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' �813-78�-0020 City of Zephyrhills Permi�Applicatian �aX-s�3-�so-oa��'�t <br /> ' Bui!'rling Depadment <br /> , ' <br /> Date F2eceivc:�d Ph ne Contact for Permitting -- <br /> �llllNll� � , r �m g� �Niin�MUn�,!ss��^ � <br /> er`s i�ame t...L� �2„ � 1 Owner Phone Number � 1 - 7�� <br /> Owner's Address Owner Phone Number <br /> Fee Simpie Tiflehotder tVame Owner Phone Number � �� <br /> Fee Simple TitleholderAddress � <br /> JflB AODRESS � �' c1 i° �... z .J''� �. LQT# � <br /> SJBDIVISION � PARCEL ID# <br /> {OBTAtNEA FROM PROPERTY TAX NOTICE} <br /> WORK PROPOSED � NEW GONSTR AQD/ALT Q SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPdSED USE � SFR COMM �� C}THEft E.-GL <br /> TYPE OF CONS'i'RUCTION � BLOCK FF2AME � BTEEI Q C}THER <br /> DESCRIPTION OF WORK � � (.? s'!'�� Y"�` 1� <br /> � BUILDlNG SlZE C�___� 5Q FOOTA E _�'1� � HEIGHT [�� <br /> i���011utlllN�l"�B'��i�d�'2iiomi�veoae u ap^�m�aGO�N�ROO�nnim�oa�p�mm¢� �gg�a�VIN�B�011V,", � �� � <br /> [�/ � BUILDING �� � 3 ��� VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ � AMP SERVICE � PRO�RESS ENERGY O W.R.E.0 <br /> L� PLUMRING $ <br /> �^ � <br /> [� MECHANICAL ($ � VALUATION OF MECHANICAL(NSTALLATION <br /> � <br /> � GAS � ROOFING SPECIALTY Q dTNER <br /> FINISHED FLOOR�LEVATIONS F1.00D ZONE AREA �YES �NO <br /> p�6 � � � ii � ���y�'9�qqpya 6tl8 RIW�II�4IIVV�f��Ol��tl9V81�99N0Y9llBP�tll'Otl1111 <br /> I <br /> BU{RDER I COMPANY 0 111\ lJc�L 6 l l�au�9CA �YI�_ — <br /> SIGNATURE REGISTERED i I N FEECURft_NT Y 3J ( <br /> Address ��R11 t,1� �� �d2 �,.i �1 33�5a3 License# �C,.�., �3��v��,� <br /> ELEGi'RlGIAt� COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENT Y I N , <br /> Address License# �— � <br /> PLUMSER COMPANY <br /> . SIGNATURE ' REGISTERED Y/ N , FEE CURRENT Y I N <br /> Address l.icense# � � <br /> �nECHANICAL COMPANY <br /> ihIATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address , L.icense# �— � <br /> OTHER COMPAPIY <br /> ..�'iiuldH I�.JE'G i�EC7��T.EF:�D L'i ht FEE CUP.R�NT Y 1� <br /> Address License# � � <br /> �6 9I!g� i�g"'u..���N,."�"u�p@fl91���V � � I�I�ll&91I��88� �" V91�III��V6EVV�9�IG�WI�V@J9VBVV9 <br /> REStDENTIAL Attuch{2)Plot Plans;{2)sets of Building lans;(1)set of�neryy Forms <br /> Minimum ten(10)working days after submittal date Required onsife,Consfrucfion Pians,Sanifary Faciiities&1 dumpster <br /> COMMERCIAL Attach(3)sefs of Building Pians,{1}set of Energy Forms. <br /> , - Minfmum ten(10}working days after subri�itta!date.,Required ansite,Construction Plans,Sanitary Facilities&1 dumpster <br /> � All commercial requiraments must m'eet ci mpliance. � <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"""`PROPERTY SURVEY required for a(1 EW cons#ruction. <br /> '°"°�H��N�VI � � � �� �r VP�IMt09'' '' ' V9VI� ' 99�9!1VC91�V�IW�I�VV�91IV�1�99�69CVV800VV9VVV�VII�V�a�pVmi"•ui�,'�II�Np91'IN�lll�g <br /> rections: <br /> Fiii aut applicafion complefely � ,' <br /> 4wner&Contractar sign back of application,nntarized <br /> If aver$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <br /> .� "" Agent(for the contractar)or Power of Attorney(for the owner)would be sameone with notarized letter from owner aufhorizing same � <br /> OVER THE COUNTER PERMITTING (Fronf of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fe�ces(PIoUSurvey/Footage} <br /> Driveways-Rlot over Counter if on pui�lic roadways..need RQW <br />