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E ___ <br /> - � - - - -- - , <br /> � a��=�ao-oo2o Ci#y of Zephyrhills Permit Applicatian Fax-813-780-0021 <br /> Butlding Deparkment <br /> I <br /> ( Da#e Recei i ed �`�� � '� � Rho�e Confacf far Permitting �� ��� -- �� ` j - <br /> Io,nra�er'aN�me �!. (�t� V i t �T {twoer Phone Number C}�K..� '��U '�cJ�� <br /> Owner's Address;�, '�• d� a�J UUs�� t vC� �"v �C.l�y Owner Phane Nurimber� � <br /> Fee Simpiel 7itleholder Name Owner Phone Number�— � <br /> � <br /> . . <br /> Fee Simple 7itleholder Address • <br /> JOB ADDR�ES��, �J�O►(J � Cl� � 1 �1� ���J ��cJ 7 fX LOT# C� <br /> SUBDIVISI�pN �1.���- �"� �--�`i�� S � rPARCEG:ID# I t r��"CY�r'��?�� ' �dJ�� '— �� 1� <br /> j � �(OBTAINED FRQM PROPHRTY TAX NOTICE) <br /> WORFC:PR�,POSE[), NEW CONSTR ADDIAl,7 � SIGN MOVE Q DEMOLISH <br /> ��I ���� " � � INSTALL � REPArR 1 �- <br /> PFZOPOSE�D USE . Q SFR C� COMM Q OTHE12 ' <br /> TYPE OF CONSTRUCTION � BLOCK [� FRAME Q STEEL C] OTHER <br /> DIESCRIP,,T�ON_OFSWORK4 ��d��i'" �e��d��1 .� U�`�'S ►�X�1� I ��� <br /> � " � � , <br /> BUILDING SIZE. -,SQ FOOTAGE�� HEIGHT <br /> � � <br /> �' UtIDING $�"� �"� TIO 70TAL S UCTIO � <br /> i:� "�' '� �VAL4JA . N`OF. . CON TR N <br /> � � �p���'����_ ,. � , � , �_ . - <br /> � Q E�ECTRICAL $ AMP BERVtCE � PROGRESS ENERGY [� W.R,E.G. <br /> Q P�Ut�181NG $ � <br /> . � � �� <br /> �EGFiANlCAL $ VA�UATION O�{t1fECHANlCAL IiVSTAl1AT10N � � <br /> � � -�� ` <br /> � <br /> Q GAS Q ROOFING � SPECIA�"f'Y Q OTHEi2 <br /> , FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO 'G, y" �� � <br /> � I- � � , � <br /> , . . , <br /> 8U1H.€1Ei�; ` COMPANY <br /> SIGNATURE REGISTERELl Y/ N FEE CURREN7 Y/N - <br /> dddr�ss ' Lioense#. � � <br /> ELECTRI�IAN � COMPANY � <br /> SIGNATU E REGISTEREp Y/ N FEE CURRENT Y/N <br /> +i , <br /> Address License# � � <br /> PE.UMBER� CO�tiPAP1Y . <br /> SIGNATURE ' REGISTERED Y/ N FEE GURRENT Y I N <br /> Address License# � � <br /> M�CFiANtyI AL . CCiMPANY . <br /> SIGMATU�E REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# ' <br /> I ---, � _�-_-_� `� �l}C_ , <br /> aTH�i�=`. /�'\ COMFAtdY �C} <br /> SIGNA'�U�E`S � w�. REGISTER�D N FEE CUR EN7 /N <br />� Adiir�`ss � �� � ��}!�t .5 t'� 3���� i`License# ���Z:�J�� <br /> ;r., . , <br /> RESIDE�2'f1A� Af#ach.{2}Plot Plans;(2}sets of Building Plans;{1}set of�nergy Farms;!2-C}-W Permit for new consfn�cfion, <br /> -Minimum ten(10)working days after submitkal date. Required onsi#e,Construotibn Plans,5tormwater Plans w/Silt Fence iristalled, <br /> !I ' Sanitary FactlfUes&1 dumps#er;Site 1Nork Permit for subdiVlsions!large proJects , , . <br /> COMMERI IAL Attach{3}sets of Buildirig P}ans;(1}sef of�rietgy Farrris.R-O-W Permit for new constructian. <br /> � Minimum ten(10)working days after submittal date. Required onsite,Const`uction Plans,Stormwater Plans w/5ilt Fence installed, <br /> E SaNtary Facilitles&1 dumpster.Site Work Permlt far a!!new pro]ects.All commerciai requlrements must ineet campliance � <br /> I SIGN PE IIMIT Attach(2}sets ot Engineered P1ans. , � ' <br /> *"'PRQPERTY SURVEY required for all NEW construction. <br /> Direction�: ' <br /> Fill o�i t application completely. <br /> Owner&Cantractor sign back of appltcation,nota�ized <br /> If ov�Ir$2500,a�Natice of Commencement ts requPred. (AiC upgrades aver$5008) .• ,� ���, . , , F <br /> *" Agent(for the.cantractor)or F+ower.of Attomey(for the owner)would be someone with notarized letterfrom owner authorizing same <br /> 'OVER THE COUNTER PEi2MITFING �{Front'qf Appltca#ion Oniy) � '`_ ' " <br /> �:i. <br /> Reroofs Sewers� , S,erJtce'Upgrad�s A/C �ences(PIoUSurvey/Footage) - �, � � � � Y <br /> 1` ��.".�.4,'.. .. - .y ' <br /> IDrivi�ways-Nof over Counter if on pubiic roadways..needs ftOW � � <br /> � - <br /> i <br />