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� • e��-�Bamza City of Zephyrhills Permit Application Fax�s��-�eo-�� <br /> e��iama oe��rt <br /> DnEe Rpeeivad plwne Cont�et tor PermfCing — <br /> Owne�s Nun� Owner Phone Numwr <br /> Owne�s Addross Owner Phono NumMr <br /> Foe Slmple Titleholdw Wma Ow�wr PhMle Numblr <br /> Fee Simpla Tideholder Addresa <br /> JOB ADDRESS LOT A � <br /> 3UBDIVI310N PARCEL IDK <br /> (OpTAINCO RROY PROPER7Y TAX NOhCE► <br /> WORK PROPOSED NEW coNs?x ADD/ALT Q SIGN Q Q �EMOLISH <br /> e INSTALL e REPAIR <br /> PROPQSED l�E Q SFR Q COMM Q OTHER <br /> 7YPE OF COr6TRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCPoPTION OF WORK <br /> BUILDING SRE 30 FOOTAGE� NEIGNT � <br /> QBUILDING $ VALUATION Of TOTAL CONSTRUC110N <br /> QELEGTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING S <br /> QMECHAN�CAL S VALUATION OF MECHANICAL INSTALUITION <br /> Oc�s p RooFiNc p srec�a�.�r Q om�R <br /> FIMSHED FLOOR ELEVA710NS FLOOD 20NE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNA7URE r�c�si�n Y!N �cua�n Y/N <br /> Add�esa uoarroe f <br /> ELECTRIdAN COMPANY <br /> SIGNATURE �c�sr�o Y f N r�cu� Y!N <br /> Addreaa Lioense/ <br /> PLUMBER COMPANY ��'1 �� <br /> SIGNATURE aEoisTERED Y/ N FEEcuRREP N <br /> Address . � ,e... Ucense R � <br /> MECHANICAL COAIPANY <br /> SIGNATURE rt�isrEn� Y/N F�aiqrtEr. V/N <br /> Addresa Llcense� <br /> OTHER GOMPANY <br /> SIGNATURE te�o�SrERm Y!N �cuana. Y/N <br /> Address Lke�e i <br /> Illlltlllllllltlllllllllllflltlltllllllllllllllllltllilllllltll [ 111 <br /> RESIDENTIAL Attach(2)Pbt Ptaru:(2)sets W Buil6ng PWns;(1�set M Energy Forms;R-O-W Permit tar new cw�strtction, <br /> Mhmnum lan(10)r.oAdng Aays a}ter a�mittal date. Requlred onslle,ConsUuWfon Plans,Stnmtweta�Plana w/Silt Fenca instaped, <br /> Sanilary Fac�ifies 31 dumpeter,Site Wak Petmit for eubdivisio�sAsrpe projecls <br /> GOMMERCIAi ApqcA(2)comptele sets of Buildnp Plena plus a Life SeTNy PagE:(7)set of Energy Fams.R-O�W Permittor new construdlon. <br /> Minbttum ten(70}xoAdnp days aRer submiHal tlete. Required onsite.Construdion Plans,Stormvueter Plans w/S¢t Feree insteDed, <br /> Senitary Fau7Ries 31 dumpster.Site Work Pertnit tor ail new projeds.Ae commerdal requiremeMs must meet canpliance <br /> SIGN PERMIT Atfach(2)sets of Ergineered Plans. <br /> ""PROPERTY SURVEY requlied far al!NEW construdbn. <br /> Dlrectiona:• <br /> FIO mR gppliC8ti011 Cpfi1p18IBty. <br /> Owner 8 Contrador sipn badc oT applicatbn,rwtarized <br /> If over S�.�NoHee af Commenaement ls requlred. (NC upgrodes ov�r tlb0o) <br /> " Agent(for Ihe contrador)ar Pwyer W Atlomey(for Ihe wrt16�NouW be sofl�eWie with not�ized lelter ttvm avner authormng same <br /> OVER THE COUNTER PERMITfING (copy of oontract req�rired) <br /> Reroafs if sFs�pies Sewers SenAx Upgredes NC Fenas(PIoNSwvey/Foctage� <br /> QAveways-Not ov�er Counter if on pubGc roadways..needs ROW <br />