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, 8�s-rao-oo2o Gity of Zephyrhills Permit Application Fax-$13-780-Q021 <br /> Buitding Department <br /> Date Received Phone Contact for Permitting -- <br /> ► r..�.�.i..�_�...�.. <br /> _______. _ ..� w. _�_�..�._�_.� _ _��_ <br /> Owner's Name 1� Owner Phone Number �fJ ' ��' � f� <br /> Owner's Address � Q ���m Owner Phone Number � � <br /> Fee Simple Titlehoider Name �— � Owner Phone Number �.+ � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �s/f I��SO�YI �v /I/ /"U ��� LOT# [,� <br /> suBnivisioN l�c'��! 2 D/oSs'o/h/�f�f v � pa�,ce�ia# /J� �- j• l�l7L�'r D fl��O• o t`1,� <br /> ON (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSEd e N�NOPubStRB ADDtAl.T � SIGN 0 0 DEMt}Z1SH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q CdM11+i � OTHER <br /> TYPE OF CQNSTRUCTION Q BLOCK � FRAME 0 STEEL � <br /> DESCRIPTION OF WORiC l I /CI �K j �G:�� ��T////�O p� � js����� <br /> ' �o C�ON �-�(O Gu�/t�. <br /> BUIL.DlNG SIZE �—_� SG2 FdOTAGE HEtGHT ��� ��m �d�J�,�jt/F� <br /> r <br /> OBUILDING �� VALUATION OF TOTAL CONSTRUGTION <br /> �ELECTRICAL $�Q � AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> ...� <br /> OPLUMBING � /��f�' / r <br /> ..... . � i 1 <br /> �MECHANICAL $�7��� � VALUATION OF MECHANICAL IN5TALLATION �:�, <br /> .�7 <br /> �GAS 0 RQOFING Q SPECIALTY � OTHER <br /> FINISHED F�OOR E�EVATIOiJS F�0C3D ZONE AREA �YES NC} <br /> BUILDER � � COMPANY <br /> SlGNATURE REGISTERED YI N �EECURRfh YIAI <br /> Address License# �` � <br /> ELECTRICIAN COMPANY IC�/¢ l/� I� ���N .L�� <br /> SIGNATURE _� REGISTERED Y/ N FEE GURRE� Y/N <br /> Address ��D � � /�� License# E�/3oc�5�3 � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y/N <br /> Address License# �i � <br /> MECHANICAI. i��/'��//"v iGt//�'/����� COMPANY �/�I�� IJ� r�� l�RJ/I�l �,IV . <br /> SIGNATURE G �/ REGISTERED Y/ N FEECURREP Y/N <br /> Address /t7(? � /! License# /7L: / / <br /> OTHEf2 - COMPAi�2Y <br /> SiGNATURE REGISTERED Y/ N FEECURRE� Y/N <br /> �Address l�icense# �� ` � <br /> IIII ► 1MIIIMIIIf1111I1M111111111111111111 .11111111111I111111111111111 <br /> RESlDENTIAL Attach{2)Plot Plans,{2}sets of Building Plans;{1}set of Energy-Farms;R-C7-W Permit for new constrt�ction, <br /> Minimum ten(10}working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w!Sift Fence instaQed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> GOMMERCtAL Attach{2)compiete sets of Building Ptans pius a Life Safety Page;(1)set of Energy Forms.R-Q-W Permit for new construction. <br /> Minimum ten(i d}working days after snbmittal date. Required onsite,Construction Pians,Starmwater Plans w/Siit Fence insta(Ied, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance � <br /> SlGN PERMlT Attach{2)sets of Engineered Plans. <br /> "**PRdPERTY SURVEY required far a(t NEW construction. <br /> Directions: <br /> Filt out application completety <br /> Owner&Contractar sign back of application,nofarized <br /> !f over$2500,a Notice of Commencement is required. (A/C upgrades aver$7500j <br /> " Agent(for the contractor}ar Power of Attorney(for the owner}woutd be someone with notarized letter from owner authorizing same • <br /> OVER THE CQUNTER PERMITTING � (copy of contract required) <br /> Reraafs if,shing(es, , Sewers Service lJpgrades A1C Fences{PlotlSurveytFoatage} <br /> ` -� - �- ... . ��-� � •- <br /> Driveways-Not oye'�.Cqunter if on publfc r,oadway5..needs ROW , . - � "' - _..._.__.- _. - <br /> � . �. f - . <br /> � .� . i. . � �' _ .. . ' . .. . 1� _��. <br /> ' .. ..�,.... ...-- ..us._,.a-• h,-f-_n._-_ .l•_ � }.... .'!i�, ,_ , _Jy <br /> ' �-. ...�.. .,n,...i�w ... �. .,n.n.. . v -a rr.�.�y <br />