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o,a-,�-�,�,�v Gity of Zephyrhills Permit Application ��X-s�a•780-0021 <br /> Building bepartment _ <br /> Date Reaslved Phone•ConWct for Permittin � �I � �O d` – �� J � <br /> O�nrner's Name �:.�j"' � �'. LS Owaer Phone Namber � td'� !" �v���.� <br /> Owner's Address � �. ld�i Owner Phone Number � �� <br /> Fee Simpte Tittehotdsr Name �i � Owne�r Phone Flumber �— � <br /> Fee Simpte'flttefiolder Address <br /> JOS ADDRESS � � L► U�. LOT# C_'� <br /> � <br /> sugo�vissaN �-�R� vr�zor� � pa�c�r.i� �� o`�',� �1 �l�qlS Dl3�d d��'d <br /> (OBTAINED FRON!PROPERTY TAX NOTlCE) <br /> WORK PRdPOSED , e NEW CONSTR� ADD/ALT [� SIGN [,�� Q DEMqLISH <br /> INSTALL REPAIFt <br /> PROPOSED•U86 Q SFR Q COMM � OTHER <br /> TYPE OP CONSTRUCTION Q BLOCIC ' Q FRAME [,� STEEL Q <br /> pE�CRIPTiON QF WQRK ��--°S,� �G �' R'N �"G�2.L- f �° ltflG � �� !l'� �. <br /> BUILDING 81tE �� � S4 FOOTAGE f r1 HElGH'� �_� <br /> QBUILUING �-'--� yAR.UATtON�OF'TO'i'Ai.CONS'f RClGTION <br /> QEL.EGTRICAL $ ��i�—� AMP SERVICE Q PROGRESS ENERGY C] W.R.E.G. <br /> �� <br /> QPWMBiNG � � ' <br /> QMECHANICAI $ —� �� j� VALISATtON OF MECH/WICAL INSTAI.LATtON <br /> ,. !o <br /> QGAS Q ROOFii�lC, Q SPEGIALTY � OTHER <br /> FINt$NED FLOOR ELEVATtONS �� FLOOD ZONE AREA QYES NO <br /> BUILDER CdMpANY' <br /> StGNAi'URE REGISTERED Y 1 N FEE CURREh Y/N <br /> Address ���g,�# �— �� I <br /> EIECTRICI�N COMPANY <br /> S1GfltATURE _i � REGISTERED Y! N FEE CURRE� Y/N <br /> ' Address k.lcense# L � <br /> PLUMBER �� CQMPANY <br /> SRGNATURE REGlSTEREO Y/ N �E CI9RRE� Y/FI <br /> Addre�s Ucense# � - " � � <br /> � <br /> MECHANICAL � °��r��,��ri.-q�.� COMPANIf �i2{S !'�i9/lfG�� 7`��-��IG� <br /> SIGNATURE REGISTEREO Y! N FEE CURRER Y!•i� <br /> Address �17'�'iy�'� 6lt,.°I�/ ��/�/L.L $ License# (:-a'T�v����25 � <br /> OTHER COMPANY <br /> SIGNATIIRE REGlS7'EREO Y I l�l �EE CURRER Y 1 N <br /> Addres� License# �— �� <br /> i RESIDENTIAL• Attach(2),.Piof Plans;(2}sefs of=8u11dFng`Plans;(1}'set af-Eiiergy�Fomis;R=0-W Permit for new conshuction, <br /> Mintmum�.ken�(1Q)-working;days.after subri►lttal date. Recjuireii ansfte,Construc8an-Plans,Stormwatef Pians wt Sfit Fence Installed, <br /> Sanitary Facllides;&:1,,dumpster_Sfte�Work�Permit tor subdiVislonsAa►ge proJects <br /> COMMERCIA[. Attach{3}complete sets of Buitding Plans ptus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new constructton. <br /> Minimum tan{1Q)working dayrs after submlttal date. Requlred oaslte,Constructton Plans,Stormwater Plans w!Sfiit Fence i�stalted, <br /> Sanitary FaciliUes&1 dumpster.Site Work Permit for all new proJects.All commercfal requlrements must meat comp!lance <br /> 31GN PERMIT Attach"(2)sets a#Engineered.Plans. <br /> «"••PRQPERIY SURVEY requlred for ail NEW cansttuction. . _ - . , <br /> Directlons: <br /> Filt aut appllca8on compiete{y. <br /> Owner 8 Contractor slgn back of applicatlan,notarized <br /> tf over a2S00,a Notice of Commencement is requlred. (AIC upgrades over$T5d0) <br /> '* Agent(for the contractar)or"Pawer of Attomey'(for the owner)would be someone with notarized letter fwm owner authorizing same <br /> dVER THE COUNTER PERMITTING . .(Front ofApplicaBon Only) , ' � � "� � , � � � -' � '� <br /> Reroofs if shingies Seurers.` _Servlce tlpgrades A/C , Fertces{P1otlSurveylFootage} <br /> Driveways-Not over Caunter if on public roadways..needs R01N � <br /> 1 ' ' � � : . ,.,,. -... . <br /> + . , ,. . '.. .. ,�. . , : <br /> � <br /> 1� <br /> ' f: <br /> '�,� <br />