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Fax-813-780-0021 `'�f !�1 f <br /> o��-ltl�-�,��� City of Zephyrhills Pecmit Appiicatton / <br /> 8uitding Department <br /> Da#e Rscelved � Phone Cdntact for Pemllttln b/ � �b o�J - .l �� <br /> Owner's Name 1�'!V t�" e' Owner Phone Number O fJ�' / d� I�c�G�.� <br /> Owner's Addrsss �� ��1�-'� � f r Uwner Phone Number � � <br /> Fee 8lmple Titleholder Name �� � Owner Phane Number � � <br /> Fee Simple Titlaholder Address <br /> Jd8 ADDRESS � ���T �?t SO"7/I'� � LUT# C__� <br /> SUBDiMtStON ����"���Il.�/� PARCEL ID# !� �� �� `"'l GY� '��� ���� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED „ e NEW CONSTR� ADQlRLT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED�USE [� SFR [� COMM Q OTHER <br /> TYPE OF CON87RUC770N �] BLQGK ' Q FRAME [�. STEEI C] <br /> RESCRIPTtON OF WORK ��5. "'I� L/ /'�'!iI ��-[a �i S +/o� o� Cd�"7 D/!,� <br /> BUILDING SlZE � � SQ FOOTAGE HEIGHT C�� <br /> OBUILDING �� VAi.UATiON OF TO'i'AL CONS'i'RtiCTION <br /> QELECTRIGAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ - <br /> �� <br /> C]MEGHRNICAI r$ ���)t�� � VALItATiON OF MECHANICAL tNSTALLATiON <br /> ] L�..�� <br /> QGAS Q RQOPING [� SPECIALTY � QTHER <br /> FINISHED FLOOR ELEVATIONS C`�� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTEREb Y! N FEE GURRER Y/1V <br /> Address license# i !� <br /> ELECTRICIAN � COMPANY - <br /> SiGNA7URE ,,,_,,_w �` REOIS7ERED Y 1 N ��cUR�� Y t N <br /> Address LEcense# i �� <br /> Pi.UMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address Ucense# � � <br /> �w�c�ar��c� � ` connPnr�7r A�f�i2� DpA�� ���.-�—r � <br /> SIGNATURE L���'-� REGIS7ERED Y/ N FEE CURREA Y/N <br /> Address � �� � �� � license# (LilJ�n��'�O � <br /> OTHER ,COMPANY <br /> SIGRiAT11RE REGISTERED Y/ N . FE6 cUrtrtEn Y/N <br /> Address —f—f_f f_f_f � License# � � <br /> RESIDEMTIAl: Attach{2).,Rlot;.Flans;(2)'sets of<Buililing�Plans;(1)set ofEnergy�Faiisf's;F2-t7=W Permlt far new construc�on, <br /> Minimum:ten�(10):warking;days.after submittai date. Requirei!onsite,Canstruc�on Plans;Stormwater'Plans w!Sift Fence instailed, <br /> Santtary Facf{I'�es.&:4;,dumpster�Slte•Work�P..ermit for,subdivisionsliarge projects <br /> GOMMERCIAL Attach(3}cocnpfete sets of BuliiS(ng Pians pias a t�fe Safety Page;(1}set af Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)workfng days after submithat date. Reqaired ansite,ConstrucNan Plans,Stormwater Plans w/Sflt Fence instalied, <br /> Sanitary FacHiUes&1 dumpster.Site Work Permit for ail new projects:All commercial requlrements must meet compllance <br /> SlGN PERMlT Attach"(2)sets af Enginaered-Plans. <br /> ""PROPERTY SURVEY required for ati NEW canstructlon. <br /> Directtons: ` <br /> Fiii ou#appEica�an campletely. , <br /> Owner B�,Contractor sign back af applica8on,notarized <br /> tf aver�2500,a Nottce of Commencement Is requlred. (J41C upgrades over 57500) <br /> "' Agent(far the contractor)ar Power of Rttamey�(for the awner)wauld be someone wlth nota�ized(ette�Erom awner aufharizing same <br /> -t. ._,.::....��..�...,�z,.... . _.. . �.._.�_,:,.. <br /> dVER TNE COUNTER PERMITTING" ��""�(FronYof Applicaddn Oiily) , - , , „ : <br /> Reroofs if shingtes Sewers ' Service'Upgrades ALC Fences(PioUSurveyJFaotage) . ' ' <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW . . <br /> � , . . •:N.; ,,.,,, . �- • �- , . ,. . , s . . , - .- <br /> r <br /> , � <br /> `.f <br /> �I ._. ....:. .. . . ..............._.w._. �w._-:_.=__�-___.�.--.__�..:.._..._____-�_ _,�_.-_.. _,-__.._....._.... . <br />