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s�� City of Zephyrhills Permit Application FaX$��-�so-ooz� <br /> Building DepertmeM <br /> , ' Dats Receiwd Phons CoMSCt tor Parmittln _ / Z v� v <br /> y � � l <br /> Ownors Nanw 1� l.�� ele Ow�rr Phorw MumO�r <br /> Own.r's Add.�s 5` S l�►7G 2 G�{ N�(I,1 Q e . o�w Pha,. i�.,�b.. � <br /> Fee Simple TNteholder Name p�� phpp �p <br /> Fee Simple Titleholdsr Address <br /> JOB ADDRESS �'e LOT � � <br /> SUBDIVISION PARCEL ID/ <br /> (oerNrreo � raorRxrr r�x ►�orc� <br /> WORK PROPOSED e NEW cANSfR 8 ADD/ALT � SIGN Q Q DEMOLISIi <br /> INSTALL REPAIR <br /> PROPO$ED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CON37RUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK V GL DG I <br /> BUILDING 81ZE � � SQ FOOTA�GE HEIGHT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � <br /> �MECHANICAL S /QC � VALUATION OF MECHANICAL INSTALLATION 1 � l/� <br /> y 1��, <br /> QGAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FIOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> =LLLI 1 i� '�'�• •..���.Ii�.1�1 ' �'• i 1 L.1 1 1� <br /> BUILDER � COMPANY � <br /> SIGNATURE REGISTERED Y! N F� CurtREn Y/ N <br /> Addnss License # <br /> ELEC7RICIAN � COMPANY � <br /> SK3NATURE REGISTERED Y! N FEE cuwtEn Y/ N <br /> ' License # � <br /> PLUMBER L � CpMppp�y <br /> � REGISTERED Y! N FEE CURRE� Y/ N <br /> '��° Lice�e # �--� <br /> MECHANICAL COMPANY � `�.(, � I/c. � cS rS r�_ <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> ,�d.... 2S R�P ��� # C'i4 C L g 1:37 �� <br /> or+� COMPANY <br /> SI(iNATURE REGI3TERED Y/ N FEe cuRrtEn Y/ N <br /> '�� License # �— � <br /> � 1 t 1{ 1 1 1 1 1 1 1 1� 1 � 1 1 1 1 1 f 1 E 1 1 1 1 t 1 1 1 1 1 1 1 � 1 f 1 1 I 1 1 1� 1 1 I 1 1 1 1 1 1 f 1! 1 1 1 1/ 1 1 1 1 <br /> RESIDEN7IAL Attach (2) Plot Plans; (2) seta of Building Plans: (1) set of Ene�gy Forms: R-O-W Pertnit for new construcGon, <br /> Minimum ten (70) working days after submittal date. Required oneite, Construcdon Plans. Stortnwater Plans w/ SiR Fence installed, <br /> Sanitary Facilmes & 1 dumpster; Site Work Pertnit for subdivisions/large projects <br /> COMMERCWL Attach (3) complete sefs of Building Plans plus a Life Safely Page; (1) set of Energy Fortns. R-O-W PertnR for new construclion. <br /> Minimum ten (10) working days aRer submiUal date, Required onsite, Construcfion Plens, Stormwater Plans w/ SiR Fe�x� installed, <br /> Sanifary Facllkies 81 dumpater. Site Work Pertnit for all new projects. All commercial requirements must meet compllance <br /> SIGN PERMR Attech (2) sets of Engineened Plann. <br /> ""PROPERTY SURVEY requlred for all NEW consfnKtion, <br /> �61..� <br /> Dirscdonf. <br /> Fill out appfication completey. <br /> Owner 8 Conhsctor sign badc of applicatiai, naarized <br /> M owr;2300, a Notice of Comman�t is requked. (/VC uppradss owr 57500) <br /> " Agent (TOr the contrador) or Power of AUomey (Tor fhe owne�r) would be someone with rrolsrized letter from owner auftarizing same <br /> OVER TF1E COUNTER PERMf171NG (FraN of Applicetion Onty) <br /> Reroofs if shingles Sewers Service Upprades A!C Fences (PIoVSurvey/Footege) <br /> Driveways-Not over Counter If on public roadNrays..needs RpW <br />