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e�s-�eo-oo2o City of Zephyrhills Permit Application Fax-813-�saooz� <br /> Building Department <br /> Y . <br /> L <br /> Date Received r," s'� Phone-Contact for Permittin � ( � `{%'3� — L� :� <br /> Owner's Name i , l �� Owner Phone Number ' VU��� � <br /> Owner's Address -[T 'T � 1�ht( Qwner Phone Number ���1 '��� t— ���! 1 i <br /> Fee Slmple Titleholder Name Owner Phone Number � � <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS v-t�� l �'� !I�P • ��l�'t S � LOT# [� <br /> sus�ivistoN <�r�1rn � .,��lri`�� Q,a�c��.icr� <br /> {OBTAiNED FitOM PROPERTY TAX NdTiCE} <br /> WORK PROPOSED NEW cANSTR AB �T J�?� SiGN � [� DEMC}L18H <br /> � e INSTALL 8 PAIR ' <br /> PROPOSEDrUSE SFR [,� COMM [� OTHER U, - �Y'L <br /> TYPE OF CCiNSTRUCTION � BLOCK ' Q FRAME � STEEL Q <br /> DEBCRtPTION QF WORK • ��.a�1� (`�ZjY �t\i 1Ci�.�j G�. (,111� � l�lJl�7 '� <br /> BUil.DlNG SIZE 1 I I-�I _SQ FOOT�►GE��1, HEIGHT ��_� <br /> QBUILDING �i1E�. � � �� VALUATtON�OF'TOTAI.CONS'T'REICTION� �� ' � � � <br /> �� <br /> QELECTRICAL $�� � AMP SERVICE Q PRQCaRESS ENERGY Q W.R.E.C. <br /> [�PLUM8ING $ ��/_��?� _ � � �� <br /> C <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTAL�N�i�-" —"T � <br /> [�GAS [� ROOFING Q SPECIALTY [� OTHER � `����G✓� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZdNE AREA QYES NO � " ��� <br /> BUIL.DEi2 �,,�'��J°JW��� `� G�MPANY t,�•�-C��'�✓� L, t,,� <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> Address Cfcense# <br /> ELEGTRICIAN �' .- GG?MPANY �'�.. �t���1��� D� <br /> SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y!N <br /> At[dress lfcense# � � i <br /> PLUMB�R � � GOMP.ANY <br /> SIGNATURE j REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# { �- <br /> MECHANIC�4L COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �i � <br /> QTHER COMPANY <br /> SIGNATl7RE ' REGISTERED Y/ N . FEE CURRE� � Y/N <br /> Address license# � ii� <br /> RESIDENTIAL' Attach(2)FIo4 Plans;.(2)sets of Building"Plans;(1)set of Energy�Forms;R-O-W Permlk for new construcUon, <br /> Minirnum.ten(:10}working days;after.submii,tai date. Requlred ons(te,Construckion Ptans,Stormwater Plans w/Slit Fence installed, � <br /> Sanitary Eacttities;&�1 dumpster;�S�te�Work�PeRnit far subitivislorisliarge pro)ects <br /> COMMERCIAL Attach(3)complete-sets of Buildirig Plans plus a Life Safety Page;(7)set of Energy Forms.R-O-W Permit for naw constnabtion. <br /> Minimum ten(10)warking days after submit#al date. Required ansite,Construcdon Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary Fac3tlties 8�1 dumpsier.Site Work Pemnit for all new proJects.AI!cammercial�requirements must meet comptiance <br /> SIGN PERMIT Attach(2)sets of Erigineered�Plans.�.: <br /> '""PROPERTY SURVEY requir�sd far all NEW constructlon. � <br /> Dlrectlons: <br /> Fill out appllca8an campletely. <br /> i Owner&Cantractor slgn back af appiicallon,natarized <br /> !f over�250Q,a Notice of Cammsncesnen4l�rege�ired. {AtC upgrades over�rT5Q0} <br /> '" Agent(for the aintrackorl or Power af A;ttoiney.fo,�;the owi�er)wauid•be,someone wiih notarized letter from awnec authariz�rtgisame <br /> _,.� �,:. - . _rv .�.. <br /> QYER TFtE COUNTER PERMITT'ING . �:�','(Froiit of App!lcafion Oiily}�,'= � = �� • _ . � , <br /> Reroofs if shingles 5ewers ; ,Service Upgrades A/C'` _,�Fences.(Plot/Survey/Footage) ,' : ' • ��• _ .:.r.., <br /> Driveways-Not over Counter if on�pubitc roadways.aed�'R4W- �---l: � . . _._ ', ,� <br /> �- . _...�_, ._.,.�,,.. � ....... _.. <br />