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$�� City of Zephyrhills Permit Appli -- . �eo-ooz� <br /> 9�aeing oePartrnerrt � �„���� <br /> . � <br /> �e� R�a�� �-/� �/ �.�..�,� � ra s 7 6 - c� 3 <br /> �T-�,�- <br /> Owners Name �' Q� 1...� �� - 3 <br /> Owners Address � Owner Phone Number <br /> Fee Simple Tiqeholdar Name l.� c � Owner Phone Number �— � <br /> FeeSimpleTiUshoWerAddreaa 3 �� "33 ' Z <br /> JOB ADORESS 3 a � �\ _�F— LOT � �� <br /> SUBDIVISION PARCEL IDAk � �. — ��p - •�.1 '� � •" A ' l <br /> (OHrAl1ED FROM PROPERTY TAX N�710E) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR ���� <br /> PROPOSED U3E Q SFR a COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q �—�, <br /> DESCRIPTION OF WORK T� (,� ` p� Q ` V w ,Q �'� Q C) Lt � e. <br /> � l <br /> BUILDING S12E !`� �'t SQ FOOTAGE N/� HEIGHT ( l O <br /> �BUILDING E � VALUATION OF TOTAI CONSTRUCTION <br /> QELECTR�CAL �� AMP SERVICE � PROGRESS ENERGY a W.R.E.C. <br /> QPLUMBING �� ���� r1 `� <br /> �, <br /> QMECHANICAL E VALUATION OF MECHANICAL INST�TION / � /�_�, <br /> r'f <br /> QGAS Q ROOFING Q SPECIALTY � OTHER 1 �/ VOv( '� �'�� ����� � Z �� ( y/ <br /> � �f� ���s <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES � NO � � <br /> S�NiNATURE � � �^ 1�� aeci�s� Y! N � cur�n Y 1 N ��� <br /> ,�lz , <br /> ����,, Addre �,�,�: � <br /> /� �C� 2� ELECTRICIAN COMPANY � <br /> J�� pO SIGNATURE �— � rtEGis�o Y/ N � cuar�n Y/ N <br /> r <br /> � f 3 � Address License f <br /> � <br /> PLUMBER COMPANY <br /> SH3NATURE a�cisr�o Y/ N r� cur�n Y! N <br /> � License * �_ <br /> MECNANICAL � � COMPANY r <br /> SIGNATURE r�ciS�o Y/ N F� cur�n Y/ N <br /> Address <br /> License t <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N peE CutrtEn Y/ N <br /> Adtlress License � � <br /> f � / ���� // ��// 1 �/�� 1 /�������/�� 1 �� 1 1��1�����1�/���������1/�/t������� <br /> RESDENIIAL Attach (2) Plot Plans: (2) sets of Building Pla�: 11) set of Energy Fams; R-O-W Permit far naw construction, <br /> Minimum ten (10) woAtinp days aRer submiftal dste. Required onsite. Construdion Plans. Stortnwa[er plans w/ Sdt Fence inst�led, <br /> Sanifary Fadlities 8 1 dumpster, Site Work Pertnit fw subdivisionsAarge projeqs <br /> COMMERGAL Attach (3) oomplete sets M Building plans plus a Life Safery Page; (1) set M Energy Fortns. R-0.W Pertnit for new consUudion. <br /> �nimum ten (10) working days after submitlal date. Required onsite, Construd'pn Plans, Stom�weter Plans w/ Silt Fence installed, <br /> Sanifery FacilRies 8 1 dumpster Ske Work Pertnk for all new projeqs. Ap commeicia� �eyukements must meet compliance <br /> SIGN PERMIT Atlach (2) sets of Engineered Plens. <br /> ""PROPERTY SURVEY required for aN NEW constniqion. <br /> 01nc6ioes. <br /> Fill out application completely. <br /> Owner & Contractor sign badc M application, notarized <br /> If over 52500, a Notlee of Commencement is requlred. (AIC upgrades over S7S00) <br /> " Agent (for the contrador) or Power M Attomey (for the oNmer) would be someone with ratarized letter from owner authoriang same <br /> OVER THE COUNTER PERMITTING (Front of Applicatan Only) <br /> Reroofs ff shingles Sewers Service Upgrades A/C Fenoes (PbVSurveyJFootage) <br /> Drlvewaya-Not over Counter'rf on public roadways..needs ROW <br />