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813-780-002o City of Zephyrhills P�rmit Application Fax 813-780-0021
<br /> �� Building depertment
<br /> �. -
<br /> Date Rscetved Phone-CcMact far PermIttln —
<br /> Owner's Name u�1. Qwner Phons Nnmber
<br /> Owner•s Address Gwner Phone Number r� ��
<br /> Fea Simple Titleholder Name � � Owner Phone Number �� �
<br /> Fee Simple Tltlehalder Address
<br /> JQB ADDRESS �� CJ7�I� � LOY# �___`_�
<br /> �
<br /> SUBDIViS10N �` �� PARCEL ID#
<br /> ( (OBTAINED FROM PROPERTYTAXHOTICE)
<br /> 1NORK F#20PQSED NEW CONSTR ADDIALT � SIGN Q Q DEMOLiSH
<br /> INS7ALL 8 REPAIR ,
<br /> PROP4S�C!USE Q SPR a COMM � OTHER
<br /> T1fPE OF CONSTRUCTION Q BLOCK � Q FRAME C� STEEL Q
<br /> DESCRIPTION OF WORK �� �C¢G� ,�i��' , ��.� � �
<br /> BUILDING SIZE ��__� St�FQOTAGE � HEIGHT ���
<br /> QBUI�DlNG �9r� VALUATION OF T �TAL CONSTRUCTION
<br /> L �
<br /> ���������A� $ AMP SEFiVICE � �� pROGFtESS ENERGY � W.R.E.C.
<br /> �?
<br /> Q Pl.UM811VG �> �
<br /> QMECHANiCAL $ VA�.UATION QF M CHAPlIGA�IFVSTALIATION ���
<br /> �' i �
<br /> OGAS Q ROOPING Q SPECIALTY � 4THEF2 � 6
<br /> FINISHED FLOOR ELEVATIONS �� FLOOb ZON�AREA QYES NO
<br /> SUI�DER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
<br /> Addre�s License# �� �
<br /> ELEC7RIC11W � COMPANY (�-` ( ��c.,5 -r�- �fCc-�v c. c..
<br /> SIGNATURE � REGISTER�D Y/ N FEH CURREA Y/N
<br /> Addrass License# ��- � �C�G� ZS'"�
<br /> Pl.UMBER GOMP�
<br /> SIGNATUF2E REGISTER Ip Y/ N FEE CURREA Y/N
<br /> Address License#
<br /> MECHANICAL COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
<br /> Address License# � �
<br /> QTHER COMPANY
<br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N
<br /> Address � License# � �
<br /> REStQENT1AL �Attach{2)Plat Plans;.(2}sets of Building"Plans;{1)set af En�rg}t�Fotms;R-Ci-W Fenntt far new construction,
<br /> Minimum ten(.1.p):working�days after subrriittal date. Required onsRe,Construction Plans;Starmwater Plans w/Silt Fence installed,
<br /> Sanitery Facilttles 8•1.dumpste.r,Site Work Pertnit for subdiVi$tonsllarge pro}ects
<br /> COMMERCIA� Attach(3)compl�te sets of Sailiiing Plans plus a Life Safe#y PI�age;{1)set af Energy Forms.R-O W Permit for new canstructlon.
<br /> Minimum ten(10)working days'after submittal date. Requiretl onsite,ConsUuction Plans,Stortnwater Plans w/Silk Fence installed,
<br /> SaNtary Facilities 8 1 dumpster.Site Wark Permit for all new proJects.R8 cammercial requitements must meet comp!lance
<br /> 51GN FERMlT At#ach{2)sets of Engtneered Plans._
<br /> «"••PROPERTY SURVEY requlred for all NEW constructlon.
<br /> Dlrectlons:
<br /> Ffll out applica�on completely. ,
<br /> Qwner&Contractor stgn back o#applicaUon,notarized
<br /> If over�2500,a Notice of Commencement ls required. (RtC upgrrades pver$7500j
<br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be so�eone with notarized letter from owner authorizing same L Y,'.
<br /> DVER THE COUidTER PERMIITING (Front of Applica6on Qnly} ;. .,w,,,,_r.w...-.,-:.�.:Y..,._,�..._._,.._�.-i :
<br /> Reraafs it shingles Sewers Secvics U ra :N.C..�. Fen urve /Foota e ; �� � �4 ��' , 4
<br /> , ...q - .es d� ces(Plot/S r s > r , -� ; ,
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<br /> y; :����i:. - u�
<br /> � •ir;; -, ,;'�:. -`s;....-,,, ¢ � { - f; {t:•
<br /> Driveway�-Not over;Counter,lf on publicroadways,;needs°RtOW ! �� ° ' " ,-
<br /> ''� " �?t • fr ¢ :��•,s� .,,:,-i�..,, ,.» ;. ,- .
<br /> ` .I ._:�, .... ?'� . -,?' k 4..,t �.,r.��-...,.,:.,.-.:..., ,r .,, ..a. .
<br /> � . �,�. i 21F t.:,i.� n.*1+�r..r.r_f
<br /> /•tr�Yv�. e�+a.r.w. rr�s•A'��—nv+wcet�.-'.v�.o.�+r+.a y.r+�
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