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��y,�w��� i City of Zephyrhills Perini�Application ,_ " Fax saaasaoo2� <br /> Building Department <br /> Date Recatved ' � phone Cantact for PermttNn „ l � -� �� <br /> ii�' <br /> Owner's Name �" � � �� �j ��+� � Owner Phon�Number <br /> / c� v� <br /> Owner's Address .3 a..�2-S ��?�'�'!'"�'�' � � �t3xrner Pho�e Humber ��� t ��� ��~ <br /> � � <br /> Fae Simpie Titlehoider F1ame . '• Ouvner P'hone Number , <br /> Fee 8imple Titleholder Address <br /> JOB ADdRESS � ^j l"�'�-���?b-�'�".,.3"���-,��"I�.3' ��7'�..� LOT# �� <br /> SUBDIVISION �— � PARCEl.ID# !��.� �%'�) '""�'��� �G��� "' G�� � <br /> (OBTAIAIED FRQM PROPERfiY TAX NOTICE) <br /> WORK PROPOSED , = NEW CONSTR 8 `� ADD/ALT � SIGN Q Q DEMOUSH <br /> `; INSTALL ��REPAIR <br /> PROPQSED USE Q, SFR C] CQMM Q C?THER <br /> TYPE OF CONSTRUCTiONt �� BLOCK � FRAME [�. STEEL �] <br /> pE3GRIP1'iON QF WORK -c,.�.+-+ au✓t�'-� b�"�'� <br /> Bil1LD1NG S12E �i�X� !''�n�� 8Q FOOTAGE � �,� NEIGHT C�� <br /> OBUl�DfNC,, ? .�-7 �r—��� C�`�� 'VAWA7�CJ�V OF�TOTAL CONS7RUGTION <br /> , �$��-�.._1 <br /> , <br /> QELECTRICAI� $ � ���r- AMP SERVICE )� PROGFiESS ENERGY Q W.R.E.C. <br /> � r <br /> QPLUMBING $ � � � - � <br /> I �Q 1�..� ' _ <br /> QMECHANICAL $ , �-.�� VALUATldN OF MECNANICAI.INSTAliA7 C?N �/ <br /> �^� x c <br /> QGAS Q ROOFING Q SPECIALTY [� OTHBR � t�� �7�� Q,�� <br /> ����� C.� <br /> FINISHEd FLQOR EIEVATiONS r FLOOD ZC1NE AREA QYES NO `.�y� 1 ���� <br /> _ 1 <br /> BUILDER __ _ ,��,�. 1 COMPANY �,t � . ; _ ,-j!�+t�� <br /> � � Irt <br /> StGNATURE 'i-- � `�.'Lt I� REGIS7ERED Y I N FEE CURRET Y/N <br /> Addreas License# ! �� <br /> El.ECTRlC#AN � �,a'V�' COMPAPtY �' L"�ir,�'3�W l� ��'�(�f'!Cr <br /> S{GNATURE �� REGISTERED Y I R1 PEE CURRE� Y/TI <br /> aea�$� ��%`f �k i s�-- �r,� ��r �1 �35y�a Ucense# <br /> - OMPANY GJ' <br /> PWMBER �` C ����� <br /> SIGNA7URE C�'s^'�^'\r'`` � ,A� REGlS.'fEREU Y N FEE CU � Y/N � <br /> . ��� <br /> p�a�� l�� License# <br /> � �a��� J <br /> MECHANICAL �n„� � COMPANY 1S f�/V� '��� �� <br /> SIGNATURE REGlSTERED Y/ N �EE CURRE� Y i N <br /> Address T G- J � License# �i'g����Z��� <br /> 07HER GQMFANY <br /> SIGNATURE REGISTERED Y( N FEE CURItEA Y/N <br /> Address LEt�nse# ` � <br /> RESIDENTIAL �Aftach(2}Piot Rlans;(2}set`s of Building Plans;(1)"set of-�nergy°Foiins;"R-0-W Permlt far new construction, <br /> Mintmum�ten_(10)working;days;after.subrriittai date.:Requ�red anslta,Gonstivction-Plans;Stormwater'Plans w/Silt Fence tnstalled, <br /> Sanitary Facllities;&1,dumpster Stte Work:Permit forsubdivision�Aarge proJects <br /> COMMERCIAL Attach(3}compiete sets of Bullding Plans plus a Life Safety Page;(1�set of Energy Forms.R O-W Permtt for neuV oonstru�Uon. <br /> Minimum ten(10)working days'after submittal date. Required onsite;Construction Plans,Stormwater Plans w/Sllt Fenca installed, <br /> �� 8anitary Facltides&1 dumpster.Site Work Penntt for all new projects;All cammerclal requlrements must meet comp!lance <br /> SIGN PERMlIT Attach'(2)sets of Engineered�:Plans. - Y <br /> `••«PROPERTY SURVEY required for ail NEW constructlan. <br /> Dlreattons: � <br /> Fill out applicatlon completety. <br /> Owner 8�Conhactor sign back of appllcatlan,natarized <br /> If aver SR2500,a Notice of Commencement ts requlred. (14fG upgrade�over S750Q) <br /> " Agent{far the aontractor}or Pcwer of Attamey(for the ownet}woutd be someone with natarized letter from owner authotizing same <br /> DVER THE GdUNTER PERMITYING {Front of Appticatian Only) . <br /> Remofs if shingles Sewers Servics Upgrades AfC Fences{PfoUSurveylFootage} �• <br /> Drlvewaya-Not over Counter[f on pabUc roadways..needs ROW <br /> ' � � <br /> . �( <br /> , ( <br /> .� <br />