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o�r�au-vUtv Gity of Zephyrhills Permit Application F�X a�a-7eaoo2� <br /> . Buiiding Departrnent <br /> ," - '._, <br /> Bate Recetved ' Phone Contact for Permlttin �` — �d j <br /> C}wner's Name �, �1" ¢�Il�n? Ownar Phone Number �f���l�Voy� .l <br /> Owner's Address / �GF� � �/�, Owner Phone Number � � � <br /> Fee Simple Titteholder Name Owner Phone Number � �� <br /> Fee Simpte 7itteholder Address <br /> JOB ADDRESS J J'Gl t�y� LOT# L� <br />� SUBDIVISION � h - i. 'P PARCEL ID# �� " �?l�- �/-D/�4��D40 D���`J <br /> (OBTAINEp FROM PROPERTY TAX NOTICE} <br /> WORK PRQPOSED ` e NEW CONSTR� ADD/ALT [�� SIGN [� Q DEMOUSH <br /> tNSTALI REPAIR <br /> PROPBSED>USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUC170N Q 9LOCK " Q FRAME � STEEL [�] <br /> nescR�pnoN o�wo��c ��'So G C r�N e-��.�- 3 � ��t �-G !��rrp�ttle � <br /> BUILDING 81ZE �� � SQ FOOTAGE FlEIGFlT . ,,,_,__,_� <br /> QBUILDING �� VALUATlON`dF TC?TA�G(?NSTRUGTION <br /> � QELECTRICAL �^-� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> [�P�UMSING �� - <br /> � C�MECHANtCAI $ �� �� VA�UATION OF MECHANiCAL iNSTAILATION <br /> � <br /> {�c�s [� Roo�ir�� p sP�c�as�r �] a�rH�R <br /> FINISH�D FLOOR ELEVATIONS „1_�� FLG10D ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SEGNATURE REGISTERED Y/ N FEE CURRET Y/N <br /> Address I:tcense# �— � <br /> ELECTRICIAN COMPANY <br /> SIGNA�1'URE ,,_., � REGIS7EREd Y/ N FEE CURRE� Y/N <br /> Address ���nsg� �— � � <br /> PLUMBER COMPANY <br /> StGNATURE �G�S.7EttEo Y t RI FEE CURRER Y/iV <br /> Address Ucense# ( �� <br /> MECHANICAt ���� ~ CqMPANY �'�5 Y�PRI�[-��-.�'t�G--'' �/y Gi <br /> 51GNATURE RE�ISTEREd Y t N F�E Cutt�E Y/N <br /> Address ��'� �l��=N � Ltcanse# (i�l�"�T`��"ej�c'� f <br /> OTNER ,CQMPANIY <br /> SIGNATURE REGisTERED Y 1 N . FEE CURREa Y/R1 <br /> Address License# � �1 <br /> RESIDENTIA!'. Attach(2).Rlat Pians;(2)sets af�8iiildiitg'Plans;(1}set of-Energy�Fartns;R-O-W Permit far naw aonshuction, <br /> Mlnimum_ten°(•10j.warktngEdays.after submlttal date. Requtrei!onsite,ConstivaBon�Plans;Stannwater Pians w/Slit Fence instalted, <br /> Sanitary Fac�litl�es:&:1,dumpster,Site Work;Permit forsubdivislonsAarge projects <br /> G4MMERCiAL Attach{3)camplete sets of Briitiiing P1ans ptus a Life Safety Page;(i)set of Energy Forms.R-o-W Permit for new construction. <br /> Minimum ten(10)working days after submlttal date. Required ansfte,ConsWciton Ptans,S#ormwater Plans wt 3itt Fence instalted, <br /> Sanitary Facllides&1 dumpster.Site Work Permit for ail new�proJects.All commerctal requlrements must meet compltance <br /> SlGN PERMIT Attacti"(2)sgts of Engineered<Pians. <br /> '•'•PRQPERTY SURIlEY requUed for all NEW cans#ruc8on. . <br /> alrectlons: - � <br /> FIII out applicaUon contpietety. <br /> Owner&Cantractar sign back of appitcatlqn,notarized <br /> ff aver�2580,a Notice of Commencement is requlred. (AIC upgrades over 57500) <br /> " Agent(far the contraetor)o�Pawer of Attomey(for the owner)wouid be someone wllh notarized letter from awner authorizing;same P , <br /> _ .,_ ... .�.>..._ . _..._._.. _ . _ <br /> C3VER THE COUNTER PERMiTTiN6�^�• �•=-(Front of Appilca8an Only) � - � �� - . . <br /> Reroofs if shingtes Sewers=' Setvice Upgrades AtC �Fences(PloflSurveylFootage} , ' � - <br /> Driveways-Not over Gounter tf on public roadways..needs ROW � ' ' <br /> ��, <br /> .��` <br />