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e��-�eo-oozo City of Zephyrhills Permit Appllcation F�$��-��� • <br /> , i • Butlding Departrnent <br /> •Y , I _ <br /> Date Reaeived phone Contact for PermlMin - <br /> Owrters Name l 1 lJW l F— Qwner Phone Number � <br /> Owner's Addross ��� lilx5� OvJner Phone Num6er ��� � OZ 1 `\ <br /> 1 <br /> Fea Simple eholder Name Owner Phone Number , <br /> Ree Simple eholder Addmas , <br /> J�BADD CK-S LOT# � O . <br /> SUBDIVISIO PARCEL ID& , <br /> (OBTNNED FROE�PROPER7YTAX NOTICq . <br /> WORK PROP ED B NEW CONSTR e ADD/ALT Q SION Q � Q DEMOl.ISH , <br /> INSTALL FtEPAIR <br /> PROPOSED ISE Q SFR Q COMM Q OTHER ' <br /> TYPEOF CO STRUCTION Q BLOCK - Q FRAME Q STEEL Q <br /> DESCRIPTIO�CF WORK G�-C 1 C � ��+- , <br /> I <br /> BUfLDING SIZE SQ FOOTAGE�� HEIOHT �� <br /> i <br /> I <br /> QBUILDINO $ VALUATIONOFTOTALCONSTRUCTION � <br /> V�(�ELE� CAL $ �,pp AMP SERVIGE Q PROORESS ENERGY Q W.R.E.C. � <br /> PZ <br /> QPLU{�ABIfVO $ �� � <br /> QMEC� ICAL $ VALUATION OF MECHANICAL INSTALLATION �1 N �/ y <br /> � U �, <br /> QGAS Q ROOFINO Q SPECIALTY Q OTHER � <br /> FINISHED FLO�R ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> I <br /> I <br /> i <br /> � <br /> BUILDER COMPANY ! <br /> SIGNATURE r�Gis�rtEo Y/N �curtRen Y/N � <br /> , <br /> Address 'Llcense# <br /> ELECTWCIAN COMPANY � .t�l S` � . <br /> SIGNATURE r�cisf�u Y N �cuRRB. Y/N <br /> , naare� � OlD � S . O � u��� L 60`3 � <br /> PLUMBER COMPANY . I <br /> SIGNATURE r�oisteaEv Y•/N �cu�n YY N I <br /> , Addcesa + "Llcense#�•` � <br /> MECHANICAL _ . ; COMPANY <br /> SIGNATURE• , r�GISTsteo �. Y/.N • �Cursa�A ' "YFN • <br /> Add're'ss ' ' . _ L•ieanse#r <br /> •:,. . . . <br /> -OTNER�`" C�M,pANIf ' <br /> SIGNAT.URE:�. . - riEc�aeo •Y/N. F�cxmREn• Y./N <br /> Address•.. • LFcense� <br />, RESIDEN7ZAL-.�llttecfi;(2);PlofPlens�(2pseffi�Lf�8ullding�Plac�;'(1)'sat of�Eneigy Form"s;R;O-W.Pertnit.for nevy construd[on, <br />, � ti •,� �Minllnurt{:tem(,10)}vorkfng:i!"ays after�subrtiltteFdete. Requireif'on"site;Coristruct[on Plans,.StartnwaterFlans w/Slit Fence Inshalled, <br /> � `Senitery�FaGlltlea.8_1�.dumpstel SRe llllork Permit tor.subdivl�lons/►arga proJecls� _ <br /> �COMMERC{AL �Attach'(2)'cortiplete$ets.of Bull�ng Plans�plus e Lfe Safaty Page;(1)sat of Enargy Forms.R-O-W PertnR for rrew oo�trucUon. <br /> - —_- .- �Mfnlmum ten(10}wo�itin8 daya eftersubmitlel date. Requlred onsife.Constructfon Plans,Stortnwataz Piens wl Stlt Fence•Installed. <br /> Sanfhary Faplltles 81 dumpster.Site Work Permit foP•all new proJecta.Atl cammerdal requVements maet meet oompllance ' <br /> `''SION PERMfT '�Adacli(2)sate of�Engineered Plena. � ; <br /> t""PROPERTY SURVEY required for.aA.NEW.construdlan. . <br />, ,.blreeUons: i • •� - . <br /> Fllouhappflc�Uon completely. <br /> . Ovmer 8 CanMactor sigh.back of eppttcatlon,noterized <br /> • If over§2500;a Notice of'Commaneement Is requlred. (AIC upgrades over y7500) ' <br /> •• Agent(for tlt'e'conUactor)'orPoxrer of Attomey(for"the owner)would be someone with notadzed letter fmm owner authorizfng same i <br /> .OVER TFfE COUNTER PERMITTING (eopy of contrad requhed) : i <br /> Remofs if shingles; Sewers Service Upgrades NC Fences(Pbt/SurveylFootege) � i <br /> Drivaways-Not over'Counter if on public roadways..needs ROW � <br /> � <br />