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�-- � ats-�eo-oozo City of Zephyrhills Permit Appiication fax-813-780-0421 <br /> .. -<.ti�F <br /> Bullding Department <br /> �'`, " ; Q rtsr <br /> Date Received phone Contaetfor Permittirt O i�J t v'G- -- ��� <br /> OwneYs Name ��-�i�� �� �—�-�- 4wnet Phane Number <br /> Owner's Addtess vt!5�t� � ��� Owhet Phane Number � �. <br /> �`ee'°S[mple'Giti,�halder Name, �—^� k', OirmeK:Phone-Numlief-_,� _ � <br /> Fee Simpie Siileholder Address <br /> JOBADDRESS �O'�"��J� t'Qj�(�'tt( P�J�2. L07# [� <br /> suauivisioN ��i{t j��Yi�0.C2 � PARCEi,iD# c�'L-2�e'21—�C�U- t�330t�— �� <br /> (OSTAINEO PROM PROAEEiTY TAX NOTIQE} <br /> WORK PROPOSED � NEW CONSi'R 8 ADDlALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> t�Ro��s�ao.� � ..s�� � - .cot�t� � �a��R � <br /> TYPE OF CON5TRllCT10N Q ELOCK �] FRAME Q STEEL � <br /> DESCRtPTtON dF WORK �,t�11 �CDr <br /> BUILD{NG StZE ��� SQ POOTAGE�� HEtCiH7 �� <br /> QBUILDING $c���� VALUA710N OF TOTAL CONSTRUCTION <br /> QELECTRICA� f$. � AfiAP SEFi�1fl�E Q PRUGRESS ENERGY �` UW:R:E:C: <br /> �� SE <br /> �_ <br /> OPLUMBWG ($ �� <br /> �__ <br /> OMEGHANICAL ($ —� VALUATION OF MECHANICAL INSTALLATlON <br /> �__ <br /> QGAS [� ROOFI(VG Q SPECIRLTY 0 OTfiEl2 `'�,` <br /> FINISHELI FLOOR EI.EVATIONS (�� FLOOD ZONE AftEA QYES NO <br /> �.� <br /> .StJIL-fSER "Crtt�(PA'�tY ���QIJI�L�t' '�.'t{�`�-� I'�,t_X.�T 1� "�'J �i <br /> SIGNATURE ������ � Recisr�r�o N F�cuat�n /N <br /> Address U� License# ��o5a i a� � <br /> ELECTRIClAN � � COMPANY � <br /> SiGNATURE a��is'rEaEo Y!N FEE CURRER Y(N <br /> Address License#�� <br /> PtRlMBECt COMPpatY �� !_ <br /> SIGiNfFTURFz�`• � �: REGIST�REGv�- � Y.�I(5L"� ; FEE:CURRE� _,`Y�7{U: ' <br /> Address License# � ' � <br /> MECHRNiCAL GOMPANY �+�l+ � <br /> SiGNAiUitE � � REOISTEREp Y/ N �E CURttEn Y/N <br /> Address ucense# �� 1 <br /> dTHER COMPANY �� � <br /> SiGNATURE � � Rec�s�am Y 1 N �'cuaREn Y 1 tV <br /> .Adi�ress 13cense#�� � <br /> tilllll ! ! l111l111111111111IIIIIIIIIIIIIIIIII111011tltt { ilillfttl ! ! ! <br /> RESiDEHT1AL Attach(2)Pfot Plans;{2)sets of Building Plans;{1}set of Energy Fortns;R-O-W Permlt for new construction, <br /> Minimum ten(10)working days after aubmitta!data. Required onsite,Construction Plans,Stqrmwater Piens w/Siit Fanae instaited, <br /> Sanitary Facilities&1 dumpster,Sits Work Pemtit for subdivis4onsllarge proJects <br /> COMMERCtAL Attach(2j compSete sets of Buifding Pla»s ptus a Life Safety Page;{t)set of Energy Forme.R-O-W Pertnit for new consttuction. <br /> Mtnimum ten ti0)woricing days after submittai date. Required ansite,Gonstructton Ptans,Stormwater Pians w/Sitt Fence instailed, <br /> Sanitary Facllities 8 t dumpstar.Site Woric Permit tor att new projscts.A{I commercia!requirements must meet compliance <br /> SIGN PERMIT Attach(2)sats of Engineered Plans. <br /> ""PROPERN SURVEY rsquired for aIl NEW cons#ruction, <br /> Dtre�t�attis� , <br /> FtChouri app�caticur c�apleEely.. <br /> Owoer&Gontraetor slgn 6ack of application,natarized <br /> 4f over 52500,a Mottce ot Cammencement Is requtred. (AIC upgrades over$7500) <br /> " Agent(for the contracior)or Power of Attomey(for the owner)wau2d be someone with notarized teHer from owner authorizing same <br /> OVER THE C011NTER PERMtT'fiNG {capy of caniract required) <br /> Reroofs if shingtes Sewers Servics Upgrades A!C Fences(PloUSurvey(Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />