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sz3-7�a-oazo City af Zephyrhills Permit Application Fax-813-780-0023 <br /> : Building Department <br /> Date Received Phone Contact for Permitting -- <br /> ?�G�/ L ` <br /> Owner's fdame ���- � 4wner Phone Number <br /> Owner's Address ��l ,Q�a�G����� Owner Phone Plumber � � <br /> Fee Simpie Tit ehotder Name � � Owner Phane Num6er �— � <br /> Fee Simpte Tit ehalder Address <br /> J08 ADDRES ��L L�/��`��d� LOT# �_� <br /> suaoav�s�a� �1�l�t>.� �'�'�'...f� PARCEL tD# 4�--`Z.�"�—tdd�f�`f Q��G�"t1tJ�/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PR4FOSED e tVEW CONSTR 8 ADDtA�T � SIfiN Q Q DEMOLiSH <br /> INSTALL REPAiR <br /> PROPOSEp U E Q SFR Q COMM 0 OTHER <br /> TYPE OF CO STRUCTiQN 0 BLOCK • Q FRAME � STEEL Q <br /> DESCRIPTtO OFWORK /'� ��F'`^ �� . �� � �f'1! �`'�� <br /> BUIL:Q[h1f SI �E � � SQ FCIOTAGE }fE1GliT ��� <br /> OBUiLDIt�G $ .r r VAI.UATICl1U'OFTOTALCt7NSTRUCT20N <br /> � <br /> DEZ �GTi21GAL $ AMP SERVIGE � PRQGRESS ENERGY W.R.E.G. <br /> 0 <br /> OPL M81NG �� <br /> OME�HANICAL �� VALUATION OF MECHANIGAI.INSTA�LATION � � <br /> � l� � <br /> OGA� ��� ROOFING C] SPECIAl.TY 0 OTHER 1 <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA DYES NO <br /> BUILDER C06u�PANY <br /> SIGPIATURE _ REGISTEREb Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> Ei.ECTRtC1Ala COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � , µ � <br /> PI.UAlIBER., COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address i�icense# �� � <br /> MECHAId(C , COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Adclres License# �— � <br /> QTHER G� COMPA(dY (1���'l�lf'� �I1�.�trtf�'' <br /> S(GNATCIRE � REGISTERED Y/.N FEE CURRE� Y/N <br /> Addr�s , '� �!1 -� 1� �� � � l.icense# ��d 7.'Y��.7_ / I <br /> RESIDENTIA Attach(2)Ptot Pians;(2}.sets of 8uiiding Plans;{i}set of Energy Forms;R-Q-W Pertnit for new construction, <br /> Minimum ten(1p)working.days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilikles.&.1.dumpster;Site;W.ork Permit for subd'ivisions/large projects <br /> GOMMERCI Attach(2)complete sets of Buitding Plans plus a Life 8afety Page;{1}set o#Energy Farms.R-O-W Permit for new construction. <br /> � Minimum ten(10}working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Pacilities&1 dumpster.Site Work Permit fo�all new projects.All commercial requirements must meet compliance <br /> �StGN PERMI Attach(2}se#s of Engineered Plans. <br /> "'"*PROPERTY SURVEY required for all NEW construction. <br /> DEreatlons: <br /> Fill out a plicatian completely. <br /> , Owner Contractor sign back of application,notarized <br /> If aver$I250d,a NoEice of Commencement 1s requlred. {A1C apgrades ov�r$7500) <br /> " Agent(fbr the�cant�actor)or Pawer of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE C�aU�1TER PER�Il1T7fNG {capy of confract requ�red} <br /> Reroafs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivew ys-Not over Gounter if on pubiic roadways..needs ROW <br />