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8i�3-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
<br /> ' Sulldir�g depattment
<br /> Date Recefvad Phone-Contact f r Permtttin ��J ��� - ��d '�
<br /> Owner'sName !'�IV � i }� I OwnerPhoneNumber �`O�{1'-�tiY� �J
<br /> Owner's Addrass � Vv C� ' �j! 1 i � Owner Phone Number �� �
<br /> � - �3�[5-D�2�'—�c,�o�)
<br /> Fee Slmple Tltleholder Name ' Owner Phane Number �
<br /> Fee Simple Titleholder Address
<br /> �
<br /> JOB ADDRESS p� �- 1�� /�'tJ G` Z� r �r 33�'-/'� LOT# �
<br /> suaaivisioN ��_ ` � PARCEL ID# t �—�6-a!— a�l �� o i�.c�n � e a S c
<br /> WORK PROPOSED , NEW CONSTR � ADD/AL� � S1GN NEO PR�pM PROPERTY7��NOS�CE)DEMOLiSH
<br /> eINSTALL 8 REPAI �
<br /> PR4POSED,USE Q SFR � COMM � OTHEFt
<br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME �� STEEI.� Q
<br /> DESCRIPTIQN OF WORK �'t�� ��' �1 i h ���*, 1�VA I�S il �1 ��, /�Q,� ` ��'�
<br /> , f
<br /> BUIt,DING SIZE � —� $q.FOOTAGE ��W�i,► HEIGH7 �
<br /> OBUI�DING $ or
<br /> ��a�Q�� VALUATION OF TOTAL CONSTRUCTION
<br /> QEE.ECTRIGAL �� AMP SERVIGE Q PROGRESS ENERGY Q W.R.E.C.
<br /> _,,, ���
<br /> o�����,�� C ., � ���,
<br /> OMECHANtGAL $ VALUATION OF MECHANICRL INSTALLATIQN �
<br /> �
<br /> � �%�-�
<br /> OGAS Q ROOF4NG Q SPEC!+ITY [� OTHER' ����'�
<br /> FINISHED FLOOR ELEVATIONS FLOOD�ZONE AREA QYES NO
<br /> SUII.DER y�1 111 ff.^1I �{ COMPANY L�� �+� C'iN C.G NS�� Z,(x•
<br /> SIGNATURE ��'LC���"` C}�� �� '� U ' REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address `��-"jyv� C���5 �/fP�v ��a Z-/-�/a 1 L"icense# � �
<br /> EEECTRiCUlI�I C MPANY
<br /> SIGNATURE tte i Is'reRe� Y/ IV FEE CURREt� Y/N
<br /> Addre�s � Ucense# � ���
<br /> PLUMB6R CBMPANY
<br /> SIGNATURE RE�ISTERED Y/ N FEE CURRE� Y/N
<br /> Addr��s ( License.# �— —�
<br /> MBCHANICAL COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CUF2RE� Y/N
<br /> Address � License# � �
<br /> O�IEF2 COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Addreas � ` Ucense# � �
<br /> REStDENTlAl. Attach{2)Piof Flans;{2}sets af.Buitding'Plans;{1}se�af Enerc�yForms;Ft-O-W Permlt far new construction.
<br /> Mintmum,ten(10)working;days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary FacillUes&�1,dumpste_r,Site°Wark ReRnit for subdivisio�sAarge•praJects
<br /> COlIIIMERCIAI. Attach{3)complete sets of Building Plan's pius a l.Ife Safety Page;{1)set af Energy Forms.R Q-W Permit for new canstruction.
<br /> Minimum ten(10)working days'after submlttal date. Requfred onsite,ConsUuction Pians,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Faciiitles&4 dumpster.Site Work Partnit for�(I new proJects.All commerclal requfrements must meet campilance
<br /> SIGN PERMIT Attach{2}s`sts af Engfnee�ed Plans.
<br /> ""•PROPERTY SURVEY reguired for all NEW cons ctian.
<br /> Dlrectlons: , %" ` _ ;` <
<br /> Ffll out application completely. �} . , • �t � �
<br /> Qwner 8�Contractor sign back of appifcatlon,notarized'�. � �, � , '
<br /> lf over�2600,a Notica of Commencement.is rsqulred: {AIG upgrad'8s over 5T500j �-- - - , .+ ?,_'�, --
<br /> .,,�
<br /> " Agent(for the conUactor)or Power of Attomey(inr the owner)would be someone with notarized letter fram owner authorizing same
<br /> _ . - .�.,.�.. �.. _._ ....t _....:u.._
<br /> OVER THE COUNTER RERMITTING (Front of Apptication Oniy)�t., '" "`. "-'�"prv." ';?:) ,� =, -;, , ,.
<br /> Reroofs if shingles Sewers Servics Upgrades AJG> ' -Fences(PIoUSuive,y/Footage) : � � � . ., r, ,,, '� • �
<br /> , °,r; '� ;:s°, , _;:z. , , "'`.. '
<br /> Orivsways-Nat over Caunter if on public roadways::nei�ds'ROW . � r. , ` ' °• � � � -- J�'--, , `
<br /> . : ,. ' ` >.._- ... � . .. ...... ... ..� .,,.� ....: .:t•�.. .. . .
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