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, 813-700-0020 City of Zephyrhills Permit Application Fax-813-76D-0021��((� <br /> BuIlding Department ����� �(L �Cf�At�,.� <br /> U <br /> Uate Recalved t� � �j f $4?> '�l�f$� - ��Q!1 � <br /> Pfiono ContactfarPcrmittin F '"J � <br /> [ � � ooete i�� t� o ` <br /> � t�,1t, x ( �+ <br /> Ovmer's Name �v�'v Y-- _ Qwner Phone Number 1 ll �1• �G <br /> � <br /> OwnePs Address�_ � � Owner Phone Number <br /> �P��� �� <br /> Foo Simpfe Tldoholdcr Name Owner Phono tJumber <br /> � ---- --� �.'n l <br /> Fec Simpla Tidcholder Address ��CD ,� <br /> (� J <br /> JOBADORESS d O-{ ���,{._. �VuI.�V��S��__� lOT7P � �•,n , � �n 1�J/ <br /> �.�N (.J1 ai�-t 1 <br /> SUBDIVISION PARCEL IDtE 3�I-2r'a'Z-1'01 S�- 60 O -D�2� <br /> __�(OSTAINED FpOM PRUPERTY TA%ttoTlC� �J��! .J �L <br /> WORKPROPOSED � INSTALLSTft� REP,4IR C� StGN Q Q DEMOLISti <br /> �J �rj'�l/'� <br /> PROPOSED USE O SFR � COMld � OTHER �7�{ 7« <br /> TYPE OF GONSTRUCTION [� BLOCK � FRAME STEBi. Q <br /> DESCRIPiION OF WORK !V �+/L�1� --��`�" tJn�vt^S 1�(��un ,n 1� (,�,��t.l>>�`-'�� <br /> BUIIDING StZE SQ FOOTAGE� HEIGNT ZD�����2t� ---'��—�� <br /> QBUILDING S Q� ngli.y VALUATION OF TOTAL CONSTRUCTION <br /> ['i!J V�iJ <br /> ��� [�ELECTRICAL S AMP SERVICE Q PROGRESS FNERGY Q W.R.E.C, �K�C�„ / <br /> � 9/ <br /> � QPLUMBING S �� <br /> � '� OMECIIANICAL u� VALUATION OF MECHANICAL INSTALLATION <br /> � , QGAS ROOFIWG Q SPECIALTY � OTHER �/GL�t-`� ��Q ��� <br /> __._�-�^"' �j� <br /> FINISHEU FLOOR ELEVATION�� FLOOD ZONC-AREA ��YES NO �����-S-`r <br /> _� <br /> /C,ra�C <br /> sui�o�R ��,�a � ,! y����y�� COMPANY � <br /> Sl(iNA7t1RE �-- �T IiEGISTERED Y/M FEE CURRFl. Y 1 N <br /> Address � License ti <br /> ELEC7RICIAlJ � COMPANY <br /> SIGtJATURE � n[cisn:r�a Y 7 N � Fr�e cUwten Y/N <br /> Addross � Lhxnse 7F �`—� /` <br /> PLUk�BER •- 7' . �.� __._ COMPANV {� ' (i� I [�C/�� <br /> SIGNATURE /� a[crsreaeo Y/N rEF cuw�n Y/N � <br /> �! u � <br /> Addross ` '`� � I.icerese� �' <br /> y i14��p MECHM11CA1 � COMPANY SE'�''�tfZkiY1 � li.ni� W�' — <br /> T` ! ery 53GNATURE HtcfslErtr:o Y!N FEELUftRE\ Y/N <br /> , p.b vt � <br /> !��i��� � Address _ I Q�Y�(��Q/_L- �., �.3. License if ��(�'t-�'r� � <br /> �a'� OTHER � COMPANY -- - `-- ---- <br /> SIGNATURE rsE�iST� Y/N �e cunrt6� Y/N <br /> Addresa � License 17 ( � <br /> 1 1 i 1 Y E 1 1 1 { 1 1 1 1 A 1 1 1 I 1 I i 1 1 9 1 1 1 I 1 B 0 E 1 f 1 B 1 1 1 1 0 p L Y B { 1 / 1 Q { 6 1 I 1 Y 1 1 f E 1 [ ( 1 ! 1 <br /> RESIDENTIAL Atlach(2�Plot Plans;{2)sots of Building Plars:(1)sot o`Enerc�y Forms;R-O-W Permit for nuw construcGon, <br /> Minimutii ten(1 Q)vrorking days a11er submfltat�Sate. Rcquired onsite,Construclmn Plens,Sfomnrater Plans wl Sil1 Fencr iast�l4,�ci, <br /> Sanitary Faeititites tA 1 dumpsicr,Silc Work Pcrmil for subdivi,ionsllurgc ptojcets <br /> COMP7ERCIAL Attnch(2)complato sets oi BWding Plr�ns plus a LiFe Sofety Pege;(1)set af Ener[�y Forms.R-O-W Permil for new wns!ruclion. <br /> M�nimum leo(10)woricing days alter submittal dale. Requ�red onsite,ConsVuclion plans,Stortnt+ater Plarls wl Sill Fence installed, <br /> Sanftary FaciliNes 8.1 dumpster.SRe Wak Permit for all new projects.All commercial roquiternents musl meet comptiance <br /> SIGH PERR§R Attach(2)sels of Etigineered PWru. <br /> '•"PROPEH7Y SURVEY requirsd for all NEV!tonslruMfan. <br /> 6iroctlons: <br /> fiil out application comµetely. , <br /> Ovmer&Conlractor sign back of application,nolanzed <br /> 1f ovcr 52500,a Nutice of Commencemon[Is requlrcd. (AIC upgrades over ST5D0) <br /> '• Agent(for the coniractor}ar Power of AComey(for the owner)would be someone wfth notar¢ed letter trom owner a;rthorizir.g same <br /> OVER Ti1E COUNTER PERR9ITTING (copy oS conlract requiredj <br /> Reroots if shinglas SeNers Service Upgrades NC �ences(PIcUSurveylFootage} <br /> Drlveways-Nol wer Courder it on public roadvrays..needs ROW <br />