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i � <br /> s�saeo-oo20 �ity af Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department , <br /> Qate Received � J """�7 `�Fj Phone Contacfi far PermittFn O�J .}t _ e3 7�C7 <br /> Ov+rner's Name �--���—�' y r LC'-i��`�.-,. Owner Phoee Number . ��`��� � �S� <br /> Owner"s Address �� � �� ��E Ow►ner Phone Number �^ � <br /> Fee Slmple Tltleholder Name �— � Owne�Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS c��CI� ` .3� �CJI� LOT# �___� <br /> � <br /> SUBDtVtSION �� i I p,�cE�.�rna� 12 -2b-2���at�'p- p ��pa�- 'Q�d� <br /> I (OBTAINED FROM PROPER7Y TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/AlT IQ StGN Q Q DEMOIISH <br /> INSTALL 8 REPAIR I <br /> PROPC}3ED 11SE Q SFR Q GOMM I[� OTHER t�,7C..- <br /> TYPE OF CONSTRUCTION [] BLOCK [� FRAME C� STEEL Q <br /> pE3CRIPTION OF WORK �`°I� �.O ��C..., cJ(,7 �i <br /> BUILDING SiZE <br /> � � SQ FOOTAGE C-� HEIGHT �� <br /> II.DiNG $ <br /> �`,�p�p VALUATION QF TOTAL CONSTRUGTION <br /> QELECTRICAL �;6 � AMP S�RVICE Q PROGi2ESS Ei+tERGY Q W.R.E.jC.f � <br /> L f� <br /> QPI.UMBING $ � <br /> QMECNANIGAL $ VA�UATIQN OF MECHANICAa.INBTALLATION � ��: ���'" <br /> JI � � � <br /> �1 i�� ��� �`!G� <br /> OGAS Q ROOFiNG. Q SPECIAl.TY IC,� OTHER t �� .,nr} ;G� <br /> � ��,$ <br /> FINISHED FLOOR ELEVATIONS FLOOD Z4N i AREA QYES NO � t � � �� G�' <br /> � �f� �, <br /> BUILpER i�����j} .a�' ��OMPANY ��`��� �.��k�7F� �Ot.1��C'�u�-L`d��} � <br /> SIGNATURE ���V ��� REGI57ERED Y/ N FEE CURRE� Y/N <br /> Address �� ��- w � � j ,r� License# ��� 1���� � <br /> �� -� <br /> ' ECTRtCI ��� � ��Q� V COMPANY Z� ' <br /> SIGNATURE REGISTERED Y/ N FEE CUFtRE� Y/N <br /> Address r y �Llcense# } <br /> P�UMBER COMRANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address license# � Y� <br /> MECH11[�11GAE. COMPANY <br /> SIGNA7URE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> OTHER COMPANY <br /> SIGNATURE REGI8TERED Y/ N FEE CURRE� Y/N. <br /> Address - License# � � <br /> RESIDENTiA1. Atiach(2)Plot Plans;{2)sets af Bullding Plans;(1)set af Enargy Farms;R-O-W Permit for new construction, <br /> Minimum,ten(10)working days after_subrri�thdl date. Requlred onsite,Construction Plans;Stormwater Plans w/Stlt Fence installed, <br /> � Sanitary Facilltles 8�1.dumpster 51te Work Permit for subdivislonsAarge projects <br /> CQMMERC(AI. Attach�3)camplete sets of Building Plans plus a t.tfe Safety Fage;(1}set of Energy Fanns.R-O-W�ermit far new canstructlon. <br /> Minimum ten(10)working days after submlttal date. Require�onsite,Constructian Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site Work Permit for all new pro}ects.All commercial requlrements must meei compllance <br /> StGN PERMIT Attach{2}sets of Englneered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructian. <br /> DFreatlon$: <br /> Ffll out applicaUon completely. <br /> Owner&Contractor sign back of appticatlon,notatized ( <br /> tf aver 52500,a Notica of Commencement is required. (A/C upgrades iver�7500j I <br /> " Agent(for the cantractor)or Power of Attomey(far the awner)would be someone with notarized letter from owner authorizing same <br /> DVER TFlE COUNTER PERMIT7'ING (Front of AppllcatEon Only} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foa#age) <br /> Drlveways-Not over Counter if on pubtic roadways..needs ROW <br />