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"10-1""_Uv4u City of Zephyrhills Permit Application Fax-8 3780-0021 <br /> . , Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name nc- Owner Phone Nurn er <br /> Owner's Address -2--f'ot- Owner Phone Number <br /> Fee Simple Titleholder Name I , Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> sUoowIS|oN <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED mawcomsrn ADo/ALr F---1 m|oN �—� F--| DEMOLISH <br /> INSTALL �_] REPAIR <br /> PROPOSED USE �—�� eFR �-1 COMM [--� OTHER <br /> TYPE OpCONSTRUCTION E-2— BLOCK �—1 FRAME �---� GTEEL �--1 <br /> DESCRIPTION OF WORK F tTVS E(7 Zji A0 nra-_ �- ?p J Z--8 <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> ' <br /> F--l�U|Uz|NG <br /> �—� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTR\CAL AMP SERVICE �--1 PROGRESS �-� YY.R.E.C. <br /> �--7PLU��|NG <br /> ^__� <br /> ^� ^ �~ ~ ^ <br /> . . �EG7 � �� � <br /> =MECHAN|CAL VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> OTHER <br /> [�-lG/� �O�F|N� F-� SPECIALTY [---1 <br /> �� �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEG NO <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> euILDER COMPANY <br /> SIGNATURE nsoonsnso ' FsEcunxEN YINAddress <br /> =-LECTR|C|AN �D�P�NYRec <br /> B�NATUR� nsmar��o ` ,��cunnex <br /> Address <br /> ,LUMBER COMPANY <br /> aGN/AURE o neomrsnso <br /> � <br /> Address Yk LOM Hd License# <br /> wEcHANicAL COMPANY \P, <br /> aGN/QURE REGISTERED <br /> Address <br /> )THER coMPANY <br /> yGNxTURE nsomrsneo �-- <br /> Address Unonuu# <br /> 0Es\OENTAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(1o)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> San/taryFac/UUes81dumpatacSiteVYor�P�nnitforoubdivis\om�|orgepngeds <br /> ` _� <br /> .OMMERC|AL 8Uaoh(2)complete s�sof Building Plans plus aLKe Sa��Page;(1)set ofEna��F� .F+o-W Permit for�e*construction. <br /> Minimum ten(1O)working days after submittal date. Required nnsde.Construction Plans,Ghonm*6tor Plans yt,$i|t Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.Ail commercial requirdments*must meet compliance <br /> ;|GNPER0|T Attach(2)sets of Engineered Plans, <br /> °°"PROPERTY SURVEY required for all NEW construction. ' <br /> ,',e,z/onm� � - <br /> Fill out application completely. - <br /> Owner&Contractor sign back of application,notarized <br /> If over$2aon'a Notice of Commencement isrequired. (VC upgrades over*75VO) <br /> " Agent(for the contractor)or Power of/#tornm�(for the owner)would hn someone With notarized letter from owner autheh�n <br /> goamo <br /> NPERMITTING��THEC�UNT�R (copy ofoonba�required) <br /> | - <br /> mmofs if shingles Smnmm Service Upgrades A/C Fonoea(P|ot/8umey/Footagn) ' <br /> Driveways-Not over Counter|fon public madvmyo.oeedsROW <br /> ' <br /> - <br />