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813 City of Zephyrhills Permit Application -� FaX-s»-�ao-oosi <br /> Building DepartmeM r <br /> Date Recelved /�/�! Phone Ca�tad for PermMM � � O O ��� I <br /> _ �{ <br /> Ovmd'c Name I C Owner Phpne Number <br /> ' Owner's Address 1 n ' �' K Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phane Number <br /> Fae Slmpe T1deMlder Addresa <br /> J� ADDRESS �"'1 'J 1 "! I� � I L ^"( l0T # I� � <br /> SUBDIVISION � (,t3 J') ('f.�� /' • PARCEL ID1t ' � � � � b� i b - l - ao - a� "� <br /> (OBTAW� FROM PROPER7Y TAY NpTIGE� <br /> WORK PROPOSED � N�nr CoN57R e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF COHSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP710N OF WORK `� {'1 Q p �p �, � <br /> BUILDIN6 S17E � k Z� SQ FOOTAGE 1�` HEI(iHT � <br /> �BUILDING $� O� , Du VALUATION OF TOTAL CONSTRUCTION <br /> QELFCTRICAL E AMP SERVICE � PROGRESS ENERGY Q W. E.C. <br /> QPLUMBING $ ( � � <br /> l � � <br /> QMECHANICAL E VALUATION OF MECHANICAL INSTALLATION �`-' <br /> QGAS Q ROOFING � SPECIALTY Q OTHER � / �� <br /> `1./ � �� <br /> FINISHED FLOOR ELEVATIONS FLOO� ZONE AREA �YES N <br /> BUILDER ,( � COMPANY �\[�\\ \� C��• lC1 �\v\S�� C� (Y� ,�J - <br /> SI6NATURE v� REGISTERED / N �e cu n Y/ N <br /> Add►eas � l7> � � License # �� <br /> ELECTRICUW COMPANY <br /> SIGNATURE r�c�srEaeo Y/ N FEE CURREn Y/ N <br /> �^� License # � � <br /> PLUNBER CDMPANY <br /> SIGNATURE REGISTERED Y/ N �ECURaEn Y!N <br /> ��a License # <br /> MECHANICAL COMPANV <br /> SIGNATURE aEC�srEttEO Y/ N FEE CURREA Y/ N <br /> '4ddre88 License # � <br /> OTHER COMPANY �- <br /> 51GNATURE aEC�sr�xeo Y! N FEE Cl1RREn Y/ N <br /> Add►ess Lic;ense # <br /> IIII IIIIIIIIIIIIIIIIIIIIII�t��1111111111�11111111111111111I11111111 <br /> RE&DENTIAL Attach (2) Plot Plans; (2) sats of Bullding Plans; {1) set of Energy Forms; R-O-W Pertnit for new construGion, <br /> Minimum ten (10) working days after submittal dale. Required msite, ConsWcGon Plans, Starmwaler Plens w! Sift Fence instaMed, <br /> Sanitary Faalitiee 8 1 dumpster; Site Wdk Permit for su6dMsionsAarge projede <br /> COMMERpAL Attach (3) complete sets of Building Plans plus a Lffe Safely Pape; (1) set of Endpy Forms. R-O-W Pertnit fa new conshuction. <br /> Minimum len (10) working days after submittel date. Required a�site, Canstruction Plans, Stamwater Plens w/ Sitt Fence inst�ed, <br /> Sanitary Facil�ies S 1 dumpster. Site Wak Permit for all new poJects. A1 commeraal requirements must meet compNance <br /> SIGN PERMIT Attach (2) sets of Engincered Plaru. <br /> ""PROPERTY SURVEY required for ell NEW consWdim. <br /> Dlractlons. • <br /> FiN ou[ application completdy. <br /> Owner 8 Contracta sign beck of epplication, notarized <br /> 1f over S2500, a Notice of CommencemeM Is requlred. {AIC upgrades over 57500) <br /> " Agent (for the contrador) a Pov�er of Attomey (for the owner) would be Someone with notarized IeHer (ram owner autharizing seme <br /> OVER THE COUNTER PERMITTING {Front of Application Only) <br /> Reroofs if shingles Sewars Service Upgrades A/C Fences (PIoVSurvey/Footage) <br /> Drlveways-Not ovar Counter if on pudic roadways..needs ROW <br />