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i � <br /> 813-780-0020 Ci#y of Zephyrhills Permit Application Fax-813-780•002� <br /> , ' _ Buiiding Department <br /> : , � <br /> ; �._: ..�...__.. - - <br /> Date Received �,,cl „/�,'.. � - - - �Phone Contact�#pr-P..'{. . , L� 7.�' �ll�'1..� <br /> i� arntit#in <br /> Owrier's Name . p ' I `' ^ - <br /> � . Cc`°`._„`��; _ . , .. Owaer Pliane!Nunnlaer <br /> _ , i .. .. .,.t.0 . �,-.._._.-� _ ,..;...-.- `�� � <br /> Owner's Address � 7 �C/ :( ; r' 3 3�`�, I � ' ,• OwaerhPhane Number <br /> '''r <br /> - . . __ ,_._. . . ... ' � <br /> :l`�`< , 1f,. r�._. t ' ` � � <br /> Fee Slmple Tltleholder Name� � � ,� ' Owner Phane Number <br /> � � , <br /> FeeSlmple,TltlehalderAddress i ± - <br /> JOB ADDRESS ���'� G,r� ' Z�° � L� I ���'I LOT# �� <br /> SUBDiVISION �— � PARCEI.ID# /5" (p°Z -C7 1 O '� � G�I� <br /> � + (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED NEw CONSTft ADD/Pi�T �� S{GN [� [� DEMOLISH <br /> � e INSTALI» 8 REPAIR <br /> PROPOSED USE Q SFf2 Q COMNI � OTt{EF2 <br /> TYPE OF CONSTRUCTION � � BLOCK C] FRAME C� STEEL [,� <br /> DESCRIPTIbN OF WORK �3•� ,►n? �`112G, ,$ ,S ��f-� <br /> $��Ln�N�$�� SQ fOOTAGE I� CI i HEIGMT .,I C� h � <br /> �8��«���"' r� ����` C/� VALUATION OF TdTAL CONSTRUCTION <br /> , L__.___�.�l� <br /> QEI.ECTRICA� .� � AMP SERVICE Q PROGRESS ENEFtGY Q W.R.E.C. <br /> QPl.UMBING �� � <br /> � �� <br /> OMECHANiCAL $ VAlt1AT1Ql OF MECHANICAC INSTA�lAT10N ,� � <br /> OGAS � ROQFiNG Q SPEC�AI.'i'Y �� OTHEE2 <br /> FINISHED FLOOR ELEVATIONS �-� F1,00D 20NE AREA QYES NO <br /> I <br /> BUI�DEEt <br /> CBMPANY <br /> SIGNATURE REGI3TEREp Y/ N FEE CURRE� Y/N <br /> Address � Ltcense# �— � <br /> � <br /> E�ECTRiC1AN COMPANY <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address � License# �� �� <br /> I <br /> PLUMBER �pMpq�y <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address � License# ��� —� <br /> I <br /> MfCHAl+t1CAL C�MPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess � � License# �— � <br /> OTNER COMPANY Gt� � .t"i.� �Iu��. <br /> SIGNATURE REGISTERED Y/ N FEE C RE� Y/N. <br /> , Adare�s � ' !�!� License# LCG 1";3 D�v(Z <br /> RESlDEtVTiAt; Attach(2}Ptot Plans;{2}sets of 8ulld3ng Plans;{1}set aF Energy Forms;R-O-W Permtt for naw constn,�ction, <br /> Minimum ten.(1.0)working'days after.submittal date. Required onslte,Construction Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster,Site�Wodc•Permit for�subdivlsionsllarge proJects <br /> GOMMERCEA� Attach(3)compiete sets of Buiidtrig Plans plus a![fe�Safety Page;{1}set of Energy Fonns.R O-W Pertnit#ar new canstruc�on. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUuation Plans,Stormwater Plans w/Silt Fence installed, <br /> SaMtary FaciliUes&1 dumpster.Site Work Permtt for alhnew proJects..All commercia!requtrements must meet campllance <br /> SFGN PERMtT Attadi{2)sets of Engtneered Ptans.,-. fi <br /> ""'PROPERTY SURVEY required for all NEW constructian. <br /> Dlrectlons: <br /> FIII out applicaUon completely. I <br /> Owasr&Contractor sign back of applicatlon,notar�zed � <br /> If over 52500,a Natice af Comrnencement is requEred. (AtC upgrades over 37500) <br /> " Agent(for ttie conVactor)or Po4uer of Attomey(fa��the awner)would be someone wikh natarized letter from owner authorizing same <br /> OVER TFFE CCiUNTER PERMITFIFiG (Front of Application Only) � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fencis(PIoUSurvey/Fookage) <br /> Driveways-Nat over Counter if on public rosdways..needs ROW i <br /> i <br /> � <br /> i <br /> � <br /> I <br />