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s,a-�eaoozo Ciiy o#Zephyrhills Permit Application Fex-813-786�OD21 <br /> 8uilding Departrnent <br /> Dato Racelvad . _ D� <br /> Phone Concact tor PermittU <br /> Owner's Name Owner Phona Number �� ����+ <br /> Ownar's Addross � Qw�er Phon�Numbar <br /> Fea Sfmpla Ttttoholder Namo � awner Phorte Num6or �— <br /> Fse Simpla T18aholderAddrass <br /> JOB ADDRESS � ,�� � <br /> LOT M <br /> SUBDNISION � L� PARCEL 10# � � �' ' O O� �� � <br /> (OBTAINED FRORt pROPERTY 7AlC NOTICE) <br /> WOiiK PR�POSED Nh1rd CONSTR ADOIALT �StGN Q Q DEMOlISH <br /> e INSTALL 8 REPAIft <br /> PROPOSED U3E [[� SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTIOFd � BLOCK ' Q FRAME �� STEEL Q <br /> DESCRIPTION Op yyORK G C �� <br /> S171�DiNG 31ZE SQ FOOTAGE� HEIGHT �� <br /> QBUILDING $ <br /> VALUATIOtV OF 1'OTAL CONSTRUCTION <br /> QELECTRICAL $ AMPSERViCE <br /> Q PRQGRESS ENERGY Q W.R.E.C. <br /> QFLUMBIIVG g <br /> MECHANICAL $ , VALUATION OF MECHANICA�fNSTALLATION <br /> ��S Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOp ZONE AREA <br /> [�YES NO <br /> BUILDER COMPANY <br /> SIGNATURE <br /> REGISTEREa Y! N �s cua�a Y/N <br /> Address <br /> Lfcense# <br /> ELECTRICIAN COI�PARIY <br /> 31GNA7URE . <br /> REOISTERED Y(N FEE CURREA Y 1 N <br /> Addree� <br /> Liwnse# <br /> PLUFABER COW9PANY <br /> SIGNATURE <br /> � REGt31ERED Y!N r-�e cuaaen Y/N <br /> Addt'6SE a <br /> UOBI136# <br /> r�ecxaruic� ��.>-- „�, �-,� ca���r G <br /> 31GP7pQURE c ', rtEGIStEREu Y( ' FEE CURFtEA Y l N <br /> Addresa � � License# <br /> OTHER COMPANN <br /> SfC31VATURE REGISTEHE� Y! N FEE CuaREf. Y/N <br /> Addross Llcensa#�� <br /> RESlOENiIAL Attach(2)Plot Plans;(2)seb of,Bupdin0 Plans;{9)sat of Enetgy Fortns;RA-W Femilt for new constructlon, <br /> Minlmum len,(tp),warktrtg,days after,aub�idtlal tlate. R�ulred onsfte,Constructlon Plans.Stortnwatar Pians w!Stlt Fancs instsiled, <br /> Sanitery FaGtitles.&1.dumpster Slte Work Permit for subdfvlsbnsdlarga proJecta <br /> COAS@AERGAL Attach(3)complete safs of Building Plans plus a Ufe Safely page;(1}set of Energy Fotms.R O•W Perrnit for new consUuctlon. <br /> Minimum ten(10)working days aker submlttal date. Required onsita,ConstrucNon Plans,3tortnwater Plans w/Siit Fence Installed, <br /> San3lary Fadlttlas&1 dumpster.SI(e Work Permit fnr ati new proJects.Ali commsrc}al requlrements must meet eomptlance <br /> SIGN PERR�liT Attach(2)sets of Engineered-Rlans. <br /> ""PROPER7Y SURVEY requ[red[or all NEW oonsUuctfon. <br /> Directlons: <br /> FE(I out applicallan completely. <br /> Ownar&Contractor slgn back af appifcatian,rrolarized <br /> If over 52600,a NoUe�of Commencement la roqulred. (A!C upgrados ovar E7500) <br /> " Agant(for the contractor)ar Power of Aflomey{ior the ownar)woutd be sam�ne wifh notadzed Istter hom owner authodzing same <br /> OVER THE C011IVTER PERMI7TING (Fronl of ApplicaUon Only) <br /> Reroofs tf shingtes Sewers Sarvice Upgrades AJC Fences(PlotlSurvey/Footage) <br /> �rivouvaayn.Not over Counter If on pubfic roadways..needs ROW <br />