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a��-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 9udding �epartmerx <br /> DaOs R�eslwd ✓ Phone Co�thet far Permiltl <br /> ' Ownll's Nams - Owner Plwns Numba <br /> �.,� �.�.�� �y��� <br /> Fee Simple TltlNroldsr Nams � Ownx Phons Number �—� ��(?/�l��"— �l <br /> :J <br /> S� � 3 /d <br /> Pee Simpe Titlehddsr Addrsss <br /> JOB ADDRESS LOT / � <br /> SUBDIVISION 1�l PARCEL IDR � f� <br /> (OBTAINED FROM PROPFJ(fY TAX NO'fICE) , <br /> WORK PROP08ED �EW CONSTR 8 ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTAIL REPAIR <br /> PROPOSED USE �� SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL <br /> DESCRIVTION OF WORIC C'CLS IL- M <br /> BUILDING 81ZE �� ` x 1� SQ FOOTAGE � HEIGHT � <br /> �DtlICDING $ VALUATION OF TOTAI CONSTRUCTION �2�� � <br /> �L�ECTRICAL $ AMP SERVICE �ROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING a / � f � � <br /> MECHANICAL $ VALUATION OF MECHANiCAL INSTALLATION '� <br /> QGAS Q ROOFING Q SPECL4LTY Q OTHER / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ✓ <br /> BUILDER COMP/WY <br /> SIGNATURE r�cisr[-aEO N �c rten N <br /> Addrps License Il � l� � � L-SZ 1 0 <br /> ELECTRICIAN COMPANY I �.+1 Q-Y`O� ��� <br /> SIGNATURE REGIS7ERED Y Y7 N T � cuwtEr. / N <br /> � <br /> l5 C7 � �� �Cov�Z�'it� <br /> PLUMBER _ Cp�MpANy s1�r m� S,�L. <br /> $IGNATURE REGISTERED Y/ N FEE CURRE� ! N <br /> � ��a ZIC� <br /> NECWMNCAL COMPANY r `s q- � <br /> $�GNAT�RE REC�.sTeteo Y N FEE CURR n Y N <br /> � Licenae # � <br /> OTHER �pp�y <br /> SIGNATURE REGISTFRED Y/ N fEE CURREI. Y/ N <br /> � Liceree # <br /> Illllllllllllllllllllllllllllllllllllllllililllllllllllllllllllllll <br /> RESIDENTIAL Attach (2) Pbt Plans; (2) sets d BuiWing Plans: (1) set of Energy Fartns; R-0-W PertnR for new caistruction, <br /> Minimum ten (10) working deys efter submittal date. Required onsile, Conslruction Plerq, Stormwater Plans w/ SiR Fence instalied, <br /> Sendary Facilkies 8 1 dumpster; Site Work Permit fa subdivisionsllarge projects <br /> COMMERqAI. Attach (3) compbte aets M Buitding Plans plua a Life Safety Pape; (1) set d Enerpy Fortns. R-O-W Pertnk for new construdan. <br /> Minimum ten (10) working days aRer submittal date. Required oruke, Constniction Plans, Stormwater Plans w/ SiR Fence installed, <br /> Senitary FaciliUes & 1 dumpster SRe Wak Permd for all new prajeds. All cammercial requ'wements must meet complia�ce <br /> SIGN PERMIT Attach (2) sets of Enpineered Plans. <br /> ""PROPERTY SURVEY re�ired tor all NEW canstniction. <br /> Dirxdons. <br /> Fill out application completely <br /> Owner & CaHracta sipn badc of aipplication, notaiized <br /> N ov� s2600, a Notlu W CommenpmeM is required. (AIC uppradss over:'7600) <br /> ° AgeM (fa the oaiVacta) or Power of Attarney (fa the owner) would be someone with rptaized letter fram owner aultarizing same <br /> OVER THE COUNTER PERMITIING (Prant of Applic�ion Ony) <br /> Reroofs if shingles Seweis Service Upgradas q/C Fences (Plot/Swey/Footage) <br /> Driveways-Nd over Counter if on public roadways..needs ROW <br />