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r t�;,s�,- <br /> eia-�eo-oozo City of Zephyrhills Pertnit Application Fax-813-780-0027 <br /> Budtlm9 Depanment <br /> DateRecerved PhoneContacttorPe�mitting lS�5 h��) �� /U <br /> �1 1 1 1 1 1 1 r I 1 1 1 1 <br /> r� r�I / , <br /> Owners Name �U�,li i_.S l��VUE �.��'i t� Owner P�one Number <br /> Owner's Addrass ��U �W� ��S r ,1,' ;��•c'5��'i� Qti•L. Ownar Phone NumDer <br /> Fea Simple Titleholder Nama Owner Phone Number <br /> FeeSimpleTtleholderAddreas �I��C�� <br /> JOBADDRESS �a�� � 1 C�Oi,��LU� 2 �P ^nf ��!i 5. �C. �.'��{/ �orx � <br /> SUBDINSION VARCEL IDN �� —�� 'a —0�'�—D J I D� �c3�i U <br /> (08T/�INEU FROM PROPERT7 T�X NOTCE� <br /> WORK PROPOSED e NEW CONSTP B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR O COMM O OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK O FRAME O STEEL Q <br /> DESCRIPTON OF WORK r i� t�C��1� �C�Li.�� j'D/ CYI��I r 1'nc� I' ��(V I J <br /> BUILqNG SIZE SQ FOOTAGE� HEIGHT � <br /> OBUILDING E� VALUATION OF TOTAL CONSTRUCTION <br /> �RICAL $ �J AMP SERVICE Q PROGRESS ENERGY Q W R-E C <br /> OPLUMBING � <br /> �MECHANICAL � VALUATION OF MECHANICAL INSTALLATION <br /> �GAS O ROOFING Q SPECIALTV� OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QVES NO <br /> BUIlOER COMPANY � <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License i <br /> ELECTRICIAN " COMPANV �1 '� �� G ��GVtV'�CA <br /> SIGNATURE 1 �r� REGISTERFD V/N FEE CURREN Y/N <br /> naaress 0, � t�� D; harcrr� uR, 3�05 ���x CBdi�O <br /> PLUMBER COMPANV � <br /> SIGNATURE REGiSTERED V/N FEECURREN V I N <br /> Address License M <br /> MECHANICAL COMPANV <br /> SIGNATURE REGISTERED Y/N FEE LURREN V/N <br /> AAAress LlCense! <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED V/N FEE CURREN V/N <br /> Address L�cense N <br /> 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 <br /> RESIDENTAL Attach(2)Plot Plans;(2)sels o(Building Plans,(1)set of Enerpy Fortns;R-0-W Pemiil fw new constniction. <br /> Mxiimum ten(10)v.orking days after submM1tal tlate.ReQuiretl onzte,ConsWC4on Plans,Slamwater PWns wl Sdt Fence installed, <br /> Sanitary FaciliGes S 1 tlumpster;Srte WoAc Permit tor su6tliNSiansAarge prqects <br /> COMMERCIAL Atlach(3)complete sets of Buiitlng Plans Dlus a Life Safaty Pape;(t)sel of Enerpy Forms.R-6W Pemril fw new constn�ction. <br /> Minimum ten(10)working days afler submittal aate Required onsite,ConsWCtion Plans,Stommvater Plans w/SiX Fence installed, <br /> Sanrtary Fxirties 8 1 tlumDSter.Sde WoAc PermR for all new projecfs All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of EngineereO Plans <br /> ^"PROPERTY SURVEY require0 fw all NEW construction <br /> Directions: <br /> Fill out ap0���ron completey. <br /> Owner 8 CoMrador sign bada of applicaUon,notarized <br /> If over S250a,a Notica of Commencement Is requireA. (AIC upyrades ovar S7b00) <br /> " Agent(ta the contrador)or Power of Attomey(for the owner)would be sanewie wilh nolarizeA letter hom ovw�er auMwrizinp same <br /> OVER THE COUNTER PERMIT7ING (Front otApplication Oaly) <br /> Reroofs if shinglas Seners Service UpgraOes A!C Fences(PbVSurvey/Footape) <br /> Driveways-NOt over Counter i(on puDhc roadways needs RO W <br />