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a��-�eaoo2o /�/('`ity of Zephyrhills PermitApplication F����-7eo-0o2� <br /> ,�,(�, Buikling DepartmeM <br /> uc(l' <br /> �R�v«, —/ I ��.P� �lO"1 � <br /> Ownx's Nrne 1 L �„e.P�„e�,M„► 3� <br /> Owner's Addresa �W ���wnx Phone Numbsr <br /> rre.s�mps rro.naaer N.m. �v1'C � Z �wnaiZPhone N�mber �—� <br /> Fes Simpls Titlehddsr Addrsss "� <br /> �OB ADDRESS r • LOT M L�� <br /> SUBDIVISION PARCEL IDiM `"�'C�10'Z l ' � � – <br /> (OBTAMIED FFOM PROPERTY TAX NOTICE� <br /> WORK PROPOSED � NEW CONS7R e ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PR�OSED USE �/SFR Q COMM [� OTHER <br /> TYPE OF CON8TRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIP'f10N OF WORK <br /> ����� 1 \ X , SQ FOOTAGE�� HEIGHT �� <br /> QSU�LDING $ VALUATION OF TOTAI CONSTRUCTON � ��,J��� <br /> L <br /> �€LECTRICAL S AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �1SlUMBING S � l� <br /> �� � �� <br /> EC�HAN�CAL S VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINiSHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER COMP/WY r��,� �� _ ��Il I <br /> SIGNATURE REGISTERED �(Yx N J FEE CURRE� N <br /> "�° ���# IDZ_-�-1 <br /> ELECTRICUW COMPANY �C� � J�Ci'��� <br /> 316NATURE REGISTFRED Y � FEE CURRE� N <br /> � h ��# 1 <br /> PLUMBER �P�y �� �� <br /> StGNAlURE REGISTERED N FEECURRE� Y N <br /> � License# ���1 U I <br /> MECHANICAL COMPANY r S r SI��^S� <br /> SIGNATURE REGISTERED Y N fEE CURREA /N <br /> � Llcense# <br /> OTHER COMPady � <br /> SIGNATURE REGISTH2ED Y/ N FEE CURRE� Y/N <br /> � Laen�#� � <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENIIAL Attach(2)Plot Plans:(2)sets d Buildinp Plans;(1)set of Eneryy Forms:R-O-W PertnR for neyy cansfi�cta�, <br /> Minimum ten(10)working days aRer s�txnittel date. Required onsite.Constnx;tion Plens.Stamwater Plans w/Sik Ferce installed, <br /> Sankary Facilities 8 1 dunpster:Site Wark Permit for subdivisianylarge projects <br /> COMMERCIAL Attach(3)complele sets d Building Plans plus a Life Safely Page;(1)aet d Eriergy Fortns.R-0-W Permit for new constnidion. <br /> Minimum ten(10)workinp deys aRx abmittal date. Required msite,Canstn�ction Plans,Stamwater Plans w/Silt Fenoe inslalled, <br /> Sanifary FacilNies&1 dumpater Site Wark Pertnit Tor all ne�w projeds.qll commerciai requirements must meet complianoe <br /> SIGN PERMIT Attadt(2)sets of Ergir�eered Plans. <br /> "'"'PROPERTY SURVEY required for ell NEW constrtxRion. <br /> d.xdo,n: <br /> Fiu out applicatio�Comp�etey <br /> Owner&CaMractor sign bedc d application,rw�ar¢ed <br /> It ovar fY600.a Notics oF ComnMncanent is requirsd. (MC uppraASS ovx t7600) <br /> "' Agent(for the conUSCta)a Power aF AttorneY(for the owner)would be sameone with rptar¢ed latter from owner authormng same <br /> OVER THE COUNTER PERMIT7ING (Front ot Applicatio�p�y) <br /> Reroofs if shinglea Sewers Service Upgrades A/C Ferxas(Pla/Survey/Foda9e) <br /> Drivewsys-NOt over Courrtx'rf on public roadways..neads ROW <br />