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4� '�'"� 813-7$0-0020 City of Zephyrhills Permit Application Fax-$13-780-0D21 <br /> r_ � Building Department <br /> Date Received Phone Cpntactfor Permitting �__�__)__ ._E p_Z..- v"'i <br /> 'ri-rr_�_��-r-�r.rrrr.:r <br /> Owner's Name �r�1((� I�f�.� `"�-�-- Owner Phone Number <br /> OwnePs Address �1�� � �'t C�rl..-t�Y��v`'�7� �'"� Owner Phone Number �— � <br /> Fee STinple TiUeftolder fJame �— � Owner Phone Number � � <br /> Fee Simple TiUeholder Address <br /> JOBADDRESS Vl.��}Q�S� �t�vY�hi13T�.Yrtc�ce l�{-Z�lttt�3`3�2 LOT# C�� <br /> susoiv�sioN �ir Klni 11 T�r� �I p,�oe�.t�u UZ"Z14-21-GC)0D-U33tx��Q�l C'"� <br /> {OBTAtNEO FROM PROPERTYTAX K6TICE� <br /> WORK PROPOSED NEW CONSTP A�D/AL7 � SIGN Q � DEMpLISH <br /> ItdST1�LL 8 REPAIR <br /> �3zogas�c�us� ,�' .s�a (� �cc3r�nrw -[� arµ� <br /> TYPE OF CONSTRUCTIpN [� 6L.00K Q FRAME � S7EEL [� <br /> 6ESCRIPTtON OF WORK �G.-7�I 4x� I�-Y�� <br /> BillLplNG 5lZE � � SQ FOQTAGE�� FiE1GHT C_� <br /> C iV'�UILpING $��p'1�,.�� VALUATION OF TOTAL CONSTRUCTION <br /> ��� <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPl�UMBING r�� 1 ( /'} �t <br /> L � � "I <br /> QMECHANlCAL $ VALUATtON OF MECHANiGAL IN5TALLA7ION � <br /> OGAS ROOFING Q SPECIAI,TY � O7HER <br /> F[NiSHED FLdOR E3.EVA7I4N5 �� FIOOD ZONE AREA QYES NO <br /> BUILDER �� � COMPANY ��- �C�`M"`�� �� ln�—� <br /> SIGNATURE �,Iv�� REGI3TERE0 N FEE CURRE� N <br /> Address ��1-�.��t i Z'�t�.�S'�j�{� License# �=�-��I 3� � <br /> ELECTRICIRN � � COMPAFfY � <br /> SICsNATI�RE REGISTERED Y J I�I FEE CURRER Y I N <br /> Address License# �� � <br /> PLUMBER. � �. COMPAf+IY � <br /> SIGNATURE � REGI5T@RED Y�I N FEE CURREf� Y I N <br /> Address License# �- �� <br /> StGNATtl�RE �— � RE�GIS ERED Y/ N �e cuaREp Y J N � <br /> Address License# J � � <br /> OTHER � � COMpANY � <br /> SIGNA7URE REGISTERED Y I N FEE CURftE� Y!N <br /> Address License#�� f <br /> i � i � � � o � i � i � ioia � � � � � � � � i � � � � � � ii � a � � � � � � i � � � � � � � i � � � � i � � t � � � � � � � � � <br /> REStDEN7fAl Attach{2}Ptot Plans;{2)sets of Buifding Plaas;(1)sst of Energy Forms;R-O-W PermiE for new construction, <br /> Mioimum ten(10j warking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Slte Work Permit for subdivisions/iarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit tor new consttucGon. <br /> Mlnlmum ten(�0}working days after sttbmlttaE date. Required onsite,Canstcuctio�Plans,Starmwater Plans wt Sili Fetsce insta(Ied, <br /> Sanitary Facllitles&1 dumpster.Site Work Permit for ail hew projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for alt NEW constructlon. <br /> �_. ._a_a.�e R_e . R R_� e e a_._. . , .s s_. a s . , e s . . a R . � . . . . e . . Q . . <br /> Direcitoqs:� <br /> Fll oubapplication completely. <br /> 4wr�er�CoMractor sig�back of apglica6on,notarized <br /> If over�2500,a Nottoe af Comrnencement is�equired. {AIC upgrades nver 57500} <br /> " Agent(for the contractar)or Power ot Attorney(for the owner)wauld be sameone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITfING {wpy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIaUSurveylFootage) <br /> Oriveways-Not over Counter if on pubiic roadways..needs ROW <br />