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e��-��-002o City of Zephyrhills Pem'iit Application F�$�sa8°-°°2� <br /> Buildmg Departmerrt <br /> Dat.R.c�wd — 3���i Pha»Cork�t Tor P�mi� - <br /> Owrwra Name - Owner Phdfe Numbsr � <br /> Owr�s Address � Owner Phons Number <br /> Pse SNnple Titlehddsr Name 1�\ Ownw Plane Mxnb�► � <br /> .� <br /> Fea SimWe Twenadsr addr.ss <br /> JOB ADDRESS J Z�� �.5�1��� �C LOT� �` <br /> SUBDMSION PARCEL IQR Gy'C� �. � . <br /> (OBTAINED FROM VROiERTY TAX NOTICE) <br /> WOFtl(PROPOSED � NEW CONS7R 8 ADDlALT � SION Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR Q COMM Q OTHER <br /> 7ypE pFf�NgTRUC71pN Q BLOCK Q FRAME Q STEEI Q' <br /> DESCRIP7)ON OF VIIORIC <br /> BUILDING SIZE \`'�, y` ��� SQ FOOTAGE� HEIGHT � <br /> �UILDING S �"1 VALUATION OF TOTAL CONSTRUCTION 2 L��U <br /> \_J <br /> �ECTRICAL E AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING S ���'� <br /> ECHANICAL S VALUATION OF MECHANICAL INSTALLATION P.���,(> <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FIOOR ELEVATIONS FLOOD ZONE AREA QYES �` <br /> BUILDER /��.` COMPANY lJ <br /> gIGNATURE G REGISTERED N �ecu�n N <br /> p� � License# <br /> NATURE ��� �-"""`-'�v��"' R�A8TERE0 / N FEE WRREI. /N <br /> /Ad�l65 �IC6I159# �I�-1�.11 I <br /> PWMBER �� /L' � COMPANY O I <br /> SIGNA7l1RE ` REGIST62ED Y N FEECURREP /N <br /> qddress � l.icense# <br /> MECHANICAL COMP/WY <br /> SIGNAlURE r�c�sr�t� / N FeE cunrtEn /N <br /> Address — I.iceree# <br /> O?HER COMPANY � <br /> SIC,NATURE REGISTERED Y/N �cuarto. Y/N <br /> Address Licer�se# <br /> IIIIII / / IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans�(2)sets d Building Plens,(1)set of Energy Fortns:R-O-W Pertnit for rre�r construction, <br /> Minimum ten(10)workirg days aRer submittal d�e. Required onsfte.Caistrudion Plana.Stamwater Plans w/Sil[Fer�ce installed, <br /> Sarritary Facilities&t dixnpeter,Sile Wark Permit for subdivisio�/larpe projects <br /> COMMERdAI Attach(3)canplete sets d Building P{ans plus a Life SaFety Pape;(1)sel M Enerpy Fortns.R-O-W Permit for new consNx;tion. <br /> Minimum ien(10)workag days aftet submittal de[e. Requoed aisite,Construction Plans.Stormwater Plans w/Sitt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Wak Pertnit for all new projeCs.All commercial requiremeMS must meei compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pl�s. <br /> ""PROPERTY SURVEY requu'ed for all NEW cbnstniction. <br /> • I •.Illllllllllllllllllli� lll ' llll • <br /> d..etlons:• <br /> Fill out epplicatan completely. <br /> Owner 8 Contrada sign bedc of application,rwtaaed <br /> H over f2500.a Notice of Comm�t is requi►sd (��PO►���f7500) <br /> " AgeM(fa the coMrador)a Porer of Attortiey(Tar the owner)would be someone with ratarized letter trom owner authormng seme <br /> OVER THE COUNTER PERMITTING (FroM of Applicaiion ONy) <br /> Reroots if shingles Sewers Service Upgrades A/C Fences(PbHSurvey/Footape) <br /> Drivsrrays-Not over Counter'rf on puWic roadways..needs ROW <br />