDER COMPANY <br /> SfGNATURE REGISTERED Y! N �e CUR�n Y/N <br /> Address Cicense# �— � <br /> ELECTRICIAN � COMPANY <br /> SlGMATRJRE RE�ISTERED Y J �3 FEE CURRER Y/N <br /> Addre�s License# �! � <br /> PLIIMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRER Y 1 E1 <br /> Address License# � � <br /> MECHANtCAl. r� "_� �},�` CQMPANY ��fi�i'��S f3 �����:-���. <br /> 3lGNATURE u�.cfrt� /f 1 f�Q.a�r.,p�};,� ���s�erz�a Y 1 N FEE CliRRER Y!N <br /> Address 7��j �ll� � /L�rS License# ��1� �iF`�'%�� �� <br /> OTHER COMPANY <br /> $IGNATURE REGlS7ERED Y 1 N FEE CURREh Y/IV <br /> Address License# � �� <br /> RESfQEMT1AL Attach(2}Plot Rlans;{2)sets�of�Bufiiiir�gPians;{1)set of Eriergy~Fonns;R-0=W Pemiit far new conshuction, <br /> _ Minimum ten-(�1A�:warking days after.submittal date. Requtred onsite,ConstniaHon Plans;Stoimwater Plans wt Sitt fience fnstalfed, <br /> Sanitary Faciltties.&1,,dumpste,r,Site Work�Permit for subdivisionsAarge projects �� <br /> COMMERCIAL Attach{3}coriiplete seis o#Bu3lding Plans plus a Life Safety Page;{i)set af Energy Forms.R-O-W Permit for new canstruction. <br /> Mintmum ten{1Q1 working days'aiter submlttal date. Required onslte,Constructlon Plans,Stormwater Plans w!Silt Fencs insta#led, <br /> Sanitary Facilides&1 dumpster.Site Work Permit for all nevv projects.All commercial requirements must meet compliance <br /> � SIGN PERMIT Attach{2}serts of Englgeered-Pians,; � <br /> ' `"•'PROPERTY SURYEY requir+ed fur aA NEW constructicn. <br /> Directlons: <br /> Fill aut applica@on completely. <br /> Owner 8 Contractor sign back of appl(caUon,natarized <br /> if over E2500,a Natice of Commencemant is requlred. (A/C upgrades over$7500) _ <br /> '* Agent(for the contractor}or Power of Attomey(for the owner)would be someone with notarized tetter from owner authorizing same .. ;�,,� <br /> .�.•.,,. n ,. , _ _ <br /> DVER TtiE CaUFiTER P.ERMIITING :..$(Front_of Appflcatlon Oniy):;J. �,, . ;' �. : `'" ,<`:", '-. ,., , <br /> Reroofs Ef shingies Sewers Service Upgrad�s.AJC:; �..Fer�aes�.{�to#tSurvaytFootage} " ` ` - � ' - � - <br /> :�i ti , . . �4�,1n. � � . I. �� �._.� � i , <br /> �! �' � �:� . � :i��f ± •`. �% . . : . - .. a _ r r- .. . s - � .. <br /> Driveways-Not over Caunter if on pubiic roadways..needs'RQV11".;:�,' � <br /> / <br />