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e�3-�eo-oozo C;ity of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departmant <br /> Data Recelved �� Vhone Contect for Permlttiny ��.J � ��JCi � <br /> Owner'sNeme �`L�ly��l..) 1..� OwnerPhoneNumber <br /> Owner's Addrass ��(�}/n��(,�(�/( � �Q-_3/� pwner Phorre Number <br /> Fee Simple Titleholder Nema � � Ownar Chona Number <br /> Fee Simple Titleholder Addresa �_ <br /> JOB ADORE55 � 7t� I � I �• LOT # I� <br /> SUBDIVISION TIC/ PARCEL IDN p'a�(/ ��- — IUD " U� <br /> (OBTAINED FROM PRpPERTY TAX NOTCE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN � MOVE O DEMOLISH <br /> INSTALI REPAIR <br /> PROPOSED USE � SFR O COMM O OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK � FRAME Q STEEL O OTHER <br /> DESCRIPTION OF WORK � I�p 1 '�� � S Y' S� � � t <br /> BUILDIN�i SIZE S� FOOTAGE �� HEIGHT � <br /> � BUILDING 3 O VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY a W R E C <br /> �PLUMBING S � " � <br /> � � � � <br /> MECHANICAL E VALUATION OF MECHANICAL INSTALLATION �� /� " <br /> �/„ <br /> �� GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OVES �NO <br /> SIGNATURE � • R O g ERE i H�01�.�'-�r Cua�neN� 1 � Y/ N � <br /> Address y t-y License p ��� � 3 <br /> ELECTRICIAN � � �O ' COMPANY Y �� <br /> SIGNATURE REGISTERED Y/ N FEE CUR0.ENT Y/ N <br /> Address 3�O YO Gi, Aiiy� 1�✓ /J . Z l� �� License # I C��J�QZ s� � <br /> PLUMBER ` COMPANY J L)�'/y� LUM'Ip/ <br /> SIGNATURE �� REGIS7ERED Y! N FEE CUftRENT Y J N <br /> Addrass � � i License # F� y� 6 y� <br /> .� -""°'q'-"""w <br /> "� MECHANICAL ; COMVANV — 1 � � � �' � C� + � <br /> �,� � SIGNATURE , REG15TERED Y/ N FEE CURRENT Y/ N <br /> �....._.,.. <br /> �-°'" r ---� �� 3 � /3�� <br /> Addresa License k <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRENT Y/N <br /> Address ���� � <br /> RESIDENTIAL Attach (2) pbt Plans; (2) seb of BWldinp Plena; (t ) eet of Enerqy Forms; RA-W Permit for new conatruction, <br /> Minimum ten (10) working days efter wbmlCel daU. Requlred onsite, ConsWCtion plens, Stormwater Plans wl Silt Fence installed, <br /> Sanitery FadNtlea d t dumpster, Slte Work Permtt tor subdivisbna/lerye projeW <br /> COMMERCIAI Attach (3) complele sels of Bulldfny Plans D�us a lNe Sa/ely Page; (t) sel of Energy Forms. R-O-W Permit for new construcnon <br /> Minimum len (10) working days efter submittal date. Repuired onsita, ConsWCUon Plans, Stormwater Plans w/ Si1t Fence installed, <br /> Sanitary FaclliUes & 1 dumpster. Site Work Permil ta all naw pro�ects. All commercial requlrements must meet comDliance <br /> SIGN PERMIT Attach (2) sets ot Engineered Plans. <br /> ""PROPERTY SURVEV required tor all NEW conBWCtbn. <br /> Dlractions. <br /> Fill out applitaUon tompletely <br /> Owner 8 Contracto� sign back ot appllwtion, notarized <br /> If over 52300, a Notice of Commeneement Is required. (NC upyrades ovar SS000) <br /> '" Agent ((or Ne wnVaetor) or Power of Atlomey (for the owner) would be somepne with noWrized letler from owner aut�onzing same <br /> OVER THE COUNTER PERMITTING (FrontotApplicalbn Only) <br /> Rerools Sewers Service Upgrades AIC Fences (PbUSurvey/Foo(age) <br /> Drivewaya-NOt over Counler i( on public roadways..needs ROW <br />