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<br /> e�a-�ao-oo2o City af Zephyrhills �errnit Applica#ion Fax-813-780-0021
<br /> Building Department
<br /> Date�tecelved � �
<br /> Phone�Cantact for Perinittin —
<br /> Owne�'s Name � Owner Pbane Number " ���� ' ����
<br /> Owner's Address �Q ���""� c..]1� Owner Phone Numher Ol�'� �-�'� L��
<br /> Fee Simple Tltleholder Name I—�b�q.c�.i ����a�.,� Owner Phone Number � �
<br /> i
<br /> - Fee Simple Titleholder Address
<br /> �
<br /> JOB ADDRE3S � �V 1 � LOT# �__�
<br /> �
<br /> � suBnivisioN �,��.�lS_..� P,a��ceL rn� L t — Zb - 2� —081� — c�?l Ot3 — (� l/C�
<br /> I (QBTAINED FROM PROPEFtTYTAX NOTICE)
<br /> WORK PROPOSED NEW CONSTR ADDlALT � $1GN Q � DEMOLtSH
<br /> INSTALI. 8 REPAIR I
<br /> PROPQSED USE Q SFR Q COMM �� OTHER
<br /> TYPE OF CONSTRUG710N Q BLOCK � Q FRAME [w� STEEL Q
<br /> DESCRIPTION OF WQRK �� �-
<br /> BElILDING SIZE � � SQ FOOTAGE�� HEIGHT [��
<br /> �����'��NG ����„��� VALUATION CIF TO�AL CONSTRUCTiOFi
<br /> J
<br /> QELEGTRtCAt �� A{t!!P-SERVECE � PROGi2ESS Et�lERGY Q W.R.E.C.
<br /> i� ��,� �� u
<br />� OP�u�us��►� � ,�(�� oa4-"S�`,,�'�°� �,c�
<br /> [�MECHANlCAL $ VALUATtON OF MECHANICA�INSTRILATlON 1, � �� �
<br /> t�"' ���
<br /> � ��
<br /> QGAS � RQOFING � SPECIRLTY � OTHEi2 ���'� � C�1►�
<br /> �I FINISHED FLOOR ELEVATIpNS FLOOD ZQNE AREA QYES NO �
<br /> ,
<br /> au��aE� ��� c�M � r ��` 4` . � �1����}'�1��..�,�
<br /> '' SIGNATUItE 'L REGIS7ERED Y/ FEE CURRE� Y/N
<br /> Address License# � �
<br /> E�ECTRtC1AD1 COMp� "
<br /> SIGNATURE r REGISTERELI Y/ N FEE CURRE� Y/N
<br /> Addres� ttcense# �� �
<br /> PLU[�B�R ` � GOMR
<br /> I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> � AddreSB
<br /> License# � �
<br /> MECMRlNIC,4l. • COMPANY)
<br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
<br /> I Addres� License# �� �
<br /> QTHEEt �.� /� COMPANY) i"�� t ��,�t Y�C�, �,
<br /> SiGNATURE �,.ft REGISTERED Y/ N FEE CURRE� Y/N
<br /> i Address" - - - �_ . - License# - , __ _ _
<br /> __-- - �
<br /> RESIDENTIAt: Attach{2}Plot Rlans;(2)sets of Buililing Plans;{1}seYof EnergykFarms;R-�W Permlt far new cons#ructiort;
<br /> ', Minimum:ten(:10)working"days after�subiiilttal da#e. Requtred dnsite,Construction Plans;Stormwater Plans w!Silt Fence installed,
<br /> ' Sanitary FaciHties&.7.dumpster,Slte Work Rennit for subdivisiansparge projects
<br /> COMMERC#At. Attach{8}complete sefs'of Bu�iditig Plans plus a Life Safety Page;{1)set of Energy Fortns.R-O W Pemti##or new construction.
<br /> Minimum ten{10)working days after submittai date. Required qnsite,Constructian Plans,Stormwater Plans w%Silt Fence installed,
<br /> Sanitary Facilitles&1 dumpster.Site Work Permlt for all new projects.All commercial requlrements must meet compilance
<br /> SIGN PERMlT Attach{2)sets ofEngineered Plans. °
<br /> """PROPERTY SUl2VEY required for aII.NEW constructlon.
<br /> Dtrections:
<br /> Fill out applicadon completely.
<br /> Owner&Contractor sign back of applicatlon,notatized .__ .
<br /> If over 52500,a Notics of Cammencement is required. {AfC upgrades av r�750d)
<br /> '" Agent(for the coritractor)or Power of Attomey(for the owner)wauld be som ne with notarized letter from owner authorizing same
<br /> _,r � = .-_:�.��.>_.._..:....::-:,iav,.:. -=
<br /> t3VER TNE COtlNTER PERNII'i'FIHG {Front of Applica�an On1y} ` � " - _ ;��;, �
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plat/Su ey/Footage) 4� . ;�,��_�'' �,�,`.'_- �� '�;p�� '
<br /> �„ ::.>. .-,�,:.=:,.a--if fi�.;:.., ..:.Y,4:::..:_,�;';�'..' �L�; ". _ , ?`,-. , .,.;,,,,c. . ��.:� ;.
<br /> Driveways-Not over CounEer if an.publlc.rqadways:.needs-F2QW' �% r . . . .. .... . . ..: � - `::
<br /> ,,,��� .,, ,�.. k - i� �� • ;'
<br /> % ,'i; �: ::r, , �: � ,. ,,. �.�,�.; ,�.� ....nurx,•.�.:,.....::r,=--,..�_._ �
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