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, , e��-�eo.00so City of Zephyrhills Permit Appljcation F�-ei�-�eo-ooz� <br /> . euilding Department <br /> Dab R�ceivad � I Phone Contact for PertMttlng (� – <br /> � � � 1 1 � � 1 � 1 �i � <br /> Owners Name �� Ownar Phons Number <br /> Owner's Addross 1 I t�'� Ownsr Phone NumMr <br /> Fw Simp�TiqahwdK N� Owner PAaro Numbsr <br /> Fw Simpls TltleAold�r Addross <br /> JOBADDRESS � � !��5'1"r; 1 � LOTN � <br /> SUBDIVISION � PARCEL ID� � Z - •-�� <br /> (OBTAINED FRON PROPERTY TAI(NOTICE� <br /> WORK PROPOSED e NEW aONSrn 8 ADD/ALT [� SIGN �] Q DEMOUSH <br /> INSTALL REpAIR <br /> PROP08ED USE Q SFR Q COMM Q OTHER �� I <br /> TYPE OF CONSTRUCTION Q BIOCK Q FRAME Q STEEL Q � <br /> DESCRIPTION OF WORK I� • !/ � <br /> BUILqNG SIZE �� SQ FOOTAGE� HEIGHT � <br /> �BUILDING S �" �17J VALUATION OF TOTAL CONSTRUCTION / � ' � ` <br /> (/ 1 �� <br /> QElEC7RICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � <br /> QPLUMBING $ � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATION FLOOD ZONE AREA QYES NO <br /> BUILDER ,��(�Y,`���� COMPANY � <br /> SIGNATURE �–���` ftEds7�tEp Y!N F�cur�H Y/N <br /> Address U I ' I lic�se# V�3 <br /> ELECTRICIAN � � COMPANY � � <br /> 81GNATURE r�c�s7� Y/N �ct�ttta Y/N <br /> �� License# � � <br /> PLUMBER CpMppNy <br /> 81f3NATURE r�dsrExeo Y/N �cuRa�u Y/N <br /> �d� Licenae# <br /> MECMANICAL COMPANY � <br /> SIGNATURE r�cis�EU Y/N �ct� Y/N <br /> �� License# <br /> OTHER CpMppp�y <br /> s��N� REO�sTQtEn Y/ N FEE CuRREN Y 1 N <br /> Addrps Licenaa M �— <br /> IIIIIIIIIIIIIt111 � 11111111111111 � 1111111111111111 � 1111111111 � 111111 <br /> RESIDEN7IAL Attach(2)Pbt Plans;(2)aets of Buiklinq Plans;(1)set d Energy Forms:R4W PertnH for new canstruction, <br /> Minimum ten(10)waicinp deys aRer suDmikal date. Required onsite,Conshuction Plarre,Stortnwater Plane w!SiR Fence installed, <br /> Sanitary Facilkies&7 dumpstet;Site Work Permil for subdivisionallarye projeGs <br /> COMMERCIAL Attadi(3)oomplete aefs of Buildirp Plans plus a L'de Safaty Pape;(1)set oi Enxpy Fortna.R-0-W Permit for new constnu:tion. <br /> Minimum ten(10)workiny deys after a�miHal date. Required onake,Constructan Plana,Stortnwater Plenp w/SiM Fence irutalled, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commerciel requirements must meet compliance <br /> SIGN PERMR Attech(2)aeb of Enpineered Plens. <br /> ""PROPERTY SURVEY required for all NEW corwtnidion. <br /> droctlons: <br /> Fill out application compbtey. <br /> Owner 8 Caitractqr sign beck of application,notarimd <br /> If wsr�2600.a Notice ot Commencemsnt Is roqulred. (AIC upprades ovv t7600) <br /> " AOent(for the contrador)or Power W Attortrey(fa Uie owner)wauld be someone with noterized lefler from owner aiAtiorizinp aeme <br /> OVER THE COUNTER PERMITTING (FroM of Application Ony) <br /> Reroofs'rf shi�gles Sewers Service Upprades A/C Fenc9e(PbUSurveY/FOOtape) <br /> Driveways-Not ovar CouMer ff an public roedways..needs ROW <br />