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s��-�eo-oo2o City of Zephyrhills Permit Application F��i����2� <br /> ' l�l e IT ���� Building DepartmeM <br /> XlJ��( <br /> Date Recei�ed _ - S/ <br /> Phone Contact for Permiqi <br /> Owners Name �.}.�►- Owner phone Nuni�er <br /> Ownars Address � Ownar Phone Number <br /> Fee s�mpe nuenader rosrne �— Ownar Phone Nun�ar �-- � <br /> Pee Simple Titlehdder Addrass <br /> �B�� LOT# �� <br /> SUBDMSION PARCEL IDN (i�l'�'Z = �O' I c�"lU <br /> (06T/NNEO FROM PROPERTV Tnit Mo'ncE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL ftEpq�R <br /> PROPOSED USE [�SFR Q COMM � OTHER <br /> TVPE OF CONSiRlICT10N Q BLOCK Q FRAME Q STEEL <br /> DESCRIPTION OF WORK 1 1 � <br /> BUILDING SIZE � k SQ FOOTAGE HEIGFIT �� <br /> ILDING S - VALUATION OF TOTAL CONSTRUCTION ^/�� y�,� <br /> C� l.JI,J <br /> LECTRICAI $ AMp SERVICE �/ROGRESS ENERGY � <br /> W.R.E.C. <br /> LUMBI $ �f/� <br /> � r �� V <br /> ECHANICAL $ VALUATION OF MECHANICAL INSTAI.LATION I <br /> O�`S Q ROOFING Q SPECUILTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YEg NO <br /> BUILDER COMPANY I O <br /> SIGNATURE REGISTFRED /N FEE CURREI. <br /> Alddress <br /> Lioense# <br /> ELECTRICUW I COMPANY <br /> SIGNA7URE �C <br /> REGI5TQ2ED Y N r�e cuRr�n Y <br /> "a� ��a C�1 p <br /> PLUMBER <br /> SIGNATURE �P� O � <br /> i• REGISTERED Y N FEE CURREA /rJ <br /> / <br /> e-• ' <br /> °...e� _ Licensa# � <br /> MECHANICJU. COMPANY S <br /> SIGNATURE <br /> REGISTEREp Y N FEE CURREA /rJ <br /> �$ �1C8flSB# C <br /> onieR <br /> SIGNATURE �MP� <br /> REGISTERED Y/ N FEE CURREh Y/N <br /> /�I@f8 <br /> IIIIIIIIIIIIIIIIIIII � IIIIIIIIIIIIIIIIIIIIIIIIIIL111� 11111111111111111 <br /> RESIDENTIAL Attech(2)Plot Plans:(2)sets d Building Plaru;(1)yet o{Energ�,Fams;R-O-W Permit fa new oor�s��i�. <br /> Minimum ten(10)Nc�lcing days after yubnittel date. Required onsife,Cor�tnxxio�Plens.Slortnwater plaru w/SiR Fence installed, <br /> Sanitary Facildies&1 dumpster;Site Work Permit for supd�,isq�yl�g�p��p$ <br /> COMMERqAL Attach(3)complete sets af 8uildmg Plans plus a Life Safely Page;(1)set pt Energy Forms.R-0-W Permit fw new opnyUuctip�. <br /> Minimum ten(10)worlcin8 daYS aRer s�bnittal date. Rec�ired ansite,Constnx;tan Plaru,Stamwater Plans w/SiM Fence instalted, <br /> Sanitary)aaM�es ngrcieered Pl�s.e Work PermR for all new projeds.All commeraal requirements must meet canpliar�ce <br /> SIGN PERMIT Attaqi 2 sets of E <br /> ""PROPERTY SURVEY required fw all NEW oonstruction, <br /> Directions: <br /> Fill out application comple��y. <br /> H ovx f2600,a NWI������� <br /> �aquirsd (AIC upgra0es wrar 57500) <br /> ' A9eM(for ttie contrador)or Powar W Attorney(for the owner)would be someane with notar¢ed letter finm owner aufhorizing same <br /> OVER THE COUNTER PERMI771NG (Frart oF Applicatan Or�Y) <br /> Reroofs if shingles $ewers $eryipe��yC Fences(PlotlSurvey/Fpptapg) <br /> DriveM'sYS-Not over Counter if on public road�rays..needs ROW <br />