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813-780-0020 Ci#y of Zephyrhills Permifi Appficatian Fax-813-780-0021
<br /> + . Building Department ;
<br /> Date Received -Z�j_. �'� � f� ��� -- ���
<br /> Phone Canfact for Fermittin
<br /> Owner-'s Name G?t' � T��'� �Ja✓r Owner Phone Number
<br /> Owner's Address ✓pC � �� f' Qwner Phone Number �i_ � `
<br /> Fee Slmple 7'itleholder Name �- u._'_� Dwner Phone Number �— �
<br /> Fee.Simple TitleholderAddress
<br /> JOB ADDRE3S „� O C/ � d' L..OT# �/^/J
<br /> SUBpIVISION ��'� � 2r' /l r���/f � � PARCEL ID# /�a� �" ^ �(j �-' /�'q�d�,._ � �
<br /> _7—�� � (OBTAINED FROM PROPERTY TAX NO710E)
<br /> WORK PROPOSED NEW CONSTR ADQ/AL.T [� SIGN � � DEiViOLtSN
<br /> e INSTALL 8 REPAIFi ,
<br /> PROPOSED tlSE Q SFR � CONiM �� OTI-iER
<br /> TYPE OF CONSTRUCTION � BLOCK � FRAME �_� STEEL �
<br /> DESCRIPTICIN OF WORK ��ave lt � /� /��Z�e�.r fJ?t ,�r �1,�
<br /> BUILDING SIZE � � SQ FOQTAGEC� HEIGHT �.i �
<br /> �8UlLDWG $ ']�� VALUATION OF TOTAL CONSTRUCTION
<br /> <
<br /> �ELECTRICAL ��� AMP SERVlCE �� PROGRESS ENERGY � W.R.E.C.
<br /> �F'�UMB{NG $ . 'C�1t! ( �
<br /> �
<br /> r 9�bG�
<br /> �MEGNANIGA� $ VA�UATtON OF MECHANICAL INSTALLATION
<br /> OGAS � ROOFItVG Q SPECIALTY �_� OTtiER t f t� �--S��(��G���
<br /> / /
<br /> FINISHED F�.00 R E L E V A T I O N S F L O O D Z O N E A R E A �]Y E S N O
<br /> BUILpER , �;, � CQMRANY ���cfdt�/ ti/i�J o j � �
<br /> � tf
<br /> SIGNATURE ,. R6GISTERED Y N FEH CURRE� /N
<br /> Address `j 0 f s^rs�a'nri;/ �� ' License# ��G �/�fJ��
<br /> ELEGTRICIAN GOMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
<br /> Address License# �- ��
<br /> P[.UMBER � CQMPANY
<br /> SIGNATURE REGisTeREa Y/ N FEE CURRE� Y/N
<br /> Address L.icense# � .-�
<br /> MECHANICAL COMPANY
<br /> SIGNATURE _______�� REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# �- �
<br /> OTHER COMPANY
<br /> SIGNATURE FtEC,ISTEREO Y/ N FEE CURRE� Y/N
<br /> Address �icense# ���—..- ��_.�
<br /> t2E3iDEH31AL Attach(2}Plot Plans;(2}sets of Buiiding P►ans;(1}set of Energy Forms;f2-O-W Perrnif for new conskruction, '
<br /> Minimum ten(1 D)working days after submittal date. Required onsite,Conskruction Plans,Starmwaker Plans w/Silt Fence installed,
<br /> Sanitary Facilities&1 dumpster;Sike Work Permit for subdivisions(large projects ' -
<br /> -�CONIMERCIlaL` Attacfi(3}compiste sefs ofi Building�i'laris plus a Life 5a€e#y Page;(1}-se�oF Ene�gy Fo�ms:"ft-0=W Permit for new constiaction:=�===-�`'
<br /> Minimum ten(10)working days after submittal date. Ftequired onsite,Construction Plans,8tormwaker Plans w/Silt Fence installed,
<br /> Sanitary FaciGties&1 dumpster.Site Work Permit for ai(new prajects.A{!commerciat requirements must meet compliance
<br /> StGN PERMi7 Attach(2}sefs of Engineered P1ans.
<br /> *""'"PROPERTY SURVEY required for all NEW construction.
<br /> Directions:
<br /> �ill out applicatian completely,
<br /> t7wner&Con#ractor sign back of application,aotarized
<br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
<br /> ** Agent{far the contractor}or Pawer of Attorney{for the owner)would be someone with notarized lekter from owner authorizing same
<br /> OV�R THE COUNTEI2 PERMITTING (Front of Appfication Only) _.. ._ - ,_ .
<br /> Reroofs if stringles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) ,;�.~? , ; � ;�;�";;,,-."=` '�^ 1 .... , , -
<br /> _ �a,;:;tc s�::' �'.. ��
<br /> Driveways-Not over Counter if on putalic roadways..needs ROW , �•�1� (?;, �,, , � " � ��"� � ,,` ; - ` .
<br /> ,. ., � .>'S E,' �.;i;_�q�f ��t�,�:.,� ••.''�.L, p yy '� . :�'�,.:.'�;�.�,y���
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