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. � 813-780-0020 City of Zephyrhills Permit Application FaX-8i3-780-002t <br /> Buiiding Department <br /> Date Received �j �• , phone Conhaet for Petmitting �� � r W - ✓�`N' <br /> Owner's Name '1V u4 3 pOw,�ne,r Phone Numbet �"�"� "—i y�S <br /> Owee�s Address ��2 �j u. C�.-L.. �� ��Owner�Phone Number � � <br /> Fee Sfmpie Titleholder Name I � Owner Phone Number � � <br /> Fee Simple TltleholderAddress <br /> JdBADDRESS � �� � i} -C Vti��� ' � �LBT# �� <br /> SUBDMSION �����Y .1�� I PAR.CELID# ��'������''�"����'���0�(� <br /> {OBTAttdED FRO&1 PROPERiI`TAX N�StCE} , <br /> WORKPROPOSED NEWCONsfR(� ADD/ALT � SIGN Q Q QEMOLiSH <br /> INSTALL Q REPAIR • <br /> PROPOSED USE SFft Q COMM Q 4THEit <br /> TYPE OF CONS7ftUCT10N eLOCK Q FRAME � STEEL. Q <br /> DESCR1PiI0NOFWORK Ut+i{ �'1J� �� 11'`x �� " �• � <br /> BUILDING SlZB SQ FOOTAGE HEIGH7 [� <br /> T �'ti'"!"!�!Z' 1"!� tT'tT�iT{TT" <br /> �UILDING S /1/h� VALUATION OF TOTAL CpNSTRUCTION <br /> L�► <br /> [�ECEGTRtCA! �� AMP S�RVlCE Q PRQGRESS EiSERGY Q W.R.E.C. <br /> OPLUMSING $ _ ±� ���PZ-� - <br /> OMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION ��/ ) � �� p./4"'+" '� <br /> L,/ 1 <br /> [�GAS � RpOFING Q SPECIALN [� OTHER <br /> FINISHHD FLQOR ELEVATlQNS ��� FLOOD ZONE AREA QYES NO <br /> .�'r-S�C�•'r�'.�Y'r.�i-.'.-'��i���7-'!.L'��'r�'re��i'rC�'�-7.�'��'� '�n�'�7�'e-'��r:�i�i+�C-'r•��'�-'n�i C�•'rY�'��:�i�'rn'-0�4'�inC�-'�'. <br /> SG�NATURE � ��]4�'�iT � C��t� � ROMPAND ��� 1�FS„lVl�i N �� <br /> Address �2. �t. 33to�cense�1 `�a.t-�1 ����� <br /> ELECTRICIAN � COMPANY � <br /> StGNATtlRE � � REc�ssEREo � Y!N F�cusu�En YtN <br /> Address License#�� <br /> PLUN{BER � � CdMPANY � <br /> SIGNATURE REGIS7@RED Y�Ecuw�n Y!N <br /> Addre�s License#� � <br /> MECNANICAL COMpANY � � <br /> SiGNATURE � � R�ts�rt� Y t N �Ecut�� Y t N <br /> Address Lfcense�� � <br /> pT(-��y� GOMPANY � <br /> SIGNATURE � � REGISTERFD Y/N F�cuwaen Y1N <br /> Address LEcense�� � I <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt1tI1It11t1ttt111t11111ilfltt <br /> RESIDEN'f1AL Attach(2)Piot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-0.W Permftfor new consttuction, , <br /> M1nlmum ten{14}working days after submittai date. Reqvired onstte,Constsuctfon Ptans,SWrmwater Plans wi Sttt Fence tnstailed, <br /> Sanitary Facllittes&1 dumpster,S'sfe Work Petmit for subdtvislonsRarge pmjects i <br /> COMMERCIA4. Attach(2)complete sets of Building Plans plus a Life Safety Page;(ij set of Energy Forms.R-O-W Pertnit for new construction. <br /> Mintmum ten(10)working days aftersubmlttal date_ Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence(nstalled, <br /> Sanitacy Fat�lities&i dumpster.Slte Work Permit far alt new projects.Atl commercta!requtrements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> "'"PROPERN SURVEY required far ail NEW consWctian. <br /> .a-l.�i-�t-l-i-S-i��-I-F.l-i-d-I�-i..4.��-f�.�l�f-d-i-H-t-da-t-I..I-f�-i-l-H-f�-E�',-C�➢-6-:.�f.'-G-f-1-1-Fi-�-1-�1-:-:=.-'.-:-F•1-1�-1-1� <br /> 4[[ectlons: <br /> Fiil oul applicaUon comptetefy. <br /> pwner&ConUactor sign back of application,notadzed <br /> it aver$2500,a Notice of Commencement is sequired. (AtC npgrades over$75�0) <br /> " Agent(for the wntracto�or Power of Attomey(for the owner)wouid be someone with nofartzed teBer trom ownef authorizing same <br /> OVER THE COUNTER PERMITfING (capy of wnVact requirec� <br /> Reroois if shIngles Sewers Secvice Upgrades AtC Fences{P1oVSurveytFootage) <br /> Driveways-Not over Counter if on publlc roadways..needs ROW <br />