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e�s-7ao-oo2a Fax-813-7saoo2� �� <br /> City of Zephyrhills Permit Application <br /> � Building Department � <br /> - �� ' - �� <br /> Date Recelved . Phane-Contact far Ferrntttin - I <br /> Owner'�Name /'� �l�/ql� �+!���, Owner Phon�Number <br /> Owner's Address 7� ��, ���"� /� ��/L Owner Phone Numher � _ � <br /> Fee Simple Titleholder Name r� � Owner Phone_Number � � <br /> Fee Simple Tltleholder Address <br /> JOB AbDRESB � A.�I�� �E /���r ��'° LOT# �� / <br /> I SUBDiVISiON �L��� �f LL/��'-.� PARCEI.tD# S"•�-a)�'��.- — l��� " � �� � <br /> (OBTAINED FROM RROPERTY TAX NOTICE) <br />� WORK PRdPt}SED , NEW CONSTR ADDIAIT Q SIGN � Q DEMOLISH <br /> e INSTALL� 8 REPAIR <br /> PROPOSED,USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSYRUC'T'ION Q BLOCK ' Q FRAME Q STEEL Q <br />� DESCRIPTION OF WORK /`-H"��L.. A/V,� '� ��D�� �GL,�� /�f� �a l�. D M i N'S1�NJ't�- J/�ll+� _ <br /> BUllDING SIZ� � � SQ FOOTAGE[_� MEiGHT . <br /> OBu��'���� $ VALUATIOid�OF�T07'ALCONSTfttJCTiON <br /> �- Pf�,����� <br /> QE�ECTRICA� �� AMP SERVICE Q PRUGRESS ENERGY Q W.R.E.C. <br />� _QP�tlMBiNG rs (�,�� <br />�' � <br /> � � (���/ <br /> 1 <br /> ' [�MECNA[ViCAt $ VAlUAT10N OF MECNANIGAI.INSTAI.lAT10N <br />', • <br /> ' [�GAS �'"� ROOFIfVG Q SPECiAt.'E`Y � OTHEF2 .�� <br /> i FINISHED FLQOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> B6d1�DER COMPAMY <br /> SIGNATURE REGISTERED Y/ N FEE CURFtE� Y/N <br /> Address License# r� ^ � <br /> � ELECiRIC1AN � . COMPANY <br /> SIGNA7URE REGISTERED Y/ N PEE CURRE� Y/N <br /> ( A���g�$ License# �! � <br /> PWNI�ER � COMRANY <br /> ' SIGNATURE REGISTERED Y/ N FEE CURREA - Y/N <br /> ���$s License# �� � <br /> MECNANICAt. COMPANY <br /> SIGNATURE REGI$TERED Y/ N �FEE CURRE� Y/N <br /> � Addreas � ' License# � � <br /> OTHER fi4 �_ C�MPANY G'7T�11� j1�f'�� <br /> SIGNATURE ������ REGIS7ERED Y/ N . FEE CURRE� Y/N <br /> Addr�ss � � �� ��L�"` �' r�(i license# ��-1i�7�+��1 � <br /> RESlDENTIAi: Attach{2�Plat Plans;=(2}seis.of.Builifing`.P#ans;(9)sst afEnergy Farms;R-O-W Pe�rnit far new consfructian, <br /> Minimum,len•(4.0)working;days after,submittal date. Required onslte,Construotian-Plans;Stormwater Pians w/Sflt Fence installed, <br /> ' Sanitary FaciilUes,&.1.dumpster,Site,Work Rermit#or sutidlVisionsAarge projects - <br /> COMMERCIAL Attach{3}complete se#s af Baildirig P1ans ptus a Life Sa€ety Page;{1}set af Energy Forms.R O-W Pertnit far new c�nstruction. <br /> Minimum ten(10)workfng daysafter submittal�date. Required onsite,CansUucUan Pians,Stortnwater Plans w/Silt Fence installsd, <br /> Sanitary Facilities&1 dumpster.Site Work Perm(t for all new proJeats.All commercial requirements must meei compllance <br /> SIGN i'ERMIT A#tac�i{2)'sets of Engineered�Rlans.. �� <br /> "`"PROPERTY SURVEY r+equired for all NEW constructian. <br /> D}rectlons: _ <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor stgn back of application,notarized � ! <br /> [f over§2500,a Wotice of Commenceme�t is reguired. (AlC upgrades aver�T5d0) � <br /> i <br /> `" Agent(for the contr'actoF)"ar Povirer of Attomey(for the owner)would be someone with notarized letter from owner autha�izing same '� <br /> OVERTt1ECC1UNTERPERM1T71NG�>.�.+3:,y�. .�-= �.�f�.:Y.��.,_.�:� -",. _:...,` <br /> ��.(Frontof�App8cat3anOnly) _ <br /> Reroofs if shingles Sewers {; Service lJpgrades•,A/C ,� Fences.(PIoUSurvey/Footage) <br /> Driveways-Not over Counter'if an pubflc roadways..needs}20W; ' <br />