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s�aaso-aazo � City of Zephyrhills Permit Applicatian , ,� FaX-a�a-7ao-ooz� '
<br /> ` eutlding Department - -
<br /> Date Recei�red " Phone Contact far Permittfing ' – �
<br /> ��� � ' _ ,
<br /> Owner's Name �t, �if2!�1lJlQ��--�--C-- Owner Phone Number �
<br /> Owner's Addres's � `'� � °l��-�5� ��Z �1 Q, ��� Owner Phone NumbeF� , � . �� '-�} '
<br /> Fee Simple Tltleholder Name t Owr►er Phane Nurriber� � � '•
<br /> Fee Simpte Titiehoider Address •
<br /> JOB ADDRESS v��.t , S'1't1R_�e �l. - � � LOT# � � ' , ,
<br /> SUBDIVISIQN. ' - , �y� ►"Cwc� '�1�.01D���I')1i1,�� PARCEL ID# 1Z''Z(o�* 2`.�'CUC�Z.,�j– 00�4 O.' C90�c,�, � .
<br /> , (OBTAINED FROM PROPERIY TAX NOTiCE) ' , .
<br /> WORK PRQPOSED NEW CONSTR ADDIALT Q SIGN [� MOVE Q DEMQLISN P
<br /> e INSTALL e REPAIR '
<br /> PROPOSED USE Q SFR Q• COMM Q OTHER _ •
<br /> TYPE QF CONSTRUGTION Q BLOCK 0 FRAME ` [� STEEL Q OTHER
<br /> UESCRIPTION OF WORK 1.C��CA... 0� $� r ry�Q,,,Y�
<br /> _
<br /> —
<br /> • .., , , :
<br /> BUILDING S1ZE _,_._. SQ F007AGE HEIGHT ,
<br /> F
<br /> � BUILDING ' ��� VALUATION OF TOTAL CONSTRUC710N �
<br /> , . ,
<br /> ,� ELECTRICAL $ t`. �� psp � AMP SERVICE � PROGRESS ENERGY � Q IN.R.E.C.
<br /> "1 �
<br /> � PLUMBING ($ � � , .� - ' ,
<br /> I �1���v � _
<br /> 0 MECNANICAL � , � VAl.UATlC1N OF NiEGHANtGAL INSTALLATlON ; �
<br /> Q GAS Q ROC}F(NG [� SPEGIAL'tY Q QTHER
<br /> P1NISHED FLOOR ElEVAT'tONS � � FLOOD ZONE AF2EA QYES . QNO '
<br /> ,
<br /> BUiLDER � COMPANY " '
<br /> SI�NATURE #�EGlSTERED Y!'N FEE CURRENT Y(N
<br /> Address License# � �—�
<br /> ELEC7'RtCIAN COMPANY �-a'�"t"i r C�,..�c�Te t:., �it�C.: � , ,
<br /> , S{GNATURE REGIS7ERED Y/ N FEE CURRENT Y/N .
<br /> Address� .1�.�'Y.43`�w�oCC�.�.�- � L. �J�j;�.�o - ' C.icense# {�13 ao:t3g�3 �'`I ' ,.
<br /> PLtIMBER COMPANY ' �
<br /> StGHATURE REGISTEREb �Y/ N FEE CURRENT `� Y I N "
<br /> Address ' License# � �- ��
<br /> MECNANICAL. ' � , CQMPANY �,
<br /> SIGNATURE ' REGISTERED Y/ N FEE GURRENT Y P N � � �
<br /> Address - � License# �� �
<br /> OTMER . COMPANY ' . �� `� �
<br /> SIGNATURE REGISTERED Y I N FEE CURREN7 � Y/N - -
<br /> � . , v ..
<br /> Address ' • , .. . - - License# ' �.^�--��
<br /> RESlD�NTIAL Attach{2)Plot Plans;(2)sets of Bullding Plans;{9)set of Energy Forms;R-O•W Permit for new construction, �
<br /> Minimum.ten(10)working days affer submittat dafe. Required onsite,Construcfion Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities&1 dumpster;Site Work Permit far subdlvlsionsttarge projects ,
<br /> COMMERCIAI: Attaoh(3)camplete sets of Building Ptans plus a Life Safety Page;{1)set of Energy Forms.R-O-W Permit far new construction.
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construcfian Pla�s,Stormwater Plans w/Silt Fence instatied, '
<br /> - � " Sanitary Faciii6e"s&��1 dumpster.S'rte Work Permit for all new projects.AA commerciai requiretnents must meet compliance
<br /> SlGN FERMIT Atiach{2}sets of Eng�neered Plans. ' - . ' . .
<br /> *`"'PROPERI`Y SURVEY required for all NEW construction. - � ' '
<br /> �irections: '
<br /> � Fil)out application completely. , - �
<br /> Owner&Contractor sign back of applica6on,notarized � � . '
<br />� IE over$2500,a Notice of Cammencement is required. (AIC upgrailes aver$5000) . �
<br /> '* Agent(far the contractor}or Power of Attomey(for the ownar}would be someone with notarized ietter irom owc�er authadzing same
<br /> OVEt2 THE COUNTER PERM1TfING (Front of Application Oniy) °
<br /> Reroofs Sewers Service.Upgrades A/C Fences(PIoUSurvey/Footage) . ,
<br /> Drivevriays-Nat over Counter if on publ3c roadways.:needs ROW , � ' _ ,-
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