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o�y�Qw���� City of Zephyrhills Permit Applica#ion Fax 813-7saoo2� <br /> ' " '�� 8utiding Depattmant <br /> � , . <br /> Date Recelved Phone Contact for Parntit#in !� �� �� <br /> Owner's Name �� /Q �r!C � `��E'' L. Owner Phane Number gj����f ���� <br /> Ownefs Address ���f� J� r� ����2�� Owrner Phone Fiumber �— � � <br /> Fee 8tmple Titleholder Name Owner phone Number � � <br /> Fae Slmple Titleholder Address <br /> .tOB ADDRE3S �7•�?�� q"��er�*jvp �lfi� LOT# �� <br /> susoivisioN �A'��G�L°.- �J�J�� pARCEL ID# �� � �l 1.�17,� DDC'� dD`,it� <br /> (OeTAINED FROM PROPER7YTAX NOTICE) <br /> WORK PROPOSED , e NEW CONSTR� ADD/ALT [,� SlGN Q Q DEMQLtSH <br /> INSTALL REPAIR <br /> PROPQSED USE Q SFR �] COMM [� OTHER <br /> TYPE OF CONSTRUC'170N Q BLOCK ' Q FRAME [„] STEEL C] � <br /> QE3CRIPTION flF WORK ltC-".Sp Af� ��tR�l e-pc.� /' ��rm a,�jE;,� „� �o/�IJ�' ��G <br /> BUILDING SIZE � � S6!FOOTAGE�� HElGH'C �_,_`� <br /> OBUILDING � � VALUATlON�OF T(?TAL CONSTFtUCTiOtV <br /> QEI.ECTRICAI i$ i � AMP SERVICE Q PROGRESS ENERGY CJ W.R.E.C. <br /> ��_ <br /> QPLUMBING �� - � <br /> �MECHANICAL $ —f�� .�,�—� � VALUATICYN OF MECHANICAI.INSTALi.AT10N <br /> C_.___�`.�� <br /> QGAS Q ROOFING .Q SPEClAITY �] OTHER <br /> FlNt$HED FLOOR ELEVATiONS �'� FL04D ZQNE AREA QYES NO <br /> BU!l,DER COMPANY <br /> SlGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# � �� <br /> ELECTRICtAN __� COMRANY ' <br /> SIGNATURE � REGISTERED Y! N FEE GURREt� Y/1V <br /> Address Ucense# ( �� <br /> PLUMSER �� COMPANY <br /> 51GNATURE REGtSTERED Y/ N FEE CURRE� - Y/N <br /> Address Ucense# �` ` �� <br /> SIGNA�RE � �� ` <br /> ,�� <br /> ` COMPAfi1Y �1�R'✓��ht�G''L���t--' ��L°' <br /> REGIS7ERED Y/ W FEE CURRE� Y/�N <br /> Addr�ss '�f'��'� I T���11� �l�f/�L,GS'/�'�.. Ucense# �!�'Cb tt'�✓��'�7�'�� <br /> OTHER ,COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUftREI� Y/N <br /> Address I.icense# ! i'� <br /> RESIQENTIAL Attach'(2)..Plot Pians;(2)sets.of�Bi]i(iJiiig`Plans;(1)set of-Eriergy�Forms;R-O-W Permit for new constru�tion, <br /> Mlnlmum:ten(1.0).worktng;days,after.submlttal date. Fteyulred onsite,Constr'ucNon-Plans;Storrnwater Pians wi Sitt Fence instatled, <br /> Sanitary Facill8es.&.1,dumpster-•Slte Work�P.ermlt#or subdivislonsflarge projects <br /> COMMERGIAL Attach(3j oomplete sets�of Buildirig Plans plus a Life Safety Page;(1)set af Energy Forms.l2-O-W parmit far neuv construction. <br /> Minimum ten{10)working days after submittal date. Etequired ansfte,Constructlon Pians,Stormwater Plans w/Siit Fence Insta�ied, --_ <br /> Sanitary Facillties 81 dumpster.Site Wark Permit for aii new�projects.Ait�mmerciai requirements must meet compilance � --- <br /> SIGN PERMIT Attach(2)sets of Englneered.Rlans. <br /> ""PROPERTY SURVEY requlred for a!I NEW cansWc@on. <br /> Directlons: <br /> Ftl!out applicatlon completsly. <br /> Owner&Contractor sign back of applEcatfon,notatized <br /> !f ovsr S250Qr a Notice of Commencemsnt is required. (A►C upgrades aver�`,750d) <br /> •* Agent(for the cnntractor)or"Power of Attomey�(for the qumer)would be someone u+dth notarized letter from owner authodzing same <br /> t?VER THE CQUNTER PERMlTiiNG _. . .(Front of.Appticatio�t,�,ni��w, � - .� t_ .. .L� .__ �..�,.:,,.�..�,..,� <br /> Reroofs 4f shingles Sewers' Senrice Upgradss AiC� fienc�{p1oUSurveylFootage} A , +, � s <br /> . .� � 3' , � . . � <br /> Driveways-Not aver G�unter if on pubitc roadways..nead�ROW ": � i �' <br /> . . .. - . - , ?a. <br /> i , . ' .1 � ,. ._ . ,.. . -, .. , ,.. ,.»�. <br /> _. .. . .. . � , , e.b-.�,�y� . <br /> jii <br /> 1� <br /> . f <br /> Y.1 <br />