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c. � 813-780•0020 City of Zephyrhills Permit Application F�-ais-�eo•oo2i <br /> Building Department <br /> , > <br /> TQ�,_R������ Phone Contact for Pormitrt,'iin� - <br /> Owner's Namo Ownar Phona Numbar � <br /> Owners Addrass � {'� Ownur Phono Number <br /> Fee Simplu TiUeholder Nomo Ownor Phona Numbor <br /> Foo Simple Titleholdor Address <br /> J08 ADDRESS l.V � r i (S L��a LOT N �I� <br /> SUBDIVISION PARCEL IDq R'�����0� Q� � � <br /> (OB7AtNED FflOM PROPERNTA%NOTICE) <br /> WORKPROAOSED B NEwcoHsrRB ADDIALT Q SiGN Q Q DEMOIiSH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTiONOFWORK e �'�� .S�Q�" ��f�Ct!/�/') Q e � �p�e���' <br /> BUILDING SIZE S�FOOTAGE� HElGHT � <br /> 08UIL�ING S VAIUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL 5 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ \` `� <br /> \�\ <br /> PAECHANICAL $/O oO j� VALUATION OF PAECHAN�CAI INSTALLATION \ V <br /> l/ ♦ <br /> QGAS Q FIOOF�NG Q SPECIAL7Y 0 OTHER <br /> FlNISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> i i i i i i f t-3-i-i-i-i-i--i-T i�.--.-.-�9-� �i-�i-.-.�-.-.-.. �;� -.-r�F-i-L�-�T_"- <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License q <br /> ELECTRICIAN --�- COMPANY � <br /> SIGNATURE \ REG�STERED l FEE CURqEA Y/N <br /> Qddress � License# a��0�' <br /> PLUMBER COMPANY <br /> SIGNATURE REGIS7ERED Y/N FEECURRE� Y/N <br /> Address <br /> License� <br /> MECHANICAL i � ��, COMPANY � <br /> SIGNATURE q REGI3TERED Y FEE CURREA Y/N <br /> Address � License q C,7{ <br /> OTHER COMPANY <br /> SIGNATUAE REGIST[HEU Y/ N FEE CURpET Y/N <br /> Addrass <br /> License H <br /> IIIIIIIIIIIIIIIIIIIIIIIIIII � IIIIIIiillllltlllll � lltltililllllililll <br /> RESIDENTIAL Atlach(2)Plot Plans;(2)sats ol Bullding Plans;(1)sat of Enorpy Forms;R-O•W Permil tor new consvuction, <br /> Minlmum ton(10)working days afier submittai date. Requlred onsite,Construction P�ans,Stortnwater Pians w/Silt Fenco installed, <br /> Sanitary Facilitios&7 dumpstar;Site Wark Permit for cubdivisionsAnrge praJects <br /> COMMERCIAL Attach(2)complate sets of Bui�ding Plans plus a Life Soloty Pu�n;(1)set of Enorgy Forms.R•O•W Permit lor now consWction. <br /> Minlmum ton(t O)�vorking days after submittal dete. ReqWred onsite,ConsWction Plans,Stormvratar Plans w!Slt Fence installed, <br /> Sanitary FaciliUes 8 1 dumpster.Sito Work Permit lor aii now pro�ects.All commercial requ"uements must moet compliance <br /> SIGN PERMR Attach(2J soGz o1 Enc�inoered Plans. <br /> "'•PROPERTY SUAVEY reqWred for ail NEW constmction. <br /> . . . . ��t• t• t' '�3 '�-:-��.i-�'rG i-�i�.l�:-.-.+�i�l-i-L-�- <br /> Diroctions: <br /> F�I out applicaUon complately. <br /> Ovmer 8 ConUactor sl�n back of appficatian,natarized <br /> If over 52500,a Notice ot Commoncomant is required. (!VC upgradoa ovor 57500) � <br /> " Agent(for the co�Uncta)or Power ol Attorney(lor the owner)tvouid be someone wlth notarized letter from owner authorizing samo <br /> OVEH THE COUN7EH PERMITfING {copy of contraci requ(red) <br /> Reroofs if shingles Sowora Sorvica Upgrades q!C Fonces(PIoUSurvoy/Footfl�a) <br /> Drivnways-Nol over Countar il on pubiic road�vays.,needs ROW � I <br /> I ' <br />