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a�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Buildinp Department <br /> Dale RsealvM � Phone Contect for ParmltNn <br /> T-i-ri-i�IT / / ? Q /, <br /> Owner's Name ( rv L i' ����SP� /��SP Owner Phon�Numbet !J �v � �/ <br /> Owners Address V 3 u UM �C_ Ownar Phone Number � � <br /> Fee Simple 1ltieholdar Name Owner Phona Numbsr �� <br /> Fes Simple Titieholder Addresa <br /> JOBADDRESS �U y U V� � IWS L0T9 3y�1 <br /> SUBDIVISION G ND l�02 r Zar�S �T�O� �R E DN � ����� '�U �/ ��DUOO+� �`�� <br /> (08TAINEO iRON iROPERTY TAII NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADDIALT Q SIGN Q Q OEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTtON OF WORK ��ST'/L L- � f UW C'�` 1�'����"-�- �M� L7 I�-�L�- �IJ06 I� � (f'4�J��/L <br /> BUILDING 81ZE �� sQ FOOTAGE r�� HEICiHT � LJJ� � �� U� I <br /> BUIIDING $ CU ys , VALUATION OF TOTAL CONSTRUCTION <br /> .J-! <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W R E C <br /> QPIUMBING $ � ; �`�- ta� �"J � <br /> �./ � / <br /> QMEGHANICAL S VAlUAT10N OF MECHANICAL INSTALLATION �/ ��� � � <br /> QGAS Q ROOFING Q SPECfALN � OTHER v C,�- � <br /> FINISFIED FLOOR EIEVATIONS FLO00 ZONE AREA QYES NO <br /> C� � ��39� <br /> �:�:-�1�1�4.i-i�i•�:-:-:-:-:-:�F• <br /> BUILDER ./� '�OMPANY I U L�--� !�7 � e l�� i L�-� ✓ � <br /> $IONATURE i v RE613TERED N FEE CURREA N <br /> Addrasa ��S! �� �/Z � �' n r�3����s���e� C7� � <br /> ..����z�� � rr � � L�C <br /> ELECTRICIAN COMP Y G�-V�T L�l� <br /> SIGNATURE aECnsteaeo Y! N fEeCURr+�n Y!N <br /> Address License A� �G �3�C� ��7� <br /> PLUMBER � COMPANY <br /> SIGNATURE aeo�sre�o Y/N FEE CURREA Y 1 N <br /> Address Licenae M � <br /> MECHANICAL COMPANY <br /> SIGNATURE REf313TERE0 Y!N FEE CURREA Y!N <br /> Addresa license M � <br /> OTHER � � COMPANY � � <br /> SIGNATURE ttEOisTEREO Y I N FEE CURREA Y!N <br /> Address L�cenae q � � <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Altach(2)Plot Plans;(2)sets of Buiiding Plans;(1)sat of Eneryy Fartna;R•O-W Permit fa new construclion, <br /> Minimum len(10)working days after aubmitlal date. Raquired onsile,Constn�ction Plane,Stormwater Plans w!Sik fence inslalled, <br /> Sandary Facilitias 8 1 dumpster,Site Work Pertnit for subdivisionsllarge projecls <br /> COMMERCIAL Altach(3)complele sels oi 8uilding Plans plue a Li(e Safety Page;(1)set of Enerqy Forms R-O-W Permd(or new construction <br /> Minimian ten(10)workinp daya after aubmillal dale. Required ons8e,ConaliucUon Plans,Stortnwaler Plans w/Silt Fance installed, <br /> Sanitery Facdities 8 1 dumpsler Sile Work Permil lor ell new projecls.All commercial requiremeMS mus�meet compliance <br /> SIGN PERMIT Altech(2)sets of Enpineered Ptans. <br /> •"•PROPERTY SURVEY raquired lor all NEW wnatruqion. <br /> S.S��S.+.S+-' 1�L.i-{-i�.i-' t� <br /> Direelfons:• <br /> Fi�l out applicalion completely. <br /> Ovmer 8 Cornractor sign back of application,notarized <br /> If over 52600,a Nolice o(Commeneament is requirod. (A!C upgradas over 57600) <br /> " Agent(tor the coMreclor)or Power of Allaney(fa Ihe owner)would be someone with nolanzed letler Irom owner authorizing same <br /> OVER THE COUNTER PERMIT7ING (Front ol Application Onry) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PbUSurveylFoolage) <br /> Driveways-NOt over Caunter d on public roadweys needs ROW <br />