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� $��-�$�-ao2� City af Zephyrhills Permit Applicatian Fax$'f3-780-0021 <br /> :. Building Department <br /> a <br /> Qate Received Phane Contact far Permitting — <br /> ' ra4�o-�'�7��'� <br /> Owner's Nam �. � Owner Phone Number <br /> Owner's Addr ss �� � � Owner Phane Number �^, � <br /> _ , . <br /> Fee Simple Ti ehotder Name �,����'��V�, (,G�-r.�� � Owner Phane Number � � <br /> � � <br /> Fee Simple Ti ileholder Address � � d '� ` <br /> JOB ADDRES� LOT# <br /> � � I <br /> i <br /> su�aiv�siorr 11��"�t� � a�cec.�a� C',�J �G��`� G�l 2� --Ck�—��� <br /> (OBTAItdED FRpM PROPERTY TAX NOTICE) <br /> WORK PROP I�S8D NEW CONSTEt ADDIAl.T 0 SIGN Q Q DEMOI.lSH <br /> � INSTALL ,8 �REPAIR <br /> PROPt?SED SE Q SFR �J CC7MM 0 OTHER � <br /> TYPE'OF CO STRUCTiON Q BLOCK � Q FRAME [� STEEL [� <br /> DESGRIPTIO OF WORK 4 7�+ ��� ��' <br /> BUiCDING&1 IE �— � S4 FOOTAGE �� HEIGHT Z� I� <br /> I <br /> �8�� d��� � C t� ,. r VAIUATtON QF TOTAL CQNSTRUGTlON <br /> � <br /> DEL CTRIGAI $ A�t1iP SERVICE � PRpGRE3S ENEFtGY Q W.R.E.C. <br /> QPL�MBtNG $ <br /> �ME�HANICAL $ VALUATlQN OF NiECHAMCAL 1NSTALlATtQN �%�`� <br /> � <br /> � <br /> �GA Q ROOFtNG � SPEClAI.TY 0 QTNER <br /> FINISHED FLi OR ELEVATIONS �� FLOOD ZONE AREA �]YES NO �� �(>�� ���Q <br /> � t <br /> BUILDER COiVIPAt�]Y ."'Gttl����� d`�+� <br /> SIGNATURE '�^ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address� _License.# �a-+1���--��"2{[�'O � <br /> ELEGTR[C[ COMPAt+]Y <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> , Address - Cicense# �' ¢ � <br /> � <br /> PLUMBER. COlVIPANY <br /> SIGNATURE REGIS7ERED Y•/ N- FEE CURRE� Y/N <br /> . Address � ' _ �"License# � �� <br /> NIEGN`1'4NiGAl. � C4MPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� ��Y/N <br /> Adifress - � " L•icense.# � � <br /> OTHEE2� " COMPANY <br /> SIGNATURE:� - RE�I5TEREo Y/.N FEE CURRE�' ,. Y/N <br /> Address < < < �icense# � � <br /> .."`ItES1DENT! � Attacti{2),Plof P_}ans;'{2)"sets of Build`ing�PEans,'{4)'seE ofEnergy For`ni's;'R-0-W Permit.for new construcc�on, . <br /> , . 4 Minimum.ten;(10)working:days after'submittai'dafe. Required bnsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary;Eacilities.&.1,dumpster;5ite:Work Permitfor�subdi`visions/large:projects•� - <br /> COMMERCI Attaoh-{2)`comptete'seEs of Building Pla�s ptus a[:ife Safety Page;{1}set af Energy Farms.R-O-W Permit far new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.5ite Work Permit forall new projects.AIt commercia!requiremenis must meet eompliance � <br /> ` SIGN PERMI AttacFi{2}sefs of,Eng�neererJ Plans. <br /> � I •"•*PROPERTY SURVEY required for.aII.NEW canstruction. <br /> � - _ <br /> , ,Directiorts: ,. ,._.- � • , <br /> Fill out a�plicatian completely. <br /> Owner&f�°ntractar sign back.of application,notarized <br /> tf over$2500;a Natice of Cammencement is required. {A/C upgrades over$75d0} <br /> i <br /> "" Agent(f6I th'e contractor)arPower of Attomey(for the owner)wauld be someone with notarized letter from owner authorizing same <br /> OVER THE C�UNTER PERMtT'CtNG (copy of contract required), _, . <br /> `:Reroofs if shi� les Sewers Service Upgrades NC, 'Fences(PIoUSurvey/Footage) <br /> .; <br /> Drivewa's-iVotover Counter if.on pubGc roadways..neeci's�ROW,�' .,�` ' <br /> ,..�� ---�- <br /> i _._��...__� <br />