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e�s-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Data Rseeived phorn CoMact for P�rtnittin - <br /> Ownar's Nams � C- � Owner Phone Numbsr <br /> Ownsrs Address Ownar Phons Number <br /> Fee Simple TNleholder Name Owner Phona NumWr <br /> Fee Slmple Tkleholdsr Addross <br /> JOB ADDRESS �S C� �! � �� �� LOT N � <br /> SUBDMSION PARCEL ID/ I�- Z� ��`D�I� � �/�/O O� G�'`��' <br /> (OlTNNED FROM WIOPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONSTR� ADDIALT Q SIGN � Q DEMOUSH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> �ESCRIPTION OF WORK l� ��ar rn� 1 D Y �rn <br /> BUILDIN(i SIZE SQ FOOTAOE HEI(iHT C� <br /> �UIIDING f � V VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAI S AMF SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPIUMBING S <br /> QMECHANICAL S VALUATION OF MECMANICAL INSTALLATION <br /> Q� Q ROOFING Q SPECIAITY Q OTHER <br /> FINISHED FLOOR EIEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � C�P�Y � <br /> SIGNATURE REGI37ERED Y/ N tEE amRE� Y/N <br /> Addross - ����� � <br /> PI Z ELECTRICIAN �� �� " "�}�✓ `/�G� COMPANY <br /> � -^'�^ SIGNATURE aEqsrertEO Y I N �E C�ran�n Y I N <br /> � �j0.-8��Zi Addnss Lltense# <br /> j3 PLUMBER COMPANY <br /> SIGNATURE REGistEnEO Y/ N FEE cuRRE� Y/N <br /> '�Address ��°�8°� � <br /> � ` <br /> ((''''�� py� MECHANICAL ��+ � � � ,�cd����� COMPANY <br /> �'�S�/�- � s�G��� /�� '`'� rtEG�sTERED Y/ N FEE cx1RRE� Y/N <br /> � V � � <br /> � � /�� Addross ,�` Ucense# <br /> .�"'t�`I C�� v <br /> OTHER C � <br /> SIGNATURE RECi�sTERED Y I N �E WnnEn Y!N <br /> Addross License 1� <br /> RESIDENTIAL Attach(2)Plot Plans:(2)sets of Buildfng Plans:(1)set o(Ensrgy Fmns;R-0-W Pertnit for new construction, <br /> Minimun te�(10)workinp days aftar aubmillal date. Requlred onafte.Construetlan Plarn,Slormwater Plans w/SiR Fence insWlled, <br /> SaMlary FadNtles 8 1 dumpstar:Site VYork Permit for aubdWisionsl�a►ge DroJe� <br /> COMMERCIAL Attach(3)oomplete sets ot BWldk�p Plans plus a Life Sa(etY PaOe;(1)Set of Energy Forms.R4W Pertnit tor new coroUuction. <br /> Minimum ten(10)wakirg days alte►submillal dale. Requlrod mslte,Constructlon P�a�n.Stamwater Plans wl SIN Fe�x�inshalled, <br /> Sanitary FacNitles 3 1 dumpeter.SHe Work Parmit ta all new prolects.All commardal requirements must meet compMance <br /> SIGN PERMIT Atlach(2)aets of Enpineaed Phns. <br /> ••"PROPERTY SURVEY requlred ior a8 NEW conatructlon• <br /> ---�„���� <br /> DlracNona: <br /> FlA out applicatlon canplete�Y- <br /> Owner 8 Contracta sign back o1 appNcatbn.ratarized <br /> It ovar f2S00.a NoNc�of CommenumNN b nqulnd. (IUC upprad�s owr f7S00) <br /> •• A�en!(fa Ihe conbadw)or Power of Altomey(for Cre owner)would be aomeone wilh notarized lelter(rom ovmer auHarizing same <br /> OVER THE COUNTER PERMITTING (Fronc or noc���+��h) <br /> Reroofs if shfrgbs Sewers Service Upgrades A/C Fencea(PIoVSurveylFootagel <br /> Drivswsys-Not over Counter H on pubNc roadways..needs ROW <br />