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o��-�eo•aozo City of Zephyrhills Permit A�plication Fax-813-780-0D21 <br /> , � Bu�7ding Department <br /> Date Rocelved Cr ' i ,� Phono ContaetforPertnittin � � — ^�� <br /> i'i a�n-r'T c-r r r �� � - - <br /> Owner`s Nama �1 _ �ST (�i [ �er Phone fJumber �`Z {y d� f <br /> Owner's Addrass "1�.( 7�u 1 � �..�0 � � • Ownor Phona Numbnr � <br /> Fee Simpie TiGohdider Namu Owner Phone Numbar <br />� Fee Stmpla Titicholdar Addroes <br /> JOB ADDRESS (J''� - LOT tl � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINEO FROM PfiOPERTY TNC NO710E) <br /> WORK PROPOSED e NEN'CONS7R B ADD/ALT' � SIGN Q Q �EMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � S7EEL Q <br /> DESCRIPTION OF WORK P.�9V1+ '�fi� Q ltr CI�GC-�-u7 GG¢� I'e ��r/ t(1Gt,V E/1V L� <br /> � � t-�p��,� Pw�.���5 <br /> BUILDING SIZE _ SQ FOOTAGE I .L7 HEfGHT ��5 r`��„� � <br /> 7"'Y�'9'9'Y7TT'T!'P�C C 1 0 P'i�9 1 ¢ P�9 6 ¢ e i'" c d Y Ti^'p�9 P G 1 e a f 0 �0 t P PC i f P ETP��f��1� <br /> �BUILDING a )� /�p�o VALUATION OF TOTAL CONSTRUCTION ��""-' " <br /> � VV <br /> QELECTRICAL S ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING S � ., � _ _j ��j�" <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � ���` ( <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � ` <br /> FINISHED FLOOR EL FLOO�ZONEAF2EA QYES NO <br /> r . . . <br /> BUILDER �ppq�� �� � <br /> r�� G �P,�,�lb�S �GlfrYll �Vi. 8J 0�fl � <br /> SIGNATURE ttECIsrERtn Y 1 N FEE CURREn Y 1 N <br /> Addross � �.. _ ��A.� License� V��5��� <br /> SIGNATURE - - i �v C�,nOM�o Y/N � F��tE�LG,. y-7���' <br /> �—. <br /> Addrocs Liceose� <br /> .. _ . - `�v - '. . _ . <br /> SIG ATURE � , COP9PANY �VKri7O� __ VYY1�DI{I�1 <br />, �, �y REGISTER60 Y/ P1. _ FEE CUFREt. Y/ �� <br /> Address Licunse# <br /> _ G G�i /__ __ <br /> MECH/WICAL / f.� .� COMPANY �� W��1�D In I !� • d��,- <br /> SIGNATURE � REGISTERED Y/,N FEE GURRQ. /N <br /> Addrese �i 1�z�• (a' �L.�.1 a-�LE�� t. Llcense# �' 1 <br /> OTHER � COR7PANY i <br />' SIGNATURE HEGISTEREU Y I N. FEE CURliEA Y/N <br /> Addrass Liccnse# <br />, II1i111ittlillltllllillllll.11llllllllitlllf1111111lIIIIIIIIttI'llltl i <br /> RESIDENTIAL� Attaeh(2)Plot Plans;(2)seis ni Bu�7dng Plans;(1}sot of Enofgy Forms;R-O-W Partn(t ior new conslrucHan, j <br /> Minimum ten(10)vmricing days after submittal date. Required onsite,Construction Plans,Slormwater Plans w/Si1t Fence instalied, fI <br /> Sanitary Facilitles 81 dumpster,Sile Wor1c Permit fo�subdivisionsllatge projects I <br /> COMMERCIAL Altach(2)complete seis of 6uldin�Plans plus a Life Safoty Pegp;(1)set of Enert�y ForFns.ft-0-W Permp for naw consbuction. � <br /> Minlmum ten('10)working deys aRer submittel date. Required onsite,CorulruGion Plans,Stormwaler Plans w/Silt Fence insfalled, � <br /> Sanitary Facilities 8 1 dumpster.Sile Wodc Pertnit(or all new projecLs.All commerciai requirements must meet compliance j <br /> SIGN PERMIT Attach(2)sots of Engineered Plans. � <br /> ""PROPERN SURVEY requtred for all NEW conslrudion. ! <br /> . . . . . � n� iu 1 <br /> Dlractlons: • • • • � • • • � ' � � � � � � I <br /> Fif out applicaGon eompletely. } <br /> Owner 6 Contrador sign back of applicatian,notarizetl <br /> If orer 5250�,n Noticu of Commonecment is roguirod. (A!C upgrades ovor 57500J � <br /> " Agent(for the contractor)or Power oFAUainey{for lhe ownerJ would bo someone wtih notarized lette�Gam ovmer authorizing same ; <br /> OVER 7NE COUNIER PERMIT7ING {copy of contract required) <br /> Reroofs if shingles Sewers Senice Upgrades AIC Fences(PIoUSurvey/Footage) <br /> Ddvowoya=Nol over Counter if an pub8c roadways..needs ROW � <br /> i <br /> .� <br /> 3 <br /> ; <br />