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, a��-�ao-oo20 � Cfty of Zephyrhills Permit Application FaX-e��-�saooz� <br /> Buildiny Depertment <br /> Dab Rseeivad �IQy � LZ • (3 Phont Contaet for Petml O r _ ` �b � <br /> -TTTTTTT <br /> Ownars Name 1� F �F��EQ..-�/4�- '� Own�r Phone Numwr g �3� 9 7�'OLI <br /> thmer's Addross Q O O �Jl�(n� a-� C��`• ONmer Phorw Number Z 60- 3 t 6_i�� <br /> Fee SN»pla Titleholdsr Nams � i � Ownsr Phona Number �� <br /> Fse Sfmple Titlehold�r Address � <br /> JOB ADDRESS �C� ��I� �-V(�� -�FYR��LL S ��• LOT# C� <br /> SUBWYISION PARCEL IDA � <br /> �osrur�u crta�weoaeaTr T�z ewnoR <br /> WORK PROPOSED e NEW CONSTR 8 ADDlALT � SIGN Q Q DENFOLISH <br /> INSTALL REPAIR <br /> PROP�^ED USE Q SFR Q COMM [� OTHER -� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME L STEEL Q �� <br /> DESCRIP7IONOFWORK ��,r� �N��"1-t- � ��S►TiNt1 ELEei12�cA�� �l-paK- l� <br /> BU{LDtNG 81ZE Z G 1� G tl gQ FOOTACiE� MEIGNT �� <br /> BUIIDING �� VALUATION OF TOTAL CONSTRUCTION � 2� Sd�— <br /> �JELECTRICAL S AMP SERVICE � PROCaRESS ENERCiY O W.R.E.C. ,� <br /> QPLUMBING S " ' �� �{ ��� <br /> QMECHANICAL S VALUATION OF MECHANICAL WSTALLATION '�� �� <br /> /L�� � <br /> ��S � ROOFING p sPECU�TV � orHeR � ��( <br /> FINISHED FLOOR ELEVATIONS FIOOD ZONE AREA QYES NO <br /> BUILDER � C�P� � <br /> ��((�,�A�(� REOISTERED Y I N FEE CURREN Y/N <br /> naaress � uc�se s �—� <br /> ���'P' L- .R F(,Ec,�Q ��.l <br /> ELEC?RICIAN l l o� (=R,l�N G 1 t COM ANY <br /> �G�'T'()(� REOISTERED Y/ N fEE CURREN Y!N � <br /> nad.ess ��nse s C �t Q 0 O L-$0 �I <br /> PLUMBER � C�p� � � <br /> �G(�p]v�� RE6ISFERED Y/ N FEE CURREN Y/N <br /> Address Lioense 0 �� <br /> MECHANICAL � � COMPANII � � <br /> �GNA7U� � RE�ISTERED Y! N fEE CURREN Y/N � <br /> {WdMSS License/ �� <br /> OTHER �P�Y <br /> 31(3NATURE � r�o�sreneo Y/ N �cuawer+ Y 1 N <br /> Addreaa License�F �� <br /> e � t � � � � i � � � � � r � � iti � � t � � � � � � � � � � � r � � � � i � � � � � � � r � � � iri � � r � it � � � � i � rt <br /> RESIDENTIAL Attech(2)Plot Plans;(2)sefs of BWldiny Plena:(t)set M Enerpy Fortns;R-aW Pem�ft Por new oonsbudbn. <br /> Mk�fmum ten(10)woAcinp days aRer subrtuttal date. Required onsite,Conshucxion Plans,Stortrnwetx Plans wJ Silt Fence instaUed, <br /> Sanitery FacNides 8 1 dumpste�:Site Worlc Pam�it for subdiviabnsAarye pmfects <br /> COMMERCIAL At�ch(3)complmte sels of BuNdinp Pl�s plus e Life Satety Pape;(1)aet of Ene�py Fortns.R-O-W Permlt for new construction. <br /> Min'unum t�(1�wprkinq daya s11x submittel dete. Raquired onsile,Conatrudion Wans.Stomiwater Plarro w/Sifl.Fence instelled, <br /> Sanitary FacflNtes&t durr�ster.Site Work Pertnit fw alI�w projects.All commercial requirements must meet connpliar�ce <br /> SIGN PERMIT Attach(2)sets of Enqlrbered Plens. <br /> "'"PROPERTY SURVEY requirod fw�NEW�dion. <br /> D1reeUons: <br /> FIII out appNcation compbtely <br /> Owrrer 8 ConUada aiyn baGc ot application,notarized <br /> If over S2b00,a Notic�of Comman�ament is requlnd. (NC upprades over i7600) <br /> `� P�gent(for the oontrector)or Power of Attomey(for the owner)vwuld Ee someone with notar�ed letter irom owner euthoAZing sert�e <br /> OVER TNE COUNTER PERMIT7ING (Frorn of Appication Ony) <br /> Reroots iT shinples Sewers Service Upp�ades A!C Fences(PIOUSurvey/Footape) <br /> DrNeways-NOt over CouMer'rf on pubNc roedways..needs ROW <br />