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� � � , __ <br /> � 813-780-0026 City cif Zephyrhills Permif Appiication Fax-813-780-0021 <br /> , ' Building Department <br /> it <br /> Date Recelved ��,7s <br /> Phc ne Cantact for Permtttin Z� -- �j �,S <br /> Owner's Name �c. � Owner Phone Number �13 -�'1'�Q " 7��'j� <br /> Owner's Addr��ss 5 A� Owner Phone Number �� � <br /> Fee Slmple T(tlsholder Name � Owner Phone Number �� � <br /> Fee 8imple Titleholder Address <br /> JOB ApDRES�3 �� Q,R G/►ANt ! l 1 R Z�Ph�Yn1 ��✓� �L. 3��'�f LQ7# 2'� <br /> � <br /> SUBDiYiStON �R�S U121�t„� �"s y IIS i PARCE�tD# 3S`�.5��.1-G1 j'�-.O�Ot"�f(�OO •� �2 3�? <br /> (OBTAINED FROM PROPERTY 7AX NOTIGE) <br /> WORK PROPtiSED e NEW CONSTR ; ADDJAl.T � SIGN [� Q DEMO�ISN <br /> INSTAI.L ; REPAIF2 <br /> Pi�OPOSEQ USE [� SFR � CC}MM [� OTNER <br /> TYPE OF CONSTRUCTION Q BLOCK [�I FRAME [,� STEEL [� <br /> DESCRIPTION oF WORK ����/� � j� UN17'�_ ���- $r�2.. �L �Z��`�`3 <br /> BUILDING SIZE �� � SQ FOO� GE�� HEIGHT ��� <br /> BU1I�DING $ � <br /> ��2� .,J�j i VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRlCAL � � j AMP SERV(CE � PROGRESS ENERGY � W.R.EC. <br /> QPl.UMBINt3 � � � � <br /> , ��� �� <br /> QM�GNANICAL $ VALUATION OF C+IIECHANICAL tIVSTALIATIQiV <br /> �GAS ' Q F200F1NG SPEClALTY � OTHEFt <br /> FINISHED FLG�OR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> +�-�-rt�ri-rrrrrrr <br /> QT'�2 <br /> I y { <br /> BUILDER A� �y�'A��p �CO PANY !��e� HOrtt�C GCnrt"'��t S L L C <br /> SIGNATURE � REGISTEREQ Y%�N FEE CURRE� Y/N <br /> Address ��"�n� ?$l"1'43 ORIAn/ eFt 3Z�7s License# � '�� ����1� � <br /> ELECTRICIAN CQMPANY <br /> SlGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address l.icense# � I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERBD Y I N FEE CURREA Y/N <br /> Address License# � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERHp Y/ N FEE GURRE� Y I N <br /> Address I License# � � <br /> � <br /> OTHER COMPANY <br /> SIGNATURE REGISTEREp Y I N FE�CURRE� Y/N <br /> Address � 4lcense# � � <br /> iii-tt�l-t'hH�t�ti-f' <br /> RESIpENTiAL Attach(2)Pfot Plans;(2)sefs of Buitdfng fI lans;(1)set of Energy Forms;R-Q-W Permit for new construcfion, <br /> Minimum ten(10)working days after subntittal date. Required onsite,Constructlon Plans,Stormwater Plans w!Silt Fence instailed, <br /> _��-��-`v-.-_. :_ ,- ,. :`___ _ ,.r__._. ___...._ �..___ _._�=_ <br /> 5anrtary Faciitfies&'i'�tsrnpsCer Site VGor-Permlt far`subii,vlslonsllarge�pto�ects��-- - <br /> COMMERCIAI. Attach(3)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Fnrms.R-O-W Permit for new constructlon. <br /> Mlnimum te�{10)working days after sub ilttal date. Required onsite,Construction Plans,Starmwater Plans w/Silt Fence Installed, <br /> Sanitary Fac1lJtles 8�1 dumpster.Site Wor Permit for a41 new projects.All commerc3al requifements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURI/EY required for aU EW constructlon. <br /> �ti <br /> Directlons: <br /> F(H out appitcaUon c:ompletely. <br /> Owner&Contractor sign back of appttcatian,notarized � <br /> If over 52500,a Notice of Commencement is requirec. (WC upgrades aver 57500) � <br /> *' Agent{fqr the contractor)or Power of Attomey{far the a er}wau#d be someone wlth notarized let#er from owner authoriztng same <br /> OVER THE Ct1UNTER PERMITTING (Front af AppUcation Oniy) <br /> Reraofs 1#shin4�Ees Sewers Service Upgtades AICt Fences(PtaUSurveylFootage) <br /> Driveways-Not over Counter if on publia roadways..nee�s ROW <br />