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..z_, _ 813-780•0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> f � Buildtng Qepartment <br /> . .ic` <br /> DateReceived PhoneContactforPermittfng ��c� �8Z - � �� <br /> Owner's Name r�1�� '^'t--� Owner Phone Number <br /> I.UK2l <br /> Ovmer's Address �S� (�A.��1L'- �t, Owner Phone Nurnber �- <br /> Fee�.Siriiple.JlYteriolder N'ame. �._ ..- .,.., _. �., OwoeF PFYune Wurn6er � � <br /> Fee Simple TlUeholder Address <br /> JOS ADDRESS V�!'l �'�� � ��, Y�c�c:�.s�-�� I.BT# C_� <br /> S�SDIVlSION �fiS�eVrc� � PARCEt,10# dZ ""���"U3''c�d"' (7��C� <br /> (OB7AtNED FROM PRdPERTYTAX NOTtCE} <br /> WORK PROPOSED NEW CONStR ADD/AL7 � SIGN [� Q DEMOI.ISH <br /> `e 1I�S7,411 '8 'I2E!'AIR <br /> PRflP4SED USE :� SfFt ;� �OCdiNi ,� flii�ER , <br /> TYPE OF CONS7RUC710N Q BLOCK � FRAME � S7EEL Q <br /> DESCRtPTtON QF WORK � �1 i Ul� {{��'.Y i.LY'" <br /> BUILC?iNG 5[ZE � SQ FOOTA�E�� tSEtC+HT C_� <br /> ��UILdING $�o_,ts 1 (�, VALUATION OF TOTAL CONSTRUCTION <br /> v z-tr <br /> QE�EC7RteAL $ RMP SERV�CE Q PROGRESS ENERGY Q W.R.E.C. <br /> ��,. <br /> OPLUMBING r�� <br /> L <br /> QMECNANICAL �� VALUATION OF MECNANICAL INS7ALLATION <br /> QGAS � ROQFING Q SPECIALTY � OTHER <br /> FiNtSHED FLOOR£LEVATIQNS �� FIflOD ZONE AREA QYES iJ0 <br /> `StltLDER : �(Y •\`�'V► tll� � �OMAANY ����Cu.l�-- �t.V ut��'�"�� <br /> SIGNATURE � �;����4�� I REGISTERED • N FEE CURRE� /N ��T <br /> Address � �� 1,�� Z� �\�L3�` Cicense# C��.�cj��� � <br /> ELEC7RIGIAi+t � � C0141PANY � <br /> StGNA'ft7RE REGtSTERED Y I hI FEE C{1RREh Y I N <br /> Address License# �- � <br /> PCUMBER COMPANY � <br /> 3{GN'FCT,CjRE. � REGIS7ERED_ : Y-/-1V'' � FEECURREA- ; V"/�N. '- <br /> Address Liae�se# ��� <br /> MECNRNIGAL COMPANY �� <br /> SIGNATURE RE015fERED Y/ N fEE CURftE� Y I N <br /> Address License# � <br /> OTHER � � COMPANY � � � <br /> B16NATURE � REGI:+TEAED Y'1 N Fescu�en Y 1 N <br /> Rddress {dcense�'�` � <br /> IIIIIIIIIIIIIIIIt11111t111111111111111111tIMI111111111111Illlllt111 <br /> RESiDENSiAL Attach(2}Ftat Plans;{2}sets af Buitding Plans;(1)set af Energy Forms;R-4-W Permlt for new constnecUon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Consfruction Ptans,Stormwater Plans w/Silt Fence insfatled, <br /> Sanitary Facllitles&1 dumpster,Site Work Permit for subdivisioosllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;{1)set of Energy Forms.R-O-W Permit foe new construction. <br /> MIn(mum ten{10}wosicing days after submittal date. Required onsi[e,Conshvctlon Plans,Storrnwatsr Plans wl Silt Fence instalted, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects,All commercial requirements must meet comptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"•PROpERTY SURVEY required far atl NEW consttuction, <br /> Direatlans: � - � <br /> �ll�au(appNr,�tion,Fomp�e�ely. <br /> Owner 8�Contraciar sign back of appiication,notasized <br /> if aver 525p0,a M1lotice of Commencement is required. (AJC upgrades over$�500} <br /> " Agent(for tha contractor)or Power oT Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERM3TTtNC, {copy of contraot required} <br /> Reroofs(t shingles Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) <br /> priveways-Not over Counter if on pubiic raadways..needs ROW <br />