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s�s-7ao-aazo ' Gity of Zephyrhills Permit Application �ax-a��-�su-uux� <br /> Building�epartment <br /> � . <br /> Date Received Phone.Cantact for Permitting -- <br /> Owner's Name ��t '� �� Owner Phone Number <br /> Owner's Address � Owner Phane Num�er� <br /> Fee Simple Titleholder Name Owner Phone Nurriber <br /> Fee Simple Titieholder Address <br /> JOBADDRESS 7�OI� S� A'.�.1"� • 1 �OT# � <br /> Su�o�Vislor� � i PA c�Lln# I'I��"�b-"�l^�03� �00'3�� = Oalt7 <br /> j08i'AlNED FR�M Pi20PERiY TAX NOTlGE} <br /> WORK PROP4SED � NEW CONSTR � AD �IALT Q SIGN � MOVE Q DEMOLISH <br /> INSTA�I, RE AIR <br /> PRCIPOSED USE � SFR � - CO M [� OTHER <br /> 'iYPE OF CONSTRUCTIQN � BLOCK Q FRI�ME � STEEL. [� f3THER[�� —`I <br /> DEBCRiPTlOt3 OF WORiC lt'e�iL.�.t�C �t3!w �J�+»wt+� o+r 1«4�•� <br /> Bi11GDtNG SIZE �� � S4�QOTAGE HEiGHT � � <br /> � BUILDlNG J$ � � VAi�UA {ON OF TCITAL CONSTRUCTlON <br /> L <br /> C] ELECTRICAL ����,�v � AMP S RVICE � PROGRESS ENERGY Q W.R.E.C. <br /> 1� � <br /> [�] PLUMBING � �� <br /> [�] MECHANICAL $ VA4.UA ION OF MECHANICAL INSTALLATION •-� f� <br /> � GAS 0 ROOFING [� S ECIALTY Q OTHER <br /> FlN1SNED FLOOR ELEVATIONS F iQC}C}ZONE AREA QYES QNO <br /> � <br /> � <br /> BUlLDER COMPANY <br /> SlGiI+1AT1fRE (2EGISTERED Y I N FEE Ct�RFtEN7' Y j hI <br /> Address Llcense# C � <br /> ELECTRICIAN COMPANY ee! �= I��'e[.��/���! �1.�.� <br /> SIGNATURE �� + RE6I57ERED I N FEE CURREPIT I N <br /> Address � `3 ��7^ L,icense# ���W« S Zl <br /> PLUMBER COMPANY <br /> SIGNATUFtE REStszeREO Y! R! FEE CURR�N7 Y i N <br /> Address I l.icense# � � <br /> MECHANICAL CUMPANY <br /> SIGNATUF2E REGlSTEREQ Y! N FEE CURRENT Y/N <br /> Address License# � � <br /> O7HER COMPANY <br /> StGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � I <br /> RE5ID�NTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ken(10)working days after submittal date. Required onsite,Canstruc8on Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities&'1 dumpster,Site Work Permi#f�r subdivisionsAarge projects <br /> CQMMERCIAL Atkach(3)complete sets aP Building Plans plus a Life Safety Page;(1)set of Energy Forrns.R-O-W Permit for new construction. <br /> Minimum ten{10)working days after su6mittal date� Required onsike,Constructian Plans,Stormwaker Plans w!Silt Fence installed, <br /> Sani#ary Facifities&1 dumpster.8ite Work Perm�#f r a3!rtew pro)ects.Alt commercia{requirernents must msef compliance - <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> �"""PROPEF2l`Y SiiRVEY required for ati NEW con truct[on. <br /> Directions; � <br /> Fill out apgiicat'san aompiekely. <br /> Owner&Contractor sign b�ick of applicafion,notarized <br /> If over$2500,a Notice of Commencement is required. (AlC up rades o�er$5000) <br /> '`" Agestt{for fhe con#cactar}or Power oE Attorney(far the owner}woul be someane with notacized letter from awner autharizing same <br /> OVER THE COUNTER PERMITTING (Fronk of Application Only) <br /> Reroafs Sewers Senrice.Upgrades A!G Fences(PtaUBusveylFootage) <br /> �: .. . f <br /> ❑riveways-Not over Counter if on public raadways.:needs F20W - � � � � <br />