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``. 1-1 UU_UU4U City of Zephyrhills Permit Ap \icab Fa»u 3-78O-0O%1 <br /> Building Department <br /> Phbne Contact for Permitting <br /> / rl)X X�z nc- M' ber <br /> owner's Name Owner Phone Nu <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> ouBawISozm <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wawoowsrx xDo/ALT �--1 a|gN [—� �—1 DEMOLISH <br /> [__1 INSTALL �_� REPAIR <br /> PROPOSED USE [--� aFn �—� COMM �--� OTHER <br /> TYPE oFCONSTRUCTION �—��' BLOCK [—� FRAME �--� STEEL F--7 <br /> DESCRIPTION OF WORK �am.l to ZSi&nnL I J Zc—"13 Z <br /> BUILDING SIZE SQ FOOTAGE fob Al-HEIGHT <br /> ' <br /> =BUILD\NG VALUATION DFTOTAL CONSTRUCTION <br /> =ELECTR\{AL AMP SERVICE �--� PROGRE�8�NE�GY �—1 VY.R.E.C. <br /> i__]pLUMB|NG ' <br /> =MECHANkCAL 06 VALUATION OF MECHANICAL INSTALLATION <br /> �—��AS [�� �O��MG [—� SPECIALTY OTHGR�--1 <br /> ��� <br /> FINISHED FLOORELEVATIONS <br /> E\AJ}ONG FLOOD ZONE AREA =YEG NO <br /> eu\LoEm COMPANY <br /> SIGNATURE REGISTERED ^ psEounREx <br /> � <br /> Address License# <br /> ELECTRICIAN COMPANY P.Iec-Me <br /> SIGNATURE nsoISTeneo ^ rstouRnsN— <br /> — <br /> Address <br /> ,LUMBER COMPANY <br /> aGNAIuRE0 REGISTERED � <br /> Address Lioonsa# <br /> � <br /> wEcHAmICAL COMPANY <br /> uGmATuRE nse/orEnso » <br /> Address <br /> )THER COMPANY <br /> VGNxTuRE nsm��nsoYIN <br /> FEE CURREN --_—___ <br /> A ddress Umonoo# I cc <br /> ZEa\DENThuL Attach(2)Plot Plans; Plans;(1)set of Energy Forms;R-O4N Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects ` <br /> ,DMMERCtAL Atfach(2)oomp|ahaoetoofBui|dingP|annp|uoaLifaGafetyPoge;(1)oatofEnorgy'Form'/ R, Permit for ve*construction. <br /> Minimum ten(1O)working days after submittal date. Required onaite.Construction Plans,Shormwa�ar Plans y/Silt Fence installed, <br /> Go�toryFe�|iham81dumps�r.Site YVorhPanndfor all new poioc�./4\common� m o( qui�mnNmmuatmeetcomp|innoe <br /> UGNPER0/T Attach(2)sets vf Engineered Plans. <br /> °�°PRDPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over*2sou.a Notice u+Commencement|srequired. (A/C upgrades over*75V0) <br /> ^ Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner Un h� ` <br /> �q o ngoemo <br /> wsRTHE COUNTER PERMITTING (copy ofcontract required) <br /> ,amofs if shingles Sewers Service Upgrades A/C Fonmm(P|oVSumey/Footygo) <br /> Driveways-Not over Counter ifon public madvays..neudoROW <br /> � <br /> ' <br />