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s��-7aaoozo City of Zephyrhills Permit Application Fax-813-7840021 <br /> , ' Buildng Department <br /> Date Re_➢��Iv➢e�_ phone Contaet for Permitdng L� "1L� —�� <br /> y <br /> Owner's Idame �1 L C (�T Owner Phona Number <br /> Owner's Address�X-��� �� � � Oumer Phone Number <br /> Fee Simpla Tideholder Namo Qwner Phone Number <br /> Fee Simple 77tfeholder Address <br /> JOBADDRESS - V LOT# � <br /> SUBDIY{StON PARCEL ID# �' � � ' <br /> (08'TNNED FROOd PROPERiI'TAX NOTICE� <br /> WORK PROPOSED � NEW CON57R ADDIALT � SIGN '� Q DEMOLISH <br /> INSTALL 8 REPAIR ' <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTlON Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTiONOFWORK �5,7�1 Z����,rn57*t0 1✓a��Sy� �wJti���(�7/� � wt�11c'cf��tq'�! C,-/rca'rrc . <br /> BUILDtNG SIZE I��`X �'S/ SQ FOOTAGE 3 aOC� HEIGHT � <br /> $O�1 �BUILDfNG $ �7�C'� VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> ., °�h-� �ELECTRICAL $5'�_�a AMP SFRVICE Q PROGRESS ENERGY Q W.RE.C. <br /> `v <br /> QPLUMBING $ ^� i ��r <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v - I I <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED ROOR ELEVATIONS FLOOD 20NE ARFJ� QYES td0 <br /> BUILDER COMPANY . �' � <br /> SIGNATURE � aE�isTert� Y/ fd EE urtREn Y!N <br /> � �d�ss r�.-�� ���,y �d��z_� �� ���# <br /> L ELECTRIClAN �' � COMPANY ` ��`�I�C� <br /> 1 SIGNATURE REGIs7ERED Y! N 'F E CURitEn Y/N <br /> j _ � Address '-1'�`i' < < ( License# �k-��5������ <br /> � 'J � <br /> Z' PLUMBER COM1APANY <br /> ��� SIGNATURE REGISTERED Y/N FEe CUrnxen Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGtdATURE RE�Isre�n Y/N �CURREn Y/N <br /> Address Ucense# <br /> OTHER COMPANY <br /> StGNATURE aecisre�n Y! N F�cutuxEn Y/N <br /> Address License# <br /> � � � � � � ee � � � � � � � � � e � eee � o11111111111AI1111Ai111111lIC11111lIIIIIItAI <br /> RESIDENTlAL Attach(2)Plot Plsns;(2)sets of Buliding Plane;(1)set of Energy Fortns;R-aW Pertnit for new consWct(on. <br /> Minimum ten(10)�tirocY.ing days after submktal date. Required ensite,CansUuction Plans,Stomnerater Plans w!Slt Fenca Inst31led, <br /> Sartitary FadilUes&1 dumpster,Site Woric Pertnit tor subdivisionsllarge projects <br /> COAARNERCIAL Attach(3)complete sefs of Buildng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new caistruction. <br /> Min'unum ten(10)working days after submittal date. Required onsite,ConsWctlon Ptans,Stwmwater Pians w/5(tt Fence instatled, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.AII commer�al requirements must meet compfiance <br /> SIGN PERMIT Attach(2}sets of Engineered Plans. <br /> "•`PROPERTY SURVEY requfred for all NEW construction. <br /> Dlrescdorre: <br /> FII out applica6on compietely. <br /> Ovmer 8 Contractor sign back of epptica6on,notarized <br /> H over 52500,a Nodce of Commencement Ia r�rqulrod. (AIC upgrades over 575Q0) <br /> " Agent(for the contractor)or Power of Attomey(for the own=_r)Kaould be someone with rwtarized letter from owster authoti�ng same <br /> OVER THE COUNTER PERMRTING (Front of Appliqtion Onty) <br /> Reroots if shingles Sewers Senrice Upgrad� AIC F�r:cos(Plot/SurvoylFoo�go) <br /> Dr�veways-Not over Counter if on pu4t!c roadways..needs ROW <br />