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i — <br /> a�3-78o-fl42o � City of Zephyrhills Permit Application rax-a��-��u-u���� <br /> ' �. � : " 8uilding Department <br /> `Date Received phone Cor�tact for Permitttng - <br /> � <br /> � i <br /> Uwner's Name Ovuner Phone Number <br /> ,..(� I�S�C�EQ ���{ <br /> Owner's Address 1�• ��e�'_, Ul• . ��� �' Owner Phone Num�er� I <br /> Fee 9impie Titlehoider Name Owner Phone Number� � , <br /> I <br /> Fee Simple Titleholder Address <br /> JOH ADt}RESS '�� � 5 � � Lor# - ��� �. <br /> SUBDtVtSiON � I PARCEL ID# { � � c.� <br /> (OHTAtNED FROM PROPERi'YTAX NOTtCEj <br /> WORK PROP08ED e NEW CONSTF2 e ADD/ALT Q SIGN Q Mt)VE Q dEMOLISN <br /> INSTA�L REPAtR <br /> PtZOPOSED USE � SFR ��- GOtvtM Q C}THER <br /> TYPE OF CONSTRUCTIdN � B�OCK Q FRAME Q STEEt. � OTHER <br /> DESCRlPTlON OF WORK �f'S� '1 e� �b0 � Di��fiN6��� ►'�`�U �}� � �Y�'t� Yt c�� � C�� <br /> �Ct jI� � , <br /> BUILDWG SIZE SQ FdOTAGE v � tfEtGfiT l} r` �-i � � y ~ V� �� � ' <br /> [� SU1LDlNG $ �! '��� �f� VALUATION O�TOi'AL GONS7#2UGTION <br /> Q E�EC7RICA1, � '—�� AMP SERVIGE � PROGRESS ENERGY Q W:R.E.C.� <br /> i <br /> � <br /> [� PI.UMBWG ($ � � � <br /> � <br /> Q MECNAiViCAL $ �} VALItATIt3N OF tviECt-tANiCAL INSTALLATION ' <br /> .� <br /> Q GA8 ROQFlftlG Q SPEGIA�TY Q OTHER f <br /> I <br /> FiiViSHED FLOi3R ELEVATIONS � � F[.00D ZONE AREA QYES QNO { <br /> � <br /> BUILDER C4MPAHY � ' � U� 1 t l f t�* <br /> SIGNATURE �2EGISTEREO Y/ N FEE CURR T Y/N , <br /> Address � �� �(,r��� � �i iS,+�t License# C�C 11�-t(.q1"t`-i tJ� 1 <br /> ELECTRICIAN COMPANY <br /> SIGNA7URE REGISTERED Y! N FEE C[lF2RENT Y I N ' <br /> Address � License# �� � <br /> PLUMBER COMPANY <br /> SIGNATURE REG{STERED Y/ PI �EE Gllf2RElVT Y t N <br /> Address License# C � � <br /> MECHANiCAL GOMPANY � <br /> SlGNATURE REGISTEREp Y/ N �FEE CURRENT Y!N <br /> Address L9cense# �— � <br /> OTHER COMPANY <br /> SIGNATURE REGiS7ERED Y J N FEE Ct4RRENF Y I hF <br /> Address License# �� � <br /> RESID�NTtAL Attach(2)Plat Plans;(2)sets af Building Plans;(1 j set of Energy Forms;R-O-W Permi#for new construaSon, <br /> (viinimum ken{i0}working days after subtnittaf date. Requlred ansite,Gonstruction P{ans,Stot2nwater Plans w/Silt Fence installed, <br /> Sanitary Faclllties&1 dumpster,Site Work Permlt for subdivisiansflarge projects <br /> COMMERCIAL Attaeti(3)complete sets of 8uiiding Plans plus a Life Safefy Page;(1}set of Energy Farms.R-O-W Permit for new consfnletlon. <br /> - �_" �'��"�=�---14�irs;z-,u«rt3n-(?3)r•.�o�:csng dayv-att�r-�uh�:.tt�!-�+�ke:-E?�qllir��+-o�ci�p,-�r�nstneclon:Plans..Stormwater�Plaps.w/SUt Fence installed, ,_ ' <br /> Sanitary Faciiities 8 1 dumpsler.Site Wark Permit for all new projeats.AII commeraial requirements must mee#campllance � <br /> StGN PERMfT Attach{2)sets ot Engineered Plans. . <br /> `••'PROPER7Y SURVEY required for all NEW construction. <br /> Dsrectinns: <br /> Fill out application completely. <br /> Owne�8 Contrackor sign Back of appiicaGon,notarized <br /> if over$2540,a Notiae of Commencement is required. {A!G upgrades over$50QOj <br /> •' Agent(for the contractar)nr i'ower of Attomey(for the owner}would be someone with natarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applic'ation Only) �� a y�� , a , <br /> Reroofs 5ewers Service.Upgrades A!C 'Fences(PtoVSurveylFootage) � <br /> �riveways-Not over Counter if on public roadways..neads ROW � <br /> . � <br /> , „ :{- , <br /> ` . . � <br /> , -. :`-..�...._ -- ...__ _ 1 <br />