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a��-�eo-0o2o Gity of Zephyrhills Permit Application Fatt-813 780-0021 <br /> Bu3lding Deparlment <br /> • , Date Recelved Phone Contact for PermitUn <br /> Owner's Name Owner Phone Number <br /> C� o il C�C� �.....�.JF � �Ylti �5.�'�I ,OwnerPhonaNumber � � <br /> o,�,ers,adare$$ � <br /> Fee Simple TiUeholder Name �^"u� O�1 3, �"' �wner Phone Num6er �� � <br /> Fee Simple TlUeholder Address <br /> JOB ADDRE53 � i ~ T �� <br /> SUBDMSION � � PARCE�tDl3 <br /> �88TAINID FRO►i PROAERTY TAX Nt/710E} <br /> WORK PROPQSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALI REPAIR <br /> PROPOSED USE [� SFR Q COMM � OTNER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � S7EEL <br /> t <br /> DESCWPTION OF WORfC <br /> BllILDItiG SIZE � � �4 FOdTA6E HElGtiT <br /> �BUILDING $ Q �—� VA�UATION OF TOTAL CONSTRUCTION <br /> J j <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUM9ING �� <br /> �MECHANtGAt. $ VA�UATtOtV 4F MECNANtCAt tNSTALLATION '�7 � ���,l t <br /> �r <br /> QGAS Q ftQOFINC3 Q SPECIALTY � 07HER <br /> FtNISHEQ FLOOR ELEVATtONS �� FLOQD ZONE AREA �YES tdQ <br /> BUILDER "'—�� �"����COMPANY � •��"" ��"""� � <br /> SIGNATURE ��7�' REGI3TERED Y I N FEE CURREN Y/N <br /> ,Addreac License# <br /> ELECTRICIAIV � � COMPANY � � <br /> SIGNATi7RE REGISTERED Y/ N FEE CURREN Y 1 N <br /> Atldreas License# �—� <br /> PLUMBER � � COMPANY � � <br /> SIGNATURE REdI3TERED Y/ N FEE cURREN Y/N <br /> Address Llcense# �—� <br /> tItECHANIGAL � � CdMPANY � <br /> SiGNATURE REC��STERED YI N FEECURREN YIN <br /> pddrsss Llcense# � � <br /> OTHER � � COMPANY � � <br /> SIGNATURE r��ls�n Y/ N �E cUwxEN Y/N <br /> Address Ltcense# �� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAi. Attacli(2)Pbt Pians;{2)sets of Buttd(ng Ptana;(1}set of Energy Forms;Ft-QNft Permit for�ew construcUon, <br /> Minimum ten(1U)woricing days after submittai date. Requtred onsfta.ConsUuction Ptans,Stottnwater Piaiw w!Sitt Fenae tnstattsd, <br /> Sanitary Facilities&1 dumpsler,Site Work Permit fat subdivisionsAerge projects <br /> COMlNERCUU. Attach{2)cnmplete sets of Building Plans pius a Life S�fety Page;{1)set of E�ergy Forrns.R-O-W Permit far new consWction. <br /> Minlmum ten{14}wnrking days after submittat date. Requlred onsfta,CoasWcttan P�ns,Stocmwater Plans w1 S3tt fence tnstalled, <br /> SanKary Facilities 8 7 dumpstec Site Wark Parmit for all new projects.Ail commerctai raquirements must meet comp6ance <br /> SIGN PERMIT Ariach(2)sets of Engineered Plans, _ <br /> "`•PROPER7Y SURVEY required far ali NEW canstruction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . .: . , .�_,.�_�_. . . . . . . . , <br /> Directiona: <br /> Fill out applicatlon completey, <br /> Otitrtser&Cantractor sSgn back of applicaHon,notarized <br /> H over�2500,a NoUce of Commenarment is required. (A/C upgrades oxer 57500} <br /> "' Agent(tor the contraGor)or Pawer of Attomey(for the owner)woutd be someone with noterized letter from owner auihorizing same <br /> OVER TNE GOUNTER PERMfl'TING {copy of coztitract required} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Foofaga} <br /> Oriveways-Ptot over Counter N an public roadways..needs ROW , <br />