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ai3ae°�o City of Zephyrhills Permit Application F���a-�eamsi <br /> Building DepertmeM <br /> Data R�ceivtd <br /> Phone Contact for Permittl�1g <br /> 1 � � � � � 1 � � 1 1 i 1 <br /> Owne�s Name Ownar Phons Number <br /> Owners Addrsss � � �� � 1'1 i 1 Ownsr Phone Numb�r <br /> Fe�Simple THlehold�r Nam� Own�r Phon�Numbsr <br /> Fes Simpls Titl�holder Addrsss <br /> JOB ADpRE88 C � �f LOT* �� <br /> sueoivisiow PARCEL iD# 3'-� Z Z..� O ti Od O �� <br /> (OBTAINED FROM PROPER7Y TA%NOTCE) <br /> WORK PROPOSED NEW CONSfR ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTI2UCT10N BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK `z= <br /> BUILqNG SIZE � <br /> SQ FOO E� HEJGFIT �� <br /> �BUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPlUM91NG $ <br /> QMECHfWICAL $ VALUATI�ON[;OrF MECWINICAL INSTALLATION �� `�� <br /> d.9�Ci�.�-`-'�/ � � <br /> QGAS ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUIL - COMPANY I ` C.>D � -L--c[�, <br /> NATURE nEO�sr�nen Y N �cut� Y/N <br /> aaa�. C`��- Gi - � 4` . �K»�,sa�r C G C,u�8�3 <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE rrECist�n Y/ N �curer�n Y/N <br /> Address <br /> Licanse# <br /> PLUMBER COMPANY � <br /> SIGNATURE aEasrvtEO Y/N �curtr�N Y/N �— <br /> �� License# f —� <br /> MECH/WICAL COMPANY � <br /> SIGNATURE r�c,�s7EREO Y/N r�cur� Y/N <br /> �� License# � <br /> OTHER COMPANY <br /> SIGNATURE r�as�p Y/N rg c� Y!N <br /> �� Licanse�M! � <br /> 1111� 111111 � 111 � � 1 � � 111111111 � 1 � 11111111 � 1 / 1111111 � 111 � 11 � 11 � 111 / 11 <br /> RESIDEN7IAL Attach(2)Pbt Plans;(2)sets d Building Plans;(1)set d F_nergy Fortns;R-O-W Pertnk for new corefixXion, <br /> Minimun ten(10)workinp days after suDmittel date. Required on6ite,CoraVUCNon Plana.Stormwater Plans w/Sift Fer�ce installed, <br /> Sanifary Fecilities&1 dumpater;Site Work Permit for subdiWSionsllarge projeds <br /> COMAAERCIAL Attach(3)complete seb of Buildirp Plens plus a Life Safety Pape;(1)set M Enerpy Fortns.R-O-W Pertn d for new construction. <br /> Minimum tan(10)workinp deya after submitta�date. Required onaite,Consfruction Ptans,Starmwater Plans w/Sik Fence irretalled, <br /> Sanitary Facilities&1 dumpster.Ske Wark Permit for all new projecxs.q�l commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)aets of Enpineered Plens. <br /> ""PROPERTY SURVEY required for all NEW constnxx:tion. <br /> DincHons: <br /> Fill out appllcation completely. <br /> Owner&Contractor aipn beck of applicalion,notarized <br /> If wsr 22600.a Notice oi Cornmencemsnt is rsquired. (A!C upprada�ovor 57600) <br /> " Agent(for the conVactor)a Power of Attomey(fa the owner)would be aomeone with rwtarized letter from owmer authorizinp seme <br /> OVER THE COINTER PERMITTING (Front of Applicstion Ony) <br /> Reroofs if shingles Sewers Service Uppradea A/C Fences(PIoUSurveylFOOtaGe) <br /> Driveways-Not over Caunter if on public roadways..needs ROW <br />