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i <br />' e��-��o Cit�r o Zephyrhills PeRnit Application Fax-a»-�ao�o2� <br /> Building DepadmeM <br /> Date Received Pho e Contact for Pertnitting � ��U — <br /> ' , Owners Name �1 I� I Owner Phone Number J- S <br /> �tQ� � 1° �� <br /> owners aaa►ess Owner Phone Number <br /> Fee Simple Titleholder Name 1�-+pF I Owner Phone Number <br /> Fee Simple TitlehdderAddress � I <br /> JOB ADDRESS S Y�SS � �� LOT# � <br /> SUBDMSION �. S PARCELIQq o��l-dl0'c��^���' ����' <br /> (OHTAfNm FROM PROPERTY TAX N0710E) <br /> WORK PROPOSED � NEW CONSTIi B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �i SFR Q COMM Q OTHER <br /> TYPE OF COPISTRUC710N Q BLOCK Q FRAME Q STEEL �� <br /> DESCRIP'iION OF WORK YY�Ii�1 I <br /> BUILDING SIZE Zi k �Q FOOTA E '~� HEIGHT � <br />� BUILDING $ � <br /> � �� ALUATION OF TOTAL CONSTRUCTION a'I��� <br /> ��LECTRICAL $ P SERVICE Q PROGRESS ENERGY Q W.RE.C. <br /> �LUMBING $ � <br /> �MMECHANICAL $ ALUATION OF MECHANICAL INSTALLATION � (�� � <br /> ��� <br /> QGAS Q ROOFING Q SPECIALi 1( � OTHER <br />� FINISHED FLOOR ELEVATIONS FLOOD Zi NE AREA QYES NO <br /> BUILDER COMI ANY (. ��� �"�.(�iJ�� �lU� `��' <br /> SIGNATURE REG15fERED Y N FEECURRQ. /N <br /> �� S I ��# t Kto s2i b <br /> ELEC7RICIAN COMIPANY � C <br /> SIGNA7URE REai5r�EO Y N �cuwten /N <br /> i <br /> Address � ' , r� � License# ��\Z � <br /> PLUMBER COMIPANY � �UYJ�� �?� <br /> SIGNANRE REGISTEF2ED Y N FEECURRE� Y N <br /> Address � I License# �l��G� � <br /> MECHANICAL COMIPANY tS � �- <br /> SIGNATURE R[�clsrEaW Y 'N . �cuRREn /N <br /> Address ,� I License# c��U ?S <br /> I <br /> 07HER COMPlWY <br /> SIGNATURE REGISTERED Y/ N FEECURREA Y!N <br /> aaa� � u�# <br /> � � � t � � � t � � � i � � � � e � � � � � � � � � t � � t � � t ��e � i � � � � i � � � � � � � � � � � � i � � � � � � � � � � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildng P ns;(1)set oF�Energy Fortns;R-0-W Permit fw new construction, <br /> Minimum ten(10)working days afler subm I date..Required onsRe,Construdion Plans,Stortnwater Plare w!Silt Fence installed, <br /> Sanitary Facildies 81 dumpster,Site W Pertnit for sutidivisionsllarge projects <br /> COMMERGAL Attach(3)complete sets oF Building Plans lus a L'rfe SaFety Page;(1)set oF Energy Forms.R-O-W Permit for new consWdion. <br /> Minimum ten(10)working days aRer su6m I date. Required onsRe,ConsWdion Plans,Stortnwater Plans w/Silt Fence in5talled, <br /> Sanitary Facilities&1 dumpster.SHe W Permit for all(rew projeds.All cammercial requiremeMs must meet compliarxe <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. _ , ,i .. <br /> ""PROPER7Y SURVEY requlred for all W cronsMldil rL , <br /> DlrecBons: <br /> Fill out appliption completely. <br /> Owner 8 Cantradw sign badc of�plication,notar¢ed <br /> H over 52500.a Notice of Commencement is requlred (AIC upgrades over S7b00) <br /> " AgeM(for tlm co�trador)or Power of Attomey(far the er)wauld be i eone with rrotarized letter from amer authoriang same <br /> OVER THE COUNTFJ2 PERMITTING (Front of Applicati n Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Comter iF wi public roadways.. ROIN <br />, I <br />