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s�sa.so-oozo City of Zephyrhills Permit Application Fax 813-7'80-0021
<br /> a� ` Bullding Department
<br />, Date Recelved Phane Cantact fbr Permitting -
<br /> Owner's Name l.�'c=Y" �e S'L-h Owner Pbone Numbar /3^ 7�� - 3�`�'�v
<br /> Owner's Address �O�' �� �✓�"��T"''�'�'�c 7'"'`�� Owner Phone Number C^ �
<br />' Fee Simple Titleholder Name � ^� Owner Phone Number �` �
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS �Z-S� /3Y�ir�"!,✓vGa� �i^r`ve LOT# C___�_�
<br /> SUBdiV�SiON �'1Ye`' p��'S � PARCEL ID#
<br /> (OB7AINHd FROM PROPERTY TAX NOTICE}
<br /> WORK Pi20POSED e NEW CONSTR 8 ADDlALT � S1GN Q � DEMOLISN
<br /> INSTALL REPAIR
<br /> Pi20PO5EU U5E Q SFR Q COMM � QTNER
<br /> 7YPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
<br /> DESCRIPTION OF WORK %�'�' li'o:•�,� /�ac/� G'�5,�„ �^.�em ov� s � �.+..Q �(cc�.- .
<br /> BUILDING SfZE ��w� SQ FOOTAGE �'�?U HEfGHT �Z j ^�
<br /> �8������� $ Z,,,! G G � VALUA710N OF TOTAL CONSTRUCTION
<br /> �I
<br /> QELECTRICAI. �i � AMP SERViCE Q PROGRESS ERtERGY [� W.R.E.C.
<br /> ��zur�e��� ��� (6�,��
<br /> �
<br /> OMECHANICA� $ VALt1AT10N 4F SUIECHANICA�INSTAt.l.A3tON
<br /> , QGAS Q ROOFING � SPECIA�TY [� OTHER
<br /> � FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO
<br /> BUIlDEi2 `� r-�..�^' COMP�ANY C�"�r j1e�'s c�i
<br /> ' 31GNATURE REGISTERED Y/ N FEE CURRH� Y/N
<br /> Address License# C� �
<br /> E�ECTRICIAt�1 COINPANY
<br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# �i �
<br /> P�UMBER � COMPANY
<br /> 'I SIGNATURE REGISTERED Y/ N. ��e cuRa�n Y/N
<br /> Address License# �_ � �
<br /> MECHANICAL COMPANY
<br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
<br /> Address License# � �
<br /> OTHER �p�(p�t�{yy
<br /> SIGNATURE . Re��s7ERe� Y/ N FEE CURRE� Y/N
<br /> Address License# �� �
<br /> RESlDENTlAL Attach{2}P1ot Plans;(2}sets of Bu3tding Plans;{1)set of Energy Fartns;42-t3-W Permit for new constructian,
<br /> Mfnimum ten(10)warking days after submittal date. Required ons(te,Construction Plans,Stormwater Plans w/Sllt Fence installed,
<br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsparge praJects
<br /> CQMMEI2CiAL Attaoh{S}complete se#s of 8uild�ng Plans plus a�1fe Safety Page;{1}set of Energy FaRns.R-O-W Pennit for new canstructian.
<br /> Minimum ten(10)warking days after submittal date. Requi�ed onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed,
<br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new proJecfs.All cammerctal requirements must meet campltance
<br /> SIGN PERMIT Attach{2)sets af Engineered Plans.
<br /> "'•PROPERTY SURVEY required for all NEW conshucdon.
<br /> :` ::
<br /> Dlrec#lans• I <:.,•.:� , t��, �•� � ���s , •
<br /> Fill aut appNcation campletely.
<br /> Owner&Contractnr sign back of application,notarized � } � ' + ; �
<br /> [f over�2500,a Not{ce of Comrnencement is required. {AtC�apgrades;over�7548) . _ '� ; .,''� '` ��°
<br /> `" Agent(for the contractor)or Power af Attomey(for the owner)would be sameone with notarized letiter fram owner authorizing same � , � �
<br /> t3VER THE COUFITER PERMI'MNG ; `{Frbrit of Ajiplicatian;Only)°..'"�""; .".,_' � . ._- s. _ .�, :..�. .:..,....:.;;:-_._ :
<br /> Reroofs iP shingles Sewers 5ervice Upgrades A/C' - �Fences,(Plot/Survey/Footage) . _: ' �'° ''° '-
<br /> � �.
<br /> : ,. , . �i-, ,:.... ._ ? ��;, -• .. ; .. . ., . �', ;,
<br /> ' , _':S` ' ,i . C:'r. � ;'
<br /> Driveways-Not over Caunter if on public raad`ways,.needs ROW -•� ''' '`" ' "` ' � `� ; ;=�'�.' `
<br /> : . , . , t?,,.'. , ,.,._. _ . „ ,
<br /> ,. . .... .. . . ...... �.�. _., ._......... . , ...�.. --� _--., ..��...-� -�.,:-,_-,. .. ,_.,. ..
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