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ati�-�eo-oo2o City of Zephyrhills Permit Applica6on Fax-813-780-0021 /�,/ //�►► ' / <br /> ` BufWing Departmerrt � I ��(// [�' <br /> Data Reeeivad Phone Co�Mad for PwmHtl , I <br /> Owners Name 0 Ow�er Phone Number ��' / � <br /> Owner's Address d /� Owner Phona Number <br /> Fee Simple Titlehotder Name � Owner Phone Number � <br /> Fee Simpie Titleholder Address <br /> JOBADDRESS R�H LOTlt � <br /> SUBDNISION � � PARCEL IDA � � �' D�V �DDOGIV "Q� / <br /> (08TAINED FROM PROPERTY TA% NOTICE) <br /> WORK PROPOSED NEW CON57q ADD/ALT � SIGN Q Q OEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK K� � r R l , b e l („�/►/�/V e Ol+Q ���'yl Q'� <br /> BUILDING SIZE �� SQ FOOTA6E � HEIGHT �� <br /> QSUILDING 3 VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING �� <br /> QMECHANICAL $ 1, A� VALUA710NOFMECHANICALINSTALLATION <br /> �'..,1 :J <br /> �GAS Q ROOFING Q SPECtALTY � OTHER <br /> FINISHED F�OOR ELEVATIONS r� FLOOD ZONE AREA DYES NO <br /> � <br /> BUILDER � Cp�y�p/Wy � —� <br /> SIGNATURE REGISTERED Y/ N � amaEn Y/ N <br /> Addrees License # <br /> ELECTRICIAN � COMPANY � <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/ N <br /> Address Licensa # <br /> PLUMBER � � COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICA �/�, � „ _ �p,( COMPANY .�J�R S p�/� "r �/� � <br /> SIGNATURE ��u� REGISTEREO Y/ N FEE CURRE� Y/ N <br /> �wa.�ss 2- i/ �J5 / u��� C�4�D'f34� � <br /> OTHER � COMPANY <br /> 91GNATURE REG�STERED Y/ N FEE CURRE� Y/ N <br /> Address License # �--� <br /> RESIDENTIAL Attach (2) Plot Plans; (2) seb of BuiWirg Plans; (t) set of En�gy Forms; R-O-W Pertnit for new wnstruction, <br /> Minimum ten (10) worlting days after submilfal date. Required onstte, ConsWdfon Plans, Stortnwaler Plans w/ Silt Fence Installed, <br /> Sanitery Fad�ities & 1 dumpsler; Slte Wak Permit (or subdivlslonsAarge proJects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) sel of Energy Forms. R-O-W Permit for new construcUon_ <br /> Minimum ten (10j working days aRer submllFal date. Requlred onsite, Constructlon Pians. Starmvrater Plans w! Silt Fence installed, <br /> Sanitary Fadlitles & 1 dumpster. Site Work Permit for ail new projects. All commercial requirements must meet compflance <br /> SIGN PERMiT Attach (2) sets of Engi�eered Plans. <br /> ""PROPERTY SURVEY required for a8 NEW construction. <br /> Directione: <br /> Fill ou[ applicadon completely. <br /> Owner & Contractw sign back of appticatlon, nofarized <br /> H over Yt500, a Notice o/ Commencema�M Is required. (A/C upgradea over E7500) <br /> " Agent (fa the conVactor) w Power of Atbmey (for the ov�mer) woWd be someone with notarized letter from owner autYwrizing same <br /> OVER THE COUNTER PERM(iTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers SeMCe Upgrades A/C Fences (PbbSurvey/FOOfage) <br /> Driveways-Not ovar Counter H on public roadways..needs ROW <br /> rooizoo d see� sti oi t�ozio�rso wo�� <br />