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a��-�eo�oozo City of Zephyrhills Permit Application F������'� <br /> � Build'wtp DepartmaM <br /> Dab R�ceivkl Phone Confad for Pertnittln� – <br /> � � � 1 1 � � � � � � � <br /> Ovm�s Nam� ( L. � Owner Pbons Numbsr <br /> Own�ls Addms Gl Ownsr Phon�Numbw I <br /> F�.Simpl�TiqNwW�r N.rtH �Own�r Phon�NumMr ] <br /> Fo�81mp1�T1tlN�oldor Address � <br /> JOB ADDRESS � 1.0T• �] <br /> SUBDIVISION PARCEL IDtl O 2 Z�G Z t Obd� O���d CO 1� <br /> (OB7AINED FROM PROVERTY TA7(NOTCE) <br /> WORK PROPOSED B NEw CoNSfR 8 ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER —I <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME Q STEEL Q <br /> DESCWPiWN OF WORK r � �.� � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.(:. f y'��f' � <br /> QPLUMBING S <br /> � [ ( <br /> QMECHANICAI S VALUATION OF MECHANICAI INSTALLATION c! <br /> �5`13 8 _ C� c� �j-� l <br /> QGP�S �� ROOFING Q SPECIALTY Q OTHER „ I � <br /> G/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �Z � � <br /> BUIL � �� COAIPANY Ow�� �A.� �CSciT�'���C.. <br /> pn� r�aer�o Y I �cua�n Y/N <br /> Addreu �L 11 �"L f T Lt �L$ License� �(��d5 Q� ���"(I <br /> ELECTRICUW COMPANY <br /> SIGNATURE a�s�rtm Y/N �curtru� Y/N <br /> q�ryp License# 1 <br /> PLUMBER �^ � COMPANY � <br /> gIGNATURE � nEwsTV�o Y/N �cuw�n Y/N <br /> Addr�ss Liconse�M � � <br /> MECHIWICAI. � COMP/WY ] <br /> g�GNATURE r�as�rseo Y!N �cuw+�n Y/N <br /> Addrass License# � <br /> OTHER COMPANIf ] <br /> SIG W►TUFZE nEdsTERED Y!N FEE CuRREN Y/N <br /> Addrps Ucenae# ] <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII � IIIIIIIIIIN <br /> RESIDENiIAL Attach(2)Pbt Plans;(2)sets of BuikJinp Plans;(1)sat d Eneryy Fartns;R-0-W Pertnit for new corotrudion, <br /> Minimum ten(10)workirp days after subnittal data. Required onsite,Construdbn Plaro,St«mwater Plaru w/Sift Fence installed, <br /> Sanqary Facilities 81 dumpster;SAa Work PamR for subdivfsbns/larpe projects <br /> COIAIAERCULL Attach(3)complete seb of BuiWirp PIanB plus a LNe SaFety Pape;(1)tet oi Enerpy Fortna.R-O-W Permit for naw consttuction. <br /> Minimum ten(70)��arkinp daya after submitlal date, Required onsite,Conehud'wn Plens,Stormwater Plens w!Sik Fence installed, <br /> Senftary Fadtities 81 dumpster.Sde Work Pertnit for all new projects.All commercial requ'vements must meet complianoe <br /> SIGN PERMIT Attach(2)seb o(Erpineered Plens. <br /> ""PROPERTY SURVEY required for all NEW constnrctiwi <br /> Dinctlons:• <br /> Fill out appGcatiOn camDlateq' <br /> owner s coMra�qr siyn baac a application.noterizea <br /> If ov�r=2b00,a Nptica d Commw�c�msnt is roquirad. (A!C uppndes ovar f7600) <br /> " ApeM(for the cordrador)or Pa�d Attdney(fa the a�+ner)would be someane with notarized lefler from owner authorizing same <br /> OVER THE COUNTER PERMITTING (FroM o[Application Only) <br /> Rerods if shinples Sewers Servics Upprades A/C fera9e(PbUSurvey/FOOtape) <br /> Drlvwrays-Not ovw Caxiter if on puWic roadways..needs ROW <br />