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1�� Fax-813-78Q-0021 <br /> s�a-7aaooso City of Zephyrhills Permit Application <br /> �I � Building Department <br /> p . <br /> Date Recelved Phans Cantaet for Perntfttfn � � - �� <br /> Owner's Name 'G�, � c� ,�U3 1� "t' Owner Phone Number . � �3 <br /> Owner's Address <br /> Owner Phone Number � �� <br /> Fse Slmple!;Tltlehofder Nams Owner Rhoae Number �� !� <br /> � <br /> �( <br /> Fee SlmpialTttlehotder Address <br /> � � <br /> JOB ADDRESS �'. � !' � S -- - - l:QT# <br /> � <br /> SUBDIVI$ION �.�...IUJ.1C ���� PARCEI.ID# .S � - - G"� (,� <br /> (OBTAINED PROM PRdPERTY7AX'NOTICE} <br /> WORK PROPOSED NEW CONSTR ADDJALT �� SiGN Q Q DEMOLISH <br /> \ e INSTALl. 8 REPA#R _ <br /> PRQPOSED USE __ . Q � -- SPR Q COMM �' QTHER (����,�"�_��C�� °- „� <br /> TYPE OF CONS1'RtJCT10N � Q BLOCK C] FRAME � STEE� Q {�� <br /> DESCRIPTI��N OF WORK <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT ��� <br /> II '�"� <br /> �BU«d�N�" �—'_� I VALUATION OF TOTAL CONSTRUCTION <br /> L. �� <br /> QEE.ECTRICAE. � �� AMP SEFtt/iCE Q PROGRESS ENERGY Q W.R.E.C. <br /> �i�LUfVlBlNG ($�� ���; /'�Q�G)�j <br /> L � .`.,! r� � � <br /> QMEGHANlCAL $ VALUATIQN OF MECHANICAI INSTALLATlON <br /> [�GNS Q ROOFING [� SPEClAI.'FY � OTHER <br /> FlNfSHED Fl.QQR E�EVATIONS � �� FLOOD ZONE AREA QYES NO <br /> � <br /> -—._--�t!lR.�°�L4-�- - � �� , ..__._- -- -- -- - =-�MPA�IV=-- — � _ __-_ _ _-- . _- -- - <br /> SIGNATURE REGiSTERED Y! N FEE GURREP Y!N <br /> Address License# � � <br /> ELEC7RtC1AN COMPANY <br /> SIGMATURE REGiSTERED Y J N FEE GURRER Y I N <br /> Address ' � �/ License# � � <br /> � � <br /> PLtlNlBER� � PANY � �$7'� � 4T` A{.�Il�� Ye..• <br /> SIGNATURE REGlSTERED J IU FEE GURRER Y/N <br /> � <br /> Addriss Q . (.. ,3�' License# �41�a�9a.3 I <br /> , .. <br /> MECNANIGAL COMPANY <br /> SIGNATURE REGISSERED Y i N FEE CURREt� Y/N <br /> Address Ucense# � I <br /> � <br /> OTHER � COMPANY • <br /> SIGNATURE REGISTERED Y! N FEE CURREt� Y!N <br /> y -- <br /> Address � License# � �� <br /> �I <br /> i <br /> RESIDENTlAI: Attach{2)Plot Rlans;.(2j sets_af 8uilding`Plans;(1}set of Enerc„nr Farms;R-O-W Permit for new canstruction, <br /> __ �_._ _ ,.._Minimum.ten.(10)woricing=days after.submittal date._Required-Qnsite,-Construc8on-Plans,Storcnwater P-lans w/_Siit Fence installed,_-- - <br /> Sanitary Fa.ciiities&1,dumpste_r,Site Work,Fermit far subdivistonsJierge projects <br /> COMMERGIAL Attach(3)compiete sets o#Buildirig Pians pius a Ufe Safety Page;(1}set of Energy Forins.R•O-W Pe�rnit for new c:ans#rucfion, <br /> Minimum ten(10)woricing days after submittt�l date. Required ansite,ConstrucUon Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facltities 81 dumpster.Site Work Pertnit far aii new projects.Aii commeroial requlrements must meet compilance <br /> SlGN PERMI IT Attach'{2)sets of Engineered Pians.. � � <br /> � "••PROPERTY SURVEY requlred for all NEW constructlon, <br /> Directions� <br /> FA1 auE applicaSore comptetely. <br /> Owne�&Contractor sign back of applicatlon,notarized <br /> tf over$2500,a Notica of Commencement is required. (AlC upgrades over�,T504) <br /> " Agenf�(far the contractor}or Power of Attomsy(for ttie owner)would be someane with notarized tetter from owner authorizing same <br /> DVER THE C�UNTER PERMtTTiNG (Front of Apptication Only} <br /> RerooFs if shingles Sewers Serv�ce Upgtades RtC FB(iCBS{PIOUSLIN6}t/F40f2C�B} <br /> I <br /> Drlvaways-Not over Counter if on pubiio roadways..needs ROW <br />