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e��-�ea°°2° Ciry of Zephyrhills Permit Application Fau-813-7640021 � <br /> Bwlding Depertrnent <br /> Data Received P�����v��{or PermNtln Q <br /> Owners Nsme e , Ownsr Plana Number "7 � <br /> Owners Addresa �Q r�� � O�ivner Phons�u�r ���� /Q 9���Z9� <br /> Fee Simpk TidehoWer I�me �6 V-�C J�n t.LJT� I Owner Phone Number <br /> Fee Simple TltlehoWer Address Z Z b 6+ ST ( 3 3 S�Z <br /> JOB ADDRESS �•� t�! � � 3 YZ LOT# �O <br /> SUBDIVISION S �� PARCEL IDA� �Z'�L' 'O'O � <br /> (OBTAINED FROM PROPERTY TAX NOTCE) <br /> WORK PROPOSED NEW CoNSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROpO3ED USE Q SFR Q COMM � OTF�R <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DE3CPoP710N OF WORK �� x 3a' y Q <br /> BUILDING SIZE �Z/X 3 O� SQ fOOTAGE� HEIGHT �� <br /> �BUILDING 3/O S O VALUATION OF TOTAL CONSTRUCTION <br /> L <br /> QELECTRICAL a AMP SERVICE Q PRO E�S5 ENERGY Q W.R.E.C. <br /> QPLUMBING $ '. r'v'`/v�. '��C%=���VI� <br /> � <br /> OMECHANICAL � VALUATION OF MECHANICAL INSTALLATION �2� � <br /> � � J <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � a J t �v� <br /> BUIIDER ' COMPANY �� L✓ � <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> �� License# <br /> ELECTRICIAN COMPANV <br /> SIGNATURE REGISTERED Y f N FEE CURRE�. Y!N <br /> A�m� Llcense ik <br /> PLUMBER COMPANY � <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N <br /> Address u�,$e�r -1 <br /> MECHANICAL COMPANY � <br /> SICaNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Addrest license# � <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas Lfcense�k -� <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Atlach(2)Plot Plans;(2)sets oi Build'mg Plana;(1)set W Enerpy Fams;R-O-W Pertnk for new constnx;tion, <br /> Minimum ten(10)worlcing days eft�submittal date. Required onsile,Constnu:tion Plans,Stormwater Plans w/Silt Fence inatalled, <br /> Sanitary Facillties 8 1 dumpster;SRe Work Permit for subdivisionsilarpe projects <br /> COMMERCIAL Attach(3)complete sets ot Building Plans plua a Life Safery Page;(1)set of Er�erpy Fams.R-O-W Permit for new�nstruction. <br /> Minimum ten(10)waking deys after submittal date. RequNed onsite,Canstrudion Plans,Stormwater Pl�s w/Silt Fence Installed, <br /> Senit�y Faci�ities&1 dumpater Site Wak Pertnit for all new projeds.All commeroial requirements must meet compllance <br /> SIGN PERMIT Ariach(2)sets oT Engineered Plana. <br /> '•"'PROPERTY SURVEY requked for aN t�W conatnx:tion. <br /> Dlrecdons:• <br /> Fill out appRcaUon completely <br /> Owner&Contrador sign beck a(appRCatlon,notarized <br /> Ii ovsr 52600,a Notice of CommencemeM is rpWrod. (AIC upprades over i7500) <br /> "' Agent(for the conVador)or Power d Attomey(for the awner)wou�d be sameone witli noterized letter irom owner authorizing same <br /> OVER THE COUNTER PERMITTING (FroM at Applicatlon Ony) <br /> Reroofs if shingles Sewers Service Upgrades AJC Fences(PIof/Survey/Footape) <br /> DrivewayrNot over CouMer if on publfc roedways..needs ROW <br />