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813780�0020 .� J �/�ty of Zephyrhills Permit Application Fax-e��-�eaoo2� <br /> (// euikfine De�tmetK <br /> � v <br /> u�e R.�«„w � pn«�. c«�t fo. wm�MU� O -- <br /> 1 1 1 1 �� 1 1 1 1 1 1 <br /> Ownars Name (� Ownar Phont Numbar I ' S <br /> Owna'a Addross Owner Pf�orro NumDer <br /> Fes Sirtiple TitlMlWdsr Wart1s , V `�-� Owrler Phone trwnbef � <br /> F.. s��,ie nnehaa.. aaars:. � <br /> JOBADDRESS �� L75 �U1 L-1 LOT/ �� <br /> SUBDMStON � �� PARCEI. iD� "1 -� ' �Z-� ' OOC�� � �� � ' <br /> (OBTAMiED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CON57R 8 ADD/ALT Q SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEO USE Q� SFR Q COMM � OTHER <br /> TVPE OF CONSTRUCTION � BLOCK � FRqME Q STEEL �� <br /> DESCRIPTION OF WORK � 1�QQLJ✓� L[�.'e� <br /> 9UILDINO SIZE _� �`'f x J l� SQ FGOTAGE �� MEIGHT � <br /> ��ILDINC� 3 CV1 , p�, I VAIUATION Of TOTAL CONSTRUCTION � 2y �,�' <br /> [.l) <br /> �EtECTRICAL S AMP SERVICE Q'� PROGRESS ENERGY Q W.R.E.C. <br /> ��UMBING $ <br /> �IGIECHANICAL $ VALUATION OF N�CHANICAL INSTALLATION ,', ''�� I <br /> OGAS Q ROOFING �� SPECIALTY Q OTHER '' � <br /> FINISHE� FLOOR ELEVATIONS �� FLOOD ZONE AREA OVE3 NO <br /> BWLDER COMPANY S� � <br /> &�ATV� ��� RE615TERED Y N FEE CURRE� N <br /> F <br /> Ack,r.a. ; �S � License # t -� <br /> ELECTRICIAN COMPANY � C-�-� � C�tC_Cr� l�. � <br /> SIGNATURE REGiSTEREO N FEE CURREA N <br /> � ���,� [�COU 129 lb � <br /> PLUMBER � �"�( COMPANV 'v� b t � � �� <br /> S1GNA7URE �'°� � — � — � REGISTERED N FEE CURREA / N <br /> � r- � ��� # i <br /> � - ---- , <br /> MECHANICAL CpMppp�y ` � <br /> ��AN� REGISTERED / N FEE CURRE� ! N <br /> Atkkess ��l Lke�se * <br /> OTHER C�pp��y <br /> SIGNATURE REGIS7ERED Y/ N � cuttr�r. Y/ N <br /> �� Licerue # �-� <br /> 1111111111111111111111111 / 1111111 1111111111111111111111111111111111 <br /> RESIOENTAI Attach (2) Plot Plans: (2) sets of BuAdirg Plans; (1) set d Energ�r Forms; R-O-W Peime tor new cu�uctio�. <br /> M�im�xn ten (10) waking days eRer submittel dete. Required aisite, CorlsUtxkion Plans. Stamwater Plans w/ Sitt Fence installed, <br /> Sa�itery Fxilities 8 1 dumpster, SRe Wak Permit far subdivisionsllarge projeds <br /> COAAMERCIAL Attach {3) complete sets M Buitding Plans pus a Life Safety Page; (1) set oi Energy Forms. R-O-W Pertnit for new construction <br /> Minimum ten (10) wwking days efter s�mittal date. Requ'ved onsite, ConaUuction Plans, Stamwater Plana wJ Sitt Fer�ce instelled, <br /> Sanilary Facilities & t dumpster Site Work Permit fa all new projects All commercial requirements muet meet campliance <br /> SIGN PERMIT Attach (2) sets of Engirreered Plans. <br /> ""PROPERTY SURVEY required fa all NEW conatructwn. <br /> Dlr�cdons: <br /> Fill a6 applicatipn completely. <br /> Owner & Contractor sign bedc of applicetion, notarized <br /> M ove� t2600. a Notics af CortenencemeM la requind. (NC upprades ovw f7500) <br /> " AgeM (for the conhactor) or Gower d Attomey (for the owner) wpuld be aomeone with notarized letter tran owner authorizing same <br /> OVER T}1E COUNTER PERMITTING (Frwit pF ApplicaRion Only) <br /> Reroofa'rf shingles Sewers Service Uppiades AJC Fences (PbUSurveY/FaotaOe) <br /> DAvewaya-Not over Counter if on pubhc roadways..needs ROW <br />