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Y� <br /> a��-�eo-0o2o City of Zephyrhills errriit Application Fax-e��-�eaoo2� <br /> + - 8uiiding D partment <br /> r Y <br /> y � Date Recetved phone ConWCt tor P (tting �2�] `.�� 4 9?3 <br /> Owner'sName � CE�-IZISi� m�G.(Er�.. OwnerPhoneNumber 7U�C''"5���`Su?� <br /> 5'825 1�.-�c ....... <br /> ..... <br /> .. ...... <br /> OwneYs Address t)'�• Owner Phane Nnmber <br /> Fee Simple Titleholder Name $�' -C �t�l� �-� Owner Phone Number � � <br /> \ Fee Slmple TltleholderAddress Io�f 2 � Sk�� C.��' <br /> �aanoar�ESS 58?...� !S� 5f• Zc� fL %t.t,S Ft. ��S / t,o7# �� <br /> SU�DIVISION � � PARCE�ID# «�°Z'�'`°2�"PP�O--�j(j I p O -QOO b <br /> iq8TA1NED FROM PR6PERTY TA7C NORCEt <br /> WpRK PR4POSED � NEW CONS7R 8 ADD/ALT SIGN Q Q DEMpLISH <br /> INSi'ALL REPAIR <br /> PROPOSEQI.tSE Q SFR Q COMM OTHER <br /> TYpE OF C4NSTRUC110N Q BLOCK Q FRAME STEEL Q <br /> DESCRiPTIONOFWQRK f'INAG'�Cn�-�,,�.- ��� �.S�t'v1 I3S2Li'7� pCtS'�iJl17f}C7�v^ "Pc-�-�fL-11v�.'7—` <br /> BUti.DtIQG SiZE �—� SQ FOOTAGE tiEIGHT �� <br /> �� VALUATION OF T TAL COMSTRUCTION <br /> BUILDING $ <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QP�UMBlNG �� �`��t� <br /> QMECHANICP�. $� VAlUATIOhf pF ECNANIGAl.INSTALtJtTtON � J <br /> ���� <br /> QGA9 C] ROOFING Q SPECIALN pTHER <br /> FINISNEd FLOOR E�EVATIONS �� FLOOCf ZON AREA QYES NQ <br /> BUILDER CpMP Y � � <br /> SIGNATURE REGISTE o Y/ N FEE CUftREI. I Y/N <br /> Address License# � � <br /> ELECTRICtAN � � COMP � <br /> SICNANRE R���sTe o YI N FFECUtutEr, Y!N <br /> Address License# � ^� <br /> PLUMBER � � COMP Y � <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAi. ,�� COMP Y :���� � <br /> SIGNATl/RE ��Cj i� "./"'���REGISTER D Y J N FEE CURREn Y J N <br /> Address �J�� 1 V ,x,wz;C,d� �,�� �[ ('t-�t � License# r�i'VIG 12��J 4 D�-.—I <br /> OTHER COMP Y �— � � <br /> SIGNATURE REGISTER D Y! N FEECURRE� Y/N <br /> Address Ucense# � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllll <br /> RE310ENTlRL Attach(2)Piot Plans;{2j sets of Bu(lding Plans;('1)set of Er� rgy Forms;R-O-W Permit for new cpnsiruction, <br /> Minimum#en(1Q)working days after submittal date. Requir ottsite,Cflnstrucfion Plens,Stormwater Plans w!Silt Fence instalted, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivi ions/large projects <br /> COMMERCIAL Attach(3)complete sets oT Building Plans plus a Life Safety age;(1)set of 6nergy Fortr�s.R-O-W Pertnit for new consVuctipn, <br /> tvtinimum ten{10}working days after submittal dats. Require onsite,GflnsWciion Ptans,Stormvrater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpstec Site Work Pertnit for afl new projec[s.Ail commercial requirements musi meet camptiance <br /> SIGN PERMIT Attach(2)sets af Engineered Plans. <br /> ••••PftOPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out epplication completely. <br /> Owner 8 Contractor sign back of applicaUon,notarized <br /> tf aver;25Q0,a Natice of Cammencemenf!s requlred. {AtC upgrades ver;7506} <br /> " Agent(for the cantractor)or Power of Attomey(for the owner)would 6e so eone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMlTitNG {F�ont of Application Oniy} <br /> Retoofs if shingtes Sewers 3ervice Upgrades lVC Fences(PtotJ urvey/Faatage} <br /> pdveways-Not over Counter if on pu6lic roadways..oeeds ROW <br />