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� s�3-�aa-oozo Gity of Zephyrhills Permit Application Fax-813-78�-0021 <br /> �• Building Department ' <br /> Dete Received ` � ` Phone Contact for Permitting � � � — � � <br /> , - c�C.�� �j,,,j c.� � L <br /> Owner's Idame V1 GG�1 t.� �Y Owner Phone Number <br />� Owner's Address �tl�' �� Owner Phane Number <br /> Fee Simple Titlehotder lUame � � Quvner Phone�iumber � � <br /> �1 � <br /> Fee Simgle Tifie6older Address <br />�) <br /> JQ8 ADDRESS ��� � �,��f'� Y� ! �P •��� ( LQT# C—���--� <br /> SUBDIVISION�� PARCEL!D# <br /> (pBTA1NED FRdM PitdPERTYTAX NOTICE) <br /> WORK PROPOSED � I�STALLSTR 8 REPAIR � SIGN � � DEMOLISH <br /> PROPOSED USE �"" SFR Q COMM � OTHER <br /> TYPE OF COhEISTi2UCTtON � B�OCK - � FRAME � STEE� � <br />� DESGRtPTtQN OF WORK . � t f`ts - l �'�%7l�''� <br /> BUILDING SlZE ��,� SQ FOOTAGE�� HEIGHT ��� <br /> �BUI�DIN $ (�/���.�.� VALUATiON�OF TQ7R�CONSTRUCTION <br /> 1 � <br /> DELEICTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLU�BING $ /- f <br /> � �d:Gfi�Y/���u� `�Y£ �!C t/� <br /> QMECHANICAL $ VALUAYION QF M�CHANICAL INSTALLATIdN <br /> � ���� �� <br /> �GAS Q ROOFING Q SP�CIALTY � OTHER � <br /> FINISHED FLOOR ELEVATI4NS FLOOD ZONE AREA �YES NO � �ry/ �� <br /> ,I � 4(�� <br /> ' E <br /> BUILDER � � � � !VlPANY ���� <br /> SIGNATURE REGISTERED Y 1 N FEE CURREA Y/N <br /> Address I License# �� � <br /> S1GtdATURE � COMPANY <br /> ElEC7RICIAN <br /> „_,,,._,_,,,.....„ „_,,._„ <br /> ' REf1STERED Y I N FEE CURREh Y I N <br /> Address� License# � � � <br /> PlUMB�R I GOlNPANY <br /> SIGNATURE i RE6tS�rERED Y/ N FE�CURREn Y J N <br /> Add�essi License# <br /> MECHANICAI.. CQMPANY <br /> SIGN,4TURE ftEGtSTERED Y/ N FEE CURRE� Y/N <br /> Addr�ss` Liaense# � � <br /> I <br /> OTHER � CONIPANY <br /> SIGNATURE REGISTERED Y 1 {� FEE GURRER Y 1 N <br /> Address� License# �— � <br /> RESIDEM71Al� Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permit for new canstruction, <br /> � Minimurr�terr(10}warking days after submittai date. Required onsite,Constructian Plans,Stormwaier Pians w/Sitt Fenee insfatled, <br /> I Sanitary Facilities.&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERClAL Attach(2)complete sets oF Buil�ing Plans plus a Life Safety Page;(1}set of Energy Farms.R-O-W Permit for new canstruction. <br /> ' Minimum ten('10}workiag days after su6mittat date. Required onsite,Construc6an Ptans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit far all new projects.All commercial requfrements must meet campliance <br /> SlGtd PERMfT Attaah{2)sets of.Engineered Pians. <br /> ? ""*PROPERTY SURVEY required far ali NEW construction. - <br /> Directions: ' <br /> Fi(t ouf applicatian comptetety. <br /> Owner BlContractor sign back of applicatian,notarized <br /> if over$280Q,a HotPce of Commenc�ment is required. {AtG upgrades over$7500} <br /> "" Agent(fo�r the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorrzing same <br /> OVER TNE GOUPlTER PERMlTTING {copy af coniract required} <br /> Reroofs if shi igtes Sewers Service Upgrades AlC Fences(PIoUSurvey/Footage) <br /> Drivewai s-iVot over Counter if on publ9c roadways..needs ROW <br /> 4 <br /> � <br /> i <br /> ----- -, -- <br />