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_ — _._-- —_ _ i <br /> � <br /> 813•780-0020 � City of Zephyrhills Perrnit Applicatipn Fa�c-a��-�eo-ooz� <br /> Building Department <br /> i <br /> ` Date Reeeived Phone Contact for Pertnitting <br /> Ownefs Nama � f�� Owner Phone Number "'_�� <br /> . . _ <br /> flwn8r's Addross Q V e� � �� Owner Phone Number �- � <br /> Fee Simple Tiqeholder Name �� � Owner Phone Numbar ��� <br /> Fee Simple TitiehotderAddress <br /> �o��o�� �tf�o t /��2��'�'c�_T � '�'� � <br /> SUBONISION � � PARCEI.ID# <br /> (OBTAlNED FROM PRQPER'iY TAX NOYtCE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT �� SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q GOMM � OTHER <br /> TYp6 OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> OESCRtPTIdN OF WORK C !!.� <br /> BUILDlNG SIZE ( SQ FOOTAGE� HElGHT C� <br /> QBUI�GING $ � /^ � VAIUATION OFTOTAI,CONSTRUCTION <br /> /�� <br /> �EIECTRICAL $ � �� AMP SERVICE Q PFtOGRESS ENERCrY � W.R,E. <br /> QPLUMSIN6 L.- � �1/t�Z�� �� <br /> V 1 �� d <br /> �MECHANICAL $ �jf VALUATION OF MECHANICAL INSTALLATION �'•.�1D <br /> QGAS Q ROOFIN.f3 � SPECIALTY � OTHER � �� <br /> FINISNED F1.00R ELEVATIQt+lS �� FL04D ZOPtE ARFA QYES Rt0 <br /> BUILDER � � COMPANY � <br /> SIGNATURE r�r3ls7er�o Y/ N F�cUwx�n Y/N <br /> Address . � Eicense# ( � <br /> �LECTRICIAN COMPANY ,�(J l���/' --����/2G(� �r�7`�C�,. <br /> SIGNATURE RE��S7EREo Y 1 iV FEe cuRREn Y I t+l <br /> Address License# �^ � <br /> PLUMBER � � COMPANY � � <br /> SIGNATURE � a��lsTer�o Y/ N �e cuw�n Y/N <br /> Address � tacense# �� � <br /> ~ �im/�7 M,A�US �C.�—f�P/�--ti�tz'z' �+l.:C,� <br /> StGNASURE� REGlSrEREo ��Y i N � �E cURE�n �Y 1 N �- <br /> Address � r r����ticense# ����/,'Y�� <br /> OTNER COMPANY � � <br /> SIGNATURE � � REGI57� Y/ N �E CURRen Y/N <br /> Address Gcense# �- � <br /> IIIIIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllll <br /> RESIpENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)sat of Energy Fdrms;R-0-W Permit for new cansWcUon, <br /> tu6nimnm ten{1 Q)warking days after submiitai date. Required onsiie,Canstruetian Plarss,Stormwater PYans w18i8 Fence irsstalted, <br /> Sanitary Faciiities�1 dumpster,Site Wofic Permit for subdivisions/iarge projecis <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Sefety Page;('I)set of Energy Farms.R-O-W Pertnit for new canstruction. <br /> Minimum ten(10)working days after submittal date. Required ons'Ra,Consintction Plans,Siormwatar P�ns w/Sitt Fence installed, <br /> Sari�tary Facilities 8�1 dumpsfer.Site WorK Permft fos alI new projec4s.A(i enmmercial requiremerrts must meet camplianca <br /> SiGN PERMIT Attach(2}sets af Engineered Plans. <br /> ""PROPER7Y SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . e . , . , , . . . . . , , . . . . . . . . . - <br /> . . . . . ._, , . . . , . ._. . . <br /> D9rections: <br /> �11 out application campletery. <br /> Owner&Contractor sign back of application,notarized <br /> tf over§250G,a Notica of Ccrmmacssemeat is required. (AtC upgrades over S75U0} <br /> " Agent(f�r the mntractor}or Power of Attomey(for the owner)wouid be sameone with notarized ietter from ovmer authorizing same <br /> OVER TNE COUNTER pERMI'TTING (copy of contract required) <br /> Reroafs if sh�ngfes Sewers Service Upgrades RtC Fences(PloitSurveyJ�oatage} <br /> priveways-Not over Counter if on public roadways..needs RQW <br />