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. 81�-��-� City of Zephyrhills Permit Application F�$��-��� <br /> Building Dapartment <br /> � � VBd — / Phone ConLU far P <br /> Own�Ys Name luc` CL?u.�C'.-� Ownar Phonc Numbar � J` Z`L 8"f'�� <br /> Owna�'s Address �s� � J / 7 � E� Own�r Phan NumDsr <br /> Fee Simple lttlaholdsr Nama �--� Ownsr Phone Humbar <br /> F�a Simpl� 7fINhWder Addrps <br /> .roe �woaess J�a I 3 I 7`� 5� 2 �j I 3 3 s�f Z �or r � <br /> sueonns�oN Pnrsc� iwe �� �° Z! —OB� p^!� C�Od —� 5 0 <br /> (OBTAINED FROM PROPFRTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoNSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR ��� <br /> PROPOSED USE Q SFtt Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> cwvna+ oF wowc ✓ � c,� P Gt � ' m �� �l Cr' �hf , � � � zJ��' <br /> BUIl01NG SIZE SQ FOOTAGE � HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL S f�� AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> 1 <br /> QPLUMBMG $ � � <br /> �MECHANICAL S � 3 VALUATION OF MECHANICAL INSTALLATIO /�� ' <br /> QGAS Q ROOFING Q SPECIALTY Q pTHER <br /> FINISHED FIOOR ELEVATIONS FLOOD ZONE AREA QYES NO -- <br /> BUILDER COMP/WY <br /> SICiNA7URE REGISTERED Y/ N FEE CURREN Y! N <br /> A�ddross Licenae S �� <br /> �c,wc��w cowPa�rrr �ob� s.ves �Yt �kr pRi s S <br /> SIGNATURE � REGIStERED N FEE C EN N <br /> aa�,.� 33 d N sl�� � 1�! 3`j'itb ��� EL`-0� roy� <br /> PLUMBER COMPANY <br /> SI(3NATURE REGISTERED Y! N � curmEN Y! N <br /> Addmsa � License • <br /> MECHANICAL COMPANY �N�Y+� �SLdA�IYF � �`1G'v'� � J 5 <br /> SIGNATI/RE REGISTERED N FEE CURREN / N '��� <br /> naa� 33 o N l� S� �e 3'7l6 u��,e <br /> on�eR coMrawv � <br /> SIGNATURE REGISTERED Y/ N FEE GURREN Y/ N <br /> Address Licerree 0 <br /> illlilflllillllltllilllitttlllllllllitlllltllllllllllill/llllll/tll <br /> RESIDENTiAL At�ch (2) Plot Plans; (2) aets W Building Plaru; (1 � se! of Energy Forms; R-0-W Permd tu naw consVuction, <br /> Minanum ten (10) working dsys eRer submittal daM. Required orroiM, ConsLUCtioti Plans, Stamwater Plens w/ SiR Fence installed, <br /> Sendery FecilRies $ t d�mpster; Site Wak Permit for subdivisionslWrge projects <br /> COMMERqAL Atlmch (3) complete asts of Buildmg Plens plus a li(e Sefsty Peye: (t ) set of Ene�gy Fams. R-O-W Parmk fw new caisWCtion. <br /> Minimum ten (10) workirp deys efter submittel dete. Required onsite, ConsVuction PNns, Stamvre[er Pl�s w/ SiR Fence ir�tailed, <br /> Sanitary Fecilitiss 81 dum� Site V�Roiic Pertnit for ell new pojecta All commerciel requkemeMS must meet canplience <br /> SIGN PERMIT Aitach (2) sets of Engineered Plans. <br /> ""'PROPERTY SURVEY req�wed ior all NEW w�ahuction. <br /> 1 11 Y 1 <br /> Df►actlons: <br /> Fill out applicetion completely. <br /> Owr�er & Contractw spn becic of applicetion, nataraed <br /> If over SZ�� a Notica d Com�t��eeme�t b required (AfC upgrades over S7b00) <br /> " Agerk (for the contractor) u Pawer aF Attomey (for the owner) would be saneone with �Wanzed lelter itom owner author¢ing same <br /> OVER TNE CWNTER PERMITIING (FroM oF Application OMy) <br /> Reroofs if shinplem Sewera Service Upprades A/C Fences (Pb1/5urveyfFootage) <br /> DAvaways-Not over CouMer H on public roadways..needs ROW <br />