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s�a-�so-Qazo Gity of Zephy�rhills Permit,4pplication Fax-813-780-0021 <br /> � Bui ding Department <br /> 3 iJ�ts Receivec� <br /> Phane Conta for Permitting !„�j �/"� __ �p yJ� <br /> Oasner"s tdame �f�D�1 ,�`pv� <br /> Owrner Phone fdurotber <br /> CEuuner's Address Ovva�er E'hane fdur�ber �� � � <br /> �ee Sirttpte Tit(ehalder Mame � � <br /> �►ner�hane tdumber <br /> Fee Sien�te Titlehotder Address <br /> JO��Dt�R�SS ���� ��T!�` .�� � �rPl�7`i lj S"' Y"� <br /> �a�# � <br /> suBOSd►sio� �,attc �.to� <br /> (OBTAIPIED F�PROPERTY TO nc�)�E����SH <br /> MlOEt6t P'ROP05ED e NEW CoNS7R ADD/ T [� 5lG�l <br /> INSTALL 8 FtEPAI <br /> �'ROPtJSED USE Q SFFt � COM� C� OTHER <br /> 'i"YPE OF CONSTRUCTIOM Q BLOCK � FRAM� �� STEEl. 0 `—� <br /> �}IESC�2l�'TIOtd OF MfOF�K �t-°/�}t� �l,$/�/c"�'ti G`�/�s'�. <br /> �u�a.os��s�z� ��7X.30 � s�a Foo-�e��e �'D s°� T t��i�H-r S�2�/ � <br /> �BUILDING $���7��� VALUATIQ OFTOiAt�CORISTRt7CT#OR� <br /> QELECTRICAL �- � AMP SERVI E � PROGRESS ENERGY [� W.R.E.G. <br /> QPLUMBING � � <br /> OMECHANICAI. �� VALUATIOM OF MECHAfVICAL INSTNLLATION <br /> QGAS Q ROOFING Q SPECI L7Y � OTHER <br /> FINISHEE?FtOQR ELEVATIONS (�—� FLOOD ZONE AREA QYES NO <br /> L <br /> ....,,. � , <br /> �aui�n�R ,� _.���.—. c� p�arav -J�fF ix�� �vS/.s'r.�T�o�,�'•v�.. <br /> �IGk1AiTU1dE RE ISTERED Y/ N FEE CURRET� Y f IV <br /> Acldress 7`j�f�' /tS�f� �%,,,G.'e }� �P�/1S f License# � � <br /> �LEC�'RtClAtd � CO PAfdY <br /> Sid'si�A.TU62E _ rzs tSTERED Y J iV FEE CURRE� Y/N <br /> Addrpss l.lcense# �� � <br /> P�l1M�EFt CtD PAtdY <br /> SiGtddlTUF2E REG 57ERED Y I N FEE CURRE� Y/N <br /> ��ctsess Ltcense# � � <br /> M��HAI�lC1�►�. C� P�tdY <br /> SIG�IATED�� REG STERED Y J N FEE CURftE� Y/IV <br /> Ac�dr�ss Llcense# �— � <br /> O�'liER Ti� CO PAMY <br /> SIGII�ATURE _ � REG STERED Y I N � FEE Ct1RREF Y I AI `' <br /> Addfess License# C� � <br /> � � <br /> RE51DEIdTlAL Attach(2)Plot Pla�s;(2)sets of Building Plans;(1)set f Energy Forms;R-O-W Permit fur new construction, <br /> Minimum fen{10)wotking days after submittal date. Re aired onsite,Construction Plans,Starmwater Plans w!SiEt Fence installed, <br /> Sanitary Facilities�1 dumpster;Site Work Permit for s bdivisions/large projects <br /> _ �t}t4�f�ERC1AL Attach(3)camplete sets of Build(ng P#ans plus a l.tfe Safety Page;(1 j sek of Energy Forms.R-O-W Permik fo�new conskruct(o�. <br /> Minimum ten(10}working days after submi##at date. Re� uired onsite,Canstructiott Plans,Stormwater Plans w!Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for al new projects.All commercial requirements must meet compliance <br /> �!G!���i2t4�IT Attach{2}sets of Engineesed Pians. <br /> '••*PROPER7Y SURVEY reqetired far ai(NEW canstruc ton. <br /> L�irections: <br /> Fiti aut application compietely. <br /> Owner 8 Contractor sign back of application,notarized <br /> 1f ouer�2500,a t�otice of Commencement is required. {E41�upgr c0es aver�7500) <br /> MA Agent(for the contractor)or Power af Attamey(fpr the owner)wouid b sameone with notarized letter from owner authorizing same <br /> i O'NER THE COUNTEEt PERMITTI[�� (Fran#af Application flnly) <br /> Reroofs if shingies Sewers Service Upgrades A/C� ' Fences tot/Sun+ey/Footage) <br /> � � ' ' _ � <br /> Drive�uays-Not over Gounter if on public faadways..needs ROW ' ' <br /> „ , - � , <br />