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� <br /> 813-780-0p20 City of Zephyrhills ermit Application Fax-8'13-780-0021 <br /> � Building D partment <br /> Gate Received phone Contact tor P ICUng <br /> dwner's Name I A1��� ����-i�V3�K\ Owner Phone Number 2��� � 2����J�b 5 <br /> 4wne�s Address t��`t"I �`"t� � 4wner Phone Nnmber �� � <br /> � Fee Simple Tltleholder Name Owner Phone N�mber �- � <br /> Fee Simple Titleholder Address <br /> .IOB ADDRESS �t"�'� �_t� � LOT# � <br /> susflmsio� ZEP�k�� 6��'ZG Pnacei�o� t�Z-2t�-21 -d l�tC)-ooaao-032.� <br /> (dBTAiNED FROM PROPERTY TAX NO'iiCE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 51GN Q 0 DEMOLISH <br /> IMSTALL REPAIR <br /> PROPBSEA US£ Q SFR Q COMM OTHER <br /> TYPE OF CpNSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK 1�1�AC. -Ci�an i l!� ��.('i Z'}�P� l��-Lr ,��} �y�N��2 � Ct>: ��NLL a��Lf1gp03 <br /> BUICDiN6 SiZE �� SQ FOOTAGE HEIGHT C� <br /> QBUILDING �� VALUATlON OF T TAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. � <br /> QPLUMBlNG �� �1��+� <br /> QMECHAN{CAt. $j! J���`�p VALUATtON OF ECFtANICA�INSTAILATiON 1�_ <br /> d[ I :�r <br /> OGAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FI.00ft E�EVAT10t9S r�� FLOOD ZON ARFA QYES Nd <br /> L <br /> BUILDER � CQMP Y -� <br /> SIGNATURE REGis� o Y/ N FEE CURRE� Y/N <br /> Address License# �� <br /> ELECTRICtAN � � COMP Y � <br /> St�NATURE R���sTE o Y J N �e cutv�n Y 1 N <br /> Address License# �` � <br /> PLUMBER � � COMP Y � <br /> SIGNATURE REGISTE � Y/ N FEE CURRE� Y/N <br /> Address License#�` `� <br /> MEGHANtCAL � `�� CQtNP Y �!C J � <br /> SIGNANRE k REGISTER D Y J Rl FEE CUftREh Y I N <br /> Address ���d �• SC;l.�2-PC.�"��, �� r�• License# C�n��.� 2t� n�9�t <br /> OTHER � � CpMP Y � <br /> SIGNATURE REGISTE o V! N FEE CURRE� Y/N <br /> Address License# �i � <br /> IIIIIIIIIIIIIIIIIII � IIIIIIIIIIIIIMIIIIIIIIIIIIItllllllllllltlllllll <br /> RESiDEM71At. Attach{2)Piot Pians;(2)seis of Buiiding Pians;(3)set of En rgy Forms;R-O-W Permit for new construction, <br /> Minimum ten(44)worfcing days after submiftal date. Require onsite,Construction Plens,Stortnwater Plans w/Silt fience installed, <br /> Sanitery Facilitles&1 dumpster,Sita Work Permit for subdivi ions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Li(e Safety age;(1)set of Energy Focros,R-O-W Permit for new eqnstruction, <br /> Minimum fen(i0}work3ng days after submitket date. Require onsite,Gonstruction Plans,Stormwater Ptans wt Sitt Fence installed, <br /> Sanitary Facilities 81 dumpster.Site Work Permit for ait new projects.Afl commercia�requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets af Engineered Plans. <br /> "'"PROPERTY SURVEY required for a!I NEW constnrction. <br /> Directions: <br /> Fill out applicafion completely. <br /> Qwner&ConVactor sign back of appiicalPon,notarized <br /> !f over 52506,a Noftce of Cammensement!s requlred. {AtC upgradss er b7500) <br /> `• Agent(for the contractor)ar Pawer of Attamey(for the owner)would be so eone with notarized letter from owner authorizing same <br /> OVER THE COUNTER pERMiTTiNG (Frant of Application O�ly} <br /> Reroafs ff shingtes Sewers Service Upgrades AtC Fences(PbU urveyJFaotage} <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br /> I <br />