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. <br /> � , s��-rao-oozo City of Zephyrhills Permit Application Fax-s�s-�aa-aoz� <br /> Suitding Department <br /> Date Received �phane Contact for Permitting ��„ - , <br /> �-_�-�'!'"��'c't- r-�r�-�..y. ._ _ ..i t"�'_�"� TTi' , <br /> e <br /> Owner's Name � Owner Phone Number <br /> Owner`s Address[��l V ✓ �{��l(��f �L�'�'� Owner Pfione Number �^ � <br /> fee Sfmpfe Titfeholder Name � Owner Ptione Number � � <br /> Fee Simple Tltleholder Address o� v � , � J3��/ <br /> � r <br /> JOBADORESS ^� � ll �'� f t ���! "+ �OT# {O� <br /> SUBDIVIStON ..7��1 '��,'����"'���-3 { PARCE4 iDt7 '� `� ��/3(Q'"'���Q��CJ J(�, <br /> i (08TAINED FRAM PRDPERTY TAX NOTiGE) <br /> WORK PROPOSED e NEW CONS7R 8 ADDIALT C� SIGN Q Q DEMOLISH <br /> tNSTALL REPAiR <br /> PROPOSEDUSE C��� SFR Q COMM [_,,,,� OTHEfZ <br /> 7YPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> . { <br /> DESCRIPTION QF WOItK C 1� VO <br /> BUiLDlf�iG S �,�Y� SQ FQ4TAGE HElGHT'� <br /> BUILDING T7/�'/'")Q !� VALUATION pF TOTA�CONSTRUCTION <br /> �� � <br /> QELECTRICAI. ($ � AMP SERVICE 0 PROGRE3S ENERGY Q W.R.E.C. <br /> ��- <br /> QPttlMBit*tG � � <br /> QMECNANICA� $ VALUA710N OF MECNANICAL lNSTALLATION �� <br /> �� �� _ <br /> QGAS R40FING Q SPECIALIY � Q7HER � � � <br /> FlNISFiEO FLOOR EIEVATkONS �� FLOQD ZONE AREA DYES �'� NO- f�, � <br /> r <br /> BUILOER � +_-� CQMPANY �� ' <br /> SIGNATURE RECiISTERED Y/ N FEE CURREA Y I N <br /> Address � � �icense# <br /> ELECTRRCtAN �� ! R OM� Y! N . FEe CuttrxE�. . Y 1 N � <br /> StGNATt7RE _ t <br /> Address � � License# I � <br /> PLUMBER j � �dMPANY <br /> SIGNATURE J REOISTERED Y I N FEE CURRE� Y/N <br /> Addres& �icens # ( ^� <br /> MEGHAI+IICAL COMPAt�tY <br /> StGNANRE REGISTERED Y I N FEE CURRER Y 1 Al� <br /> Address C.___ ,,,_� License# � � <br /> OTHER CQMPANY ��I IL' !/��i.�IVyI��.LIUCt <br /> SIONATURE FiEOISTERED Y/ N cuRaEn Y/N <br /> Address � ,���+i r f/� � license# C.� � � <br /> 1 1 1 1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 M 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIIIENTiAI. Attach{2)Piot Plans;(2)seta o(Bullding Plens;(1)set ot Eoergy Forms;R-O-W Permlt for new consWction, <br /> Min[munt tan(10}working days after eubmittat dafa. Reguired onsite,ConsUucttfln Ptans,Stormwater Ptans wt Siit Fence tnsiai4ed, <br /> Sanitary Fadlities$1 dumpster;Site Work Permft far subdivisionsllerge projects <br /> COMMERCIAL Attach(3)camplete sets of euilding Plans plus a Life Ssfety Page;(1)set of Energy Fortns.F2-O-W Permit for new constructlon. <br /> tAinimum ten(10)working days after submittai date. Required oasite,ConsWction Plans,Stormweter Plans w/Siit Fence instslled, <br /> Sa�Rary Fecitities&i dumpster Site Work Pertntt for stl new projects.A{t commercial requlrements must meet compiiance <br /> SIl3N PERMI7 Attach(2)sets af Engineered Plans. <br /> •••"PROPERTY SURVEY required for all NEW conslruction. <br />� DlrecHons: <br /> Fill out application oompletely. <br /> Qwrier&Cant�sdor sign back of applicatio�,noterized <br /> ti ovee 52540,a Notice of Commeneemeaf is raquirad. {A1C upgrades aver 575�Q) <br /> •• Agent(fpr the contrac(or)or Power oi Attomey(for the owner)would be someone with notadzed letter from owner authorizing same <br /> 01tER THE COtlNTER PERMITTlNG (Front pf AQpSicatian Onlyj . <br /> Reroofs if shingles Sewers Servlce Upgrades AlC Fences{PfatlSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />� <br />