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ar�-�csv-uvcu t�ity ot Zephyrhills Permit�AppEicatiort Fax•813-780-0021 <br /> � Building Department - <br /> Date Received phone Contact for Pernnittin - <br /> Owner's Name ���� C Owner Phone Number �( �3 � ro L C� 'S��6 <br /> Owner's Address Chaner phone Number �- � <br /> Fee Simpte Tittehoider Name � �� Owner Phone Number �� � <br /> � ---! ,. <br /> Fee Slmpte Tttleholder Address ' - <br /> JOB ADDREBS C) � �� � q t y }� � S t-` zLOT# �_____� <br /> SUBDIViS10t�E � � PARCEL ID# ��Y C�+�"��`' �}C¢W-�'} (�- � �} <br /> . . ' - -- -- - -- - -- _ _ _" (OBTAi6Y�eD FROP.i°PRCrPERTIf T�k'NCDTI�Ej . ..v._ - -- -„ _- <br /> WOR4(PROPOSED e NEW CQNS7R 8 ADDIA�T [� SlGN Q Q DEMOLiSN <br /> (NSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTNER <br /> TYP'E OF GONSTRUCTIOI� [� BLOCK Q FRAME [,_� S7EEL Q <br /> DESCl21PTIOtd OF MIORK 1��.-' ��i � `� �' h 3 <br /> BUFl.DIN�SIZE � � S4 FOOTAGE��1 HEIGNT � � ' <br /> QSUILDItVG � � f('��(''t� VAI.UATIOt�!QF TOTA!CONSTRUCT{O!+! <br /> l.1 � <br /> QEL.ECTRICAL $ � AMP SEFtViCE Q PRQGRESB ENERGY Q W.R.E.C. <br /> QPI.UMBING ($� � , ���� <br /> �... 5 <br /> OMECHANlCAL $ VALUATION OF MECHANICAL lNSTALLATlON t� r - <br /> �Y <br /> QGAS [-� ROOFING Q SPECIALTY 0 OTHER ' <br /> FINISHED FLOOR ELEVATIONS �� FLOOp ZONE AREA QYES NQ <br /> BUILDER CQMPANY G� dt� � - <br /> SIGMAITURE REGISTERED / N FEE CURR Y/N <br /> Address �{ License# ��-e l�3�,..���� � <br /> ELECTRIGIAN COMPANY <br /> SIGNlATURE a�G�srert�o Y! N FHE CURRE� Y/N _ <br /> Address �Icense# �� � <br /> PIUMBER C�MPANY <br /> SIGNA'TURE - REGISTERED Y/ N FE�CURRE� Y/N <br /> aaa�ss c�cense# � � <br /> MECHANlCAL COMPANY , <br /> SIGNATURE REGISTEREO Y J N FEE CURRE� Y/N <br /> Address Lice�se# �� � <br /> OTFiEFt CQMPAI�tY <br /> SIGMATURE REGlSTERED Y/ N FEE CURRE� Y/N <br /> Address . �Icense# 1 � <br /> RESI�EN7tAL Attach{2)Plot Plans;(2)sets of Building Plans;(1}set of Energy Forms;R-O-W Permik far new construction, <br /> Minimum ten(10)working days after submittafi date. Required onsite,Construcfion Plans,Stormwater Ptans w!Silt Fence instailed, <br /> Sanita,ry Facilikles 81 dumpster;Site Work Permit for subdivisions/large prajects <br /> COMMERGtAt Attach(3}camplete sets of Buitding Plans plus a Life Safety Page;(4)sek of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days affer submittal date. Requtred onsite,Conshuction Ptans,Stormwater Pians w!Stlt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new projects.AII cammercial requirements must meet campliance <br /> SiGN PERMIT Attach(2}sets af Engineered Pla�s. - � , <br /> """PROPERTY SURVEY required for aii NEW construction. <br /> Direations: - <br /> Fill out application completeiy.� ' <br /> Owner&Contractor sign back of application,notarized _ <br /> !f over S250Q,a Natice af Gommenaement ts required. (A!C upgrades over�7500} <br /> "' Agent(for the contractor)or;Power of Attomey,`(for'the owner),would be someone with notarized letter from owner autho�izing same <br /> QVER THE CaUNTER FERMITT'IN�' ` .'{Front of Applicatiori��nly.)..�". <br /> Rernafs if shingles Sewers � Serv(ce Upgrades-;AlC;��; •�Fenc�s(PIoVSuroeylFootage) <br /> . . , . ,..,. .,,..t�.. . . . � � <br /> Driveways-Nat over Counter if on publ�c roadways.:riee�s F2CfVtt°'"" <br />