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i <br /> 613-760-0020 city of Zephyrhills Permit Application Fa>:$13-78MZ1 <br /> Building 004;arfm <br /> Date Received Pemne Contact for Pernittin 3 <br /> OwnePs Name ►�• nor Phone Number <br /> Gwnees Address weer Phone Number <br /> Fss Simple Titleholder Name Owner Phone Number <br /> Fee simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION CaO I PARCEi-111 <br /> (OETAIaED FROeI PRQPERTYTA7C lSo110E) <br /> WORK PROPOSED El INSTALL <br /> CONSTR® ADO/ALT SIGN = = DEMOUSH <br /> INSTALL REPAIR <br /> PROPOSED USE L...a SFR = COMM OTHER r—— <br /> TYPE OF CONSTRUCTION BLOCK <br /> Q� FRAME STEEL Q ` <br /> DESCRIPTION OF WORK —T-e-1 1 <br /> BUILDING SIZE SR FOOTAGE HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE Q PROGRESS ENERGY = W_R.E.C. <br /> [PLUMBING S cI <br /> =MECHANICAL i VALUATION OF MECH MCAL INSTALLATION 1 <br /> =GAS = ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE ARE AYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ FEECUfR'REA�' YIN <br /> Address License#I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE Reolanf Leo I Y/ N ME CURRET Y/N <br /> Address I-Ionse fb <br /> PLUMBER COMPANYEE I%me.00— <br /> SIGNATURE REGISTERED FEECURM Y/ <br /> Address License O&Egigs-agizil <br /> MECHANICAL COMPANY --� <br /> SIGNATURH nEmlarEliEDI Y/N I reeGUARS. Y/M <br /> Address License 0 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YINFEECURREr !N <br /> Address License fk 1 —� <br /> IIIIIIIIIIIIIIIitllllltltlllllllllllll 111111lIlltlllllliltlllllill <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy F orms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required ens te,Construction Plans,Stornwater Plane w/Silt Fence installed. <br /> Sanitary Facilities a 1 dumpster.Site Woik Permit for subdhAslons large projects <br /> COMMERCIAL Attach(2)complete ads of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ton(10)working days after submittal dato. Required one to,Conauue0on Piano,stormwalor Plans w/Sot Fenco Installed, <br /> Sanitary Facflo ea&1 dumpster.Site Work Permit for an new projE cts.At commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets cf Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contmelor argn book of oppscallon,notaftod <br /> if ovor 6260D,a Netleo of Commoneomonb is roquirod. (A10 upgradoss over S00) <br /> Agent(for the contractor)or Power of Attorney(for the ovner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Ref00f8 0 shinalos Sat= SeNice UporEals A!C Fewas Fol!Survc ylFoolage) <br /> Driveways•Not over Counter If on public rosdwaya..needs ROW <br />