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s��-�saaozo City of Zephyrhills Permit Application Pax-873-780-0027 <br /> Build'mg Department <br /> DateReceived phorteContactforPermittin� — � <br /> -r�-r rrrre- -Q-r II - <br /> O�vne�s Name rD b l � � I1�L oianer Phone Num6er <br /> Owner'sAddress �L��R�� O�vncrPhoneNumber <br /> Fee Simple Titiehotder Name Owner Phone Number � <br /> Fee Simpie TiflaholderAddress <br /> JOBADDRESS �.3 LL � � � L LOT� � <br /> SUBDMSION ��� PARCEL ID# " S�Z I'� <br /> � � (08TAINED FR�tA PROP TAX NOTICE� <br /> WORK PROPOSED e NEw c�N57R e A�D/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTiON Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIOP!OF WORK � {'� � S �'O � <br /> BUILDIAIG SIZE SQ FOOTAGE�� HEIGHT � <br /> QBUILDING $_ � VALUAl10N OF TOTAL CONSTRUCTION o <br /> � ��� <br /> QELECTRICAL § AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ /� „�„ `� - <br /> I ��r�cU <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ( � � -�� <br /> � (���,�� <br /> Qcas Q ROOFING Q SPECIALTY Q oni� P � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE ARFA �YES NO � �I'�/ f � <br /> � �/ �� <br /> 1 <br /> r <br /> BUILDER Y E�PANY Q �O Q � <br /> SIGNAnRE �� r�c�sr� N F�cuaa�n ' N <br /> naar�s � r L u�ue� <br /> 1 <br /> ELECTRICWN COMP�� <br /> SIGNATURE RECIsm�o Y N �cuw�r, Y N <br /> Address License# <br /> PLUh98ER COMPA[dY <br /> SIGNATURE �sreaEo Y!td FEE CURREA Y/N <br /> Address License# ' <br /> MECHANiCAL COMPANY <br /> SIGNATURE rtEGis7EREo Y(N �cuaqEn Y!N <br /> Address License# <br /> OTNER COMPANY <br /> SIGNATURE aEc�s�qFn Y/ N F�cuRRa Y/N <br /> Addross License# <br /> aHA@90YIe911A ! lYIAB@lHiliH ! @l85i � BA668HABl7QIIIYIILIC1llIIIEEISAltB <br /> RESIDE[J'ML Attach(2)Plot Plans;(2)sets of Buildng Plans,(1)set af Energy Fortns;R-0 W Pertnit far new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Cotstruction Plans,Stortnwater Plans w/Slt Fence instailed, <br /> Sanilary FaaTities&1 dumpster,Site Work Permit for subdrvtsions/iarge projects <br /> COMMERCiAL Attach(2)campFete se�oi Bulding Plans ptus a Life Safery Page;(7)set of Energy Fonns R-O-W Pertnit for new cansuucUon. <br /> l4Lnimum ten(10)working days after submidai date. Required onsite,ConsWcUon Plans,Stormwater Plans w/S�lt Fence installed, <br /> Sanftary FaaliUes&1 dumpster.Site Work Pertrtit For all new projects.AO commercial requirements must meet compiiance <br /> SIGN PERMIT AttaCh(2}sets of Eng'meered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWction. <br /> Directlons: <br /> FII out application eompleteiy. <br /> Owner&Cantractor sigrt badc of applicalion,noterized <br /> li oeer$2500,a NaUce of Commencement is reyutred. (A!C upgrades over$7500) <br /> •' Agenl(for the contractnrj or Power of Attomey((or the ovmer)wouid be someane with notarized letterfrom ovmer aulhor'ving same <br /> OVER THE COUNiER PERMITfiNG (cnpy of cantract required) <br /> Reraofs if shingles Sewers Service Upg2des A1C Fences(PfoUSurveylFoatage) <br /> Driveways-Not over Counter if on puhlic roadurays..needs ROW <br />