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� ' s�a=7saaozo City of Zephyrhills ermit Applicatian Fax-813-78d-0021 � <br /> Building De artment <br /> Date Received Phone Contact#or Pe mitting -- <br /> � a � ai � � i i � � i � <br /> Owner's Name � 4 � l/G't'l�l.��E.� ��"� Owner Phone Number p��� �� t — 1 1 vQ <br /> dwner's Address �S�� �+� � y Owner Phone Number �—��� � <br /> Fee Simple Titlehaider Name Owner Phone Number �V i � <br /> Fee Simpte Titleholder Address <br /> JOB ADDFtESS �"�I � L +� L.l� LOT# �,_�� <br /> SUBDIVISION �—+ � PARCEIId <br /> (OBTA1NEp FROM PROPER7Y TAX NO'i10Ej <br /> WOftK PRQPOSED e NEW CONSTR 8 ADDlAL.T � SIGN 0 � DEMOLISH <br /> lNSTRLL REPA{R <br /> PROPOSED USE � SFR Q COMM �� OT}-fER <br /> TYPE OF CONSTRUCTtON � BLCtCK � FRAME � STEEL � <br /> DESCRIPTION OF WOftK �l � t--�G�/t �- ��� "` [ 7�?t'1 T iC'�� PLttM �/ ��� ���tC���C+''� <br /> BUILDiNG S12E ���i�� SQ F04TAGE HE{GHT �— <br /> ._..—.._� <br /> � I � VAI.UATION d TOTAL CONSTRUCTlON <br /> BUILDING $ <br /> !_.._..+.—.�_ <br /> DELECTR�CAL �� AMP SERVICE O PROGRESS ENERGY Q W R.E.C. <br /> OPLUMBING �g —� , <br /> G� <br /> ��� <br /> �MECHANICAL $S �- tr1 v�� VALUATION F MECHANICAL INSTALLATION �� <br /> 1 �{� <br /> [�GAS � ROOFING C] SPECIAL � OTHER <br /> F�NISHED FLOOR ELEVATIONS �� FLOdD ONE AREA �YES NO <br /> ._.._.._ .�. . . � . . <br /> _. <br /> BUiLDER �� +� GO PANY <br /> SiGMATURE REC,i TERED Y! N FEE CURREA Y!N <br /> Address License# � � <br /> ELEGTRIClA{� � � CO PANY <br /> SIGNATURE RE STERED Y/ N FEE CURRE� Y/N <br /> Address License# �-� � <br /> PLUMBER + !� C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/i�l <br /> Address License# �— —� <br /> IMECNANICAL �)� �) ��� C NIPANY '! �!— !L.'�G� �E l� ��t`rJ'!'Gi'�'(4!'� , uG <br /> StGNATURE v,�eC-���--? ` <" R tSTERE4 J N FEE GURREP Y f TV <br /> ; Address 3�'`� `ZC9 �`,}�2� i�-OCip �y License# �,.l�y��G� t 4't to�� <br /> — <br /> I <br /> 4THER C MPANY <br /> SlGNATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address -�icense# � � <br /> 16iTIlltittOltoI119IIiltilitllli 81111 � 11M116i [ 1tt91lttl [ 1981l � 0 ! ! 1 <br /> RESIDENTIAL Attach(2}Plot Plans;(2)sets of Building Plans;(1}s t of Energy Forms;R-O-W Permif for new construction, <br /> Minimum ten(10)working days after submittai date. equired onsite,Construction Pians,Stormwater Pian�wf Siit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit fo subdivisionsJlarge projects <br /> C�MMERCIAL Attach(3}complefe sets of Building P�ans p�us a Life Safety Page;{1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittai date. Required onsite,Construcfion Pians,Stormwater Pians wJ Siit Fence insfaiied, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fo al(new projec#s.Ail commerciai requirements must meet compiiance <br /> SlGN PERMIT Attach(2)sets of Engineered Pians. <br /> **`*PROPERTY SURVEY required for al�NEW cons rucfion. <br /> ■ It 9 ■ <br /> J� <br /> Directions: <br /> I Fill aut application campletely <br />� Owner&Contrector sign back of applicafion,notarized <br /> If over$2500,a Notice of Commencement is required. {A1C u gr�des over$7500} <br /> "' Agent(for the contractor}ar Power of Attorney{for the owner)wou d be someone with�otarized letter from owner authorizing same <br /> OVER TNE CQUNTER PERMITTING (Front of Application Only} <br /> Reroofs if shingles Sewers Service Upgrades AJC Fen es(PioUSurveylFootage} <br /> Driveways-Not over Counter if on pub(ic roadways..needs ROW <br /> i <br />