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� <br /> "` r,rt ' s�s-�eaoozo City of ZephyIrhills Permit Application Fax-s��-�eaooz� <br /> Buttding Department <br /> Date Received Phone Conia�t for Pertnitting <br /> Owners Name Ji�]'1�1,��1 � �_�,'�',1�\ Owner Phone Number <br /> �(� � � �y.... <br /> Owne�s Address�t�,5 tc i r1-�- T7}�l4�i.3 l4CV�_ Owner Phone Number <br /> Fee Simple TtUeholder Name r- ! I Owner Phone Number �- � <br /> M <br /> Fee Simple Tideholder Address � <br /> JdB ADORESS { � {� LOT# �_S1��E�� <br /> SUBDlVIStON � � PARCEI ID# °O( � , ��' <br /> (OBTACNED FROM PRDPERTY TAX NOTICEj <br /> WORK PROPOSED e NEw CoNSfR 8 ADDfALT �] SIGN C] Q DEMOLISH <br /> INSTALL REP IR <br /> PROPOSED USE Q SFR Q CO�M � OTHER <br /> TYpE OF CONSTRUCTION Q 6LOCK Q FRAiv1E � STEEL Q <br /> DESCRIPTION OF WORK \ f.' � � � Q s �Pd <br /> BUIi.DING SIZE SGt FOOTAGB� HEIGHT <br /> �BUILDING �r-� "'7� VALUAT ION OF TOTAL CONSTRUCTION <br /> � ( r <br /> QELECTRICAL r6 � AMP SE�VICE � PROGRE55 ENERGY Q W.R.E.C. <br /> L <br /> QP�UMBlNG �� ��� <br /> QMECHANICA� $ VAIUAT ON OF MECNANlCAL INSTALLATlON � `� <br /> QGA3 Q ROOFING Q SP(CIALTY � OTHER <br /> FINtBFlED Fi.00R ElEVATIONS �� FL04D ZONE ARFA �YES P!Q <br /> I <br /> -i-6-F-r' 6-C�'-3-�i-1--L- "..+ 7-i�'a '�'�'-i-:� i�0 S-0�.'��'..rw�C-O-� <br /> BU(LDER `��ANY C' <br /> SIGNATURE ` f REGISTERED Y/ N FEECURREA Y�� <br /> Address � �i.J i License# �� �1� � <br /> ELECTRICIAN �COMPANY ` � <br /> SIGNATURE rtE��sretx�o Y J N FEE GURREA Y!N <br /> Address I License# � � <br /> PLUMBER � (COMPANY � <br /> SIGNATURE REGI5TERE0 Y/ N FEE CURREA Y/N <br /> Address I License# �i� <br /> MECNRNICA� � � COMPANY � <br /> SIGPIATURE REG1STEftED Y 1 N FEE CURREA Y 1 N <br /> Address ! License# � � <br /> OTHER COMPANY � <br /> SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y/N <br /> Rddress � License# � � <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 II I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTtA� Attach{2)Plot Plans;{2)sets of Building Plans;{t j sei of Energy Fonns;R-O-W Permit for new consWCtion, <br /> Minimum ten{10}wor}cing days after submittat date. Required onsite,GonsWdion Ptans,Starmx�ater Pia�s w!Sift Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster,Sile Work Permit�for subdivisions4arge projects <br /> COMMERCIAI. Attach(3)complete sets of Building Plans plus a L�fe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten{10}wosking days atter submittal date. Required ansite,Gonstruction Plans,Stotmwater Aians w!Silt Fence instalted, <br /> Sanitary Facilities&1 dumpstec Site Woric Permit�for aU new projec[s.Ail commercial requirements must meet wmpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW co'struction. <br /> Directions: <br /> Fill out applicaGon completely. <br /> Qwner&Coniractor sign back of application,notarized <br /> it over SzSna,a NoGce of Gommencement is reqaired. {AtC pgrades aver$7500} <br /> " Agent(for the conVactor)or Pawer of Attomey(for the owner)wo�uld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMt7TlNG (Front of Appiication Oniy� <br /> Reroofs it shingtes Sewers Service Upgrades NG Fe ces(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on publio roadways..needs ROW <br />