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s��-�so-oozo City af Zephyrhills Permit Application Fax 813-780.ao2� <br /> � r' Bu3lding Departmsnt <br /> . <br /> Date Recelved Phone Caetact for Pert»tffin – <br /> Owner"�Name �{? , Owner Phone Number <br /> Owner's Addres� Owner Phone Number � � <br /> Fee Slmple Tltleholder Name � � � Owner Phone Number � —� <br /> Fee Simple TltleholderAddress <br /> JOH ADDRESS 3 '�1 Sr.� S .,��e ut •v 2 v LOT# �� <br /> St18DiViS10N �� � PARCEL ID# <br /> I (OBTAINED FRdM PROPERTY TAX NOTICE) <br /> WORiC PROP03ED � e NEW CONSTR�ADDtAl.T � S1GtV Q [� DEMOI.ISH <br /> INSTALI. FiEPAIR I <br /> PROpOSED USE Q SFR Q CQMM [I� OTHEE2 <br /> 7YPE OF CONSTRUC710N Q BLOCK ° [�] FRAME [� STEEL Q <br />(i DESCRIPTION OF WORK Q G� "' 4 H �Q �r � .4l�I.� +..�� �G��,,L.��I <br /> BUILDING SiZE � �� SQ FOOi"AGE��� HEIGHT <br /> �����'�t�fi'' � � VALItATtON OF TO fAL CONSTRUG710N <br /> QEI.ECTR{CAl $ C a� AMP SEE2tlICE Q PROGRESS ERiERGY Q W.R.E.C. <br /> 7 �� �t?r� <br />�� OP�UMBtNG � � /_� � '] <br /> � r�. � V � <br /> I OMECNAN�GA� $ VA�UATION C}F MEGHANICAL INSTAL�ATIC?N �1' <br /> , � <br /> [�GAS [� FtOOFlNG Q SPECIAl.TY �� OTHER <br /> FINISHED FI.QOR ELEVATIQNS ��� FLOOD ZONE�REA [�YE$ NO <br /> BUI�DER COMPANY <br /> I SIGNATURE REGISTERED Y/ N FEE CURRE� ,Y/N <br /> �a�$$ Lice�se# � � <br /> E�ECTRICIAN � {��j� � � COMPANY ~�o-C� wt•..l t�..+•L . <br /> SIGNATURE "���Vi ""'"'"—"' � REGIS7ERED Y/ N FEE CUF2RE� Y/N <br /> , Address �. b'�,,... �S 7Q1 License# �C(,�i L�G l'3�� � <br /> PCUMBER � CpMp� ( <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address license# �� � <br /> MECHANICAI. COMPANY <br /> ' SIGNA7URE REGISTEREU Y/ N FEE CURRE� Y/N <br /> Addre�s License# � —� <br /> OTHER COMPANY <br /> SIGNA7URE REGISTERED Y/ N . FEE CURRE� Y/N <br /> Address License# � � <br /> REStDENTiAi: Attach{2}Ptot Plans,.(2}se#s of Building'Plans;{1}set a#Energy�Farms,F2-O-W Permit far new construc6on, <br /> Minimum ten,(10)working days after.subrriittal date. Requlred onsite,Constructian Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanlfary FaGlities&.1 dumpster 51te Warlc�Pertnit for subdfVisionsAarge proJects <br /> COtUlMERCIAi. Attach(3}complete sets of Buitdirig P1sns plus a l.ife Safety Page;{1)set af Energ}r Farms.R-O W Pettnit for new construcUon. � <br /> Minimum ten(10)working days afker'submfttal date: Required�onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1-dumpster.Slte Wa�lc-Permtt'for all new proJects.All commercia)�equlsements must meet complfance <br /> SlGN PERMIT Attaeh{2}sets of Engineered Plans. " <br /> •"'PROPERTY SURVEY requlred for all NEW construcUon. <br /> Dtractians: ' � <br /> Fill out applicadon completely. � ' <br /> Owner&Contra�tor sign back of app{icatlan,notatized'� , �< < � <br /> if cv�r S2S4Q,a.Notice ot Commenceriier+t ls requirad.' (,,NCUpgrades over S75�d) <br /> " Agent(for the contractor)ar Power of Attomey(far the awner)would be some�one with notarized letter from owner authorizing same <br /> dVER THE COUNTER PERMITTiFIG {Front af Apptication Onlyj , `� <br /> Reroofs If shingles Sewers Service Up�rades A/C Fences(i?lot/S rvey/Footage) <br /> ... . ... . ...t.:._ :...., <br /> �"a'= `;..:�` � ;; <br /> Drivaways-Not over Counter if on pubiic�roadways.ne�ds,ROW' ' �; <br /> .� . , ... ... ....... _ ;, <br /> , �, . . . �, <br /> . . . , .>_ . , n,r . • . . . �• i <br /> ... ...x . ...r s..,w.�-r-. . ..o-a:.e.-. .-m, . ...,. � <br /> I I <br />