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s1s-7� �a2o City of Zephyrhills Permit 1�pplication Fax-$13-780-Od21 <br /> °' Building Department <br /> Date Received ` � � .���� phone Contact for Permitting ,.J �p�Y���� -�t�'-��36�.�"o6 ���Pit�"��fri r " <br /> � <br /> Owner's Idame ��G!`G�Y ���/y'��=�,. Owner Phone Number r��" r�i'���� <br /> Owner"s Address .�lj�` �6� ��`�'�'�L � Owner Phone Number �G"'������361,��6/ � <br /> Fee Simpte Tittehblder ldame C- � Owner Phane Number � � <br /> Fee Simpie Titteh�tder Address <br /> JOBADDRESS �i /,�! -��� .S^ " �Y� ' t'�-� 3�1c(�lfL <br /> LOT# <br /> SEIBD1VtStQt� � � PARCE�ID# / <br /> (OBTAINED FROM PROPERTY TAX NOTICH) <br /> WORK PROPOSE� , NEW CONSTR ADQIALT � SIGN � Q DEMOLISH <br /> e WSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM � QTHER <br /> 'fYPE OF COPVSTR� CTION Q BLOCK • Q FRAME � STEEL Q <br /> DESCRIPTION OF�IVORK /i��I�RCld�IfZ�i�ll��U��tLL �ZGt�U�'GiI�'-'t�It`/1 ���� �i C�I�tl�S Cf'Gl �✓I$ .Q <br /> BUtLD1NG SIZE �� � SQ FOdTAGE �f� HEIGHT I�'� �� ����� <br /> OBUIl.DIN � � VALUATION�OFTOTAlCONSTRUC710N <br /> QELECTR! �AL � � AMP SERVICE O PFtC7Gf3ES8 ENERGY Q W.R.E.G. <br /> OPLUMBlN� $ ���r�� <br /> [��12u�'` <br /> J <br /> �MEGHANI AL �> --� VALUATiON QF{Vi�GNANlCAi.INSi'ALLATION <br /> �GAS Q RQOFING Q SPEGIALTY � QTHER <br /> FINISHED FLOOR EiEVATIONS ��� FLOOD ZQNE AREA DYES NO <br /> �UllL1ER . � CO�RPANY <br /> SIGNATURE � , ,, REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address � License# �� � <br /> � <br /> ELECTRICIAN C4M PANY <br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrass � ` ` License# �� ' � <br /> PLi1MBER �,11 2��� �/ �j�l�, COMPANY <br /> SIGNATURE G`f�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �1��-U7�G�ff'< Z?�''��/S'�� License# �� -� <br /> 44tECHRAlICAC h COMPAt�tY <br /> SIGNATURE' � REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> OTNER y GOMPANY <br /> SIGPIA7URE � REGISTERED Y/ N . FEE CURRE� Y/N <br /> Address License# � `� <br /> EStDEAiT(AL Atta h{2}Ptat Plans,{2}sets af Bu1lding Ptans;{1)set af Energy Farms;R-O-W Permit for new constrtaction, <br /> Mini um.ten�(10)working days after submittal date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sani�ary,Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> OMRf1Ei2CIAL Attach�2}campEete sets of Bu�lding Plans ptus a�ife Safety Page;{1)set of Energy Forms.R-O-W Petmit for new cons#ruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit foi al!new projects.AU commercia!requiremsnts must meet compiiance <br /> tGM PER�IT Aftac�{2}sets of Engineered Pians. <br /> '"'"PROPERTY SURVEY required for all NEW cpnstruckion. <br /> irecfians: � <br /> Fill aut application c,ompletely. <br /> Owner&Gontractor�Sign back af apptication,notarized <br /> tf ovee$250d,a Mof�ce of Commencement 9s required. (AIC upgrades over$7500) <br /> Agent(for the contrali tor)or Power of Attomey(far the owner)would be sameone with natarized letter from owner authorizing same <br /> VER THE COUNTER P�RMI'i'TIPfG (capy of cantract required} <br /> eroofs if shingles S�wers Service Upgrades A/C Fences(Plat/Survey/Footage) <br /> Driveways-Not over Counter if on pubtic roadways..needs ROW <br />