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s�saao-oo2a City of Zephyrhills Permit Application Fax-813aao-oaz� <br /> : Buitding department <br /> Dats Received �� ?j— (�- phone-Conkaat for Perinittin <br /> Owner's Name C-'R-�L �G Gz �-�� Owner Phone Number ��� — � ���C��(� <br />'I Owner's Address � � U� � '�� �� Owner Phane Number � � <br />�i Fee Simple Tltleholder Name Owner Phone Number „_ <br /> ' <br /> Fee Simple Titleholder Address 3�C�J � l� � ' �... � �5 �--� <br /> JOB ADDRESS ��cl� ��`+S� � LOT# �_� <br /> t 2 -2�.�•- 2l~ t���St�C'r QCY�C� <br /> 8UBl11ViSEON �� � PARCEL 1D# ���� <br /> I (OBTAINED FROM PROP6RTY TAX NOTICE) <br />� WQRK PRdFOSED NEw CONSTR ADD/AlT �� SIGhI Q Q , DEMO�ISH ' <br /> INSTALL 8 REPAIR <br /> � <br /> PROPOSED USE Q SFR Q CQMM ( OTHEFt <br /> TYPE OF CONSTRUGYION � Q BLOCK A Q FRAME STEEL Q <br /> . <br /> DESCRtPTION OF WORK �0(�... t�C`_Llj �{l� �� � V <br /> B!l1LDING St2� �� � SQ FOOTAGE[�� HEIGHT C�� <br /> ��u«����' $ � � � VALUATION OF T�TAl CONSTRUCTIOIV � /�'(� t f <br /> �1 <br /> i QELECTRICA� � � AMP SERI!!CE Q PRCIGF2ESS ENERGY Q W.R.E.C. <br /> .---�- <br /> QPLUMBING �� �--�l �S/ - <br /> � i <br /> , QMECHANlCAL $ � VAl.UATION OF M GMANiCAl.INSTALIATIQN � <br /> 2./ �r 2'Q-' ,�-�C (1�� <br /> OGAS Q ROOFING Q SPECIALTY OTHER �R�� ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZQN AREA QYES NO �� (�p���[" <br /> Yf <br /> , BUil.DER �,,.h..}r.,��t��„g���7 � COMR �''��'sl:: ��t�1-ttJC—C�^-t�� �.��v`.��FCtJ�i�t1� ,1 ' <br /> SIGNATURE ^-�_� REGI$TE� Y/ N FEE CURRE� Y/N <br /> �►ddress �-i���- �t� ��t.3� �..o�t�L�f�r� . �?��� License# <br /> EI.ECTRICIAN COMPAI+�Y <br /> SIGNATURE � REGI5TER D Y/ N FEE CURRE� Y/N <br /> Addres$ License# � � <br /> PltlMBER GOMP <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> MECHANtGAI. COMP <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# � —� <br /> OTHER COMP Y <br /> SIGNATl1RE REGISTERED Y/ N . FEE CURRE� Y/N. <br /> I <br /> Addres� license# �i � <br /> RESlDENTIJ4t. Attach{2}Plat Plans;{2}sets of:Bullding Pians;{1}sef of Ene y�Fartns;R Q-W Rermit for new«�nstruatian, <br /> Minimum:ten(10)working days after.submltta�date. Requlre onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, ' <br /> S�nitary Faci�itles&1 dumpster,51te�Work Rertnit for subdivi IonsAarge projects <br /> C4MMERGIAE. Attach{3}complete�sets of Buildltig Rlans plus a Life Safety age;(1}set of Energy Forms.Ft-C?-W Petmit for new consttucHon. <br /> Minimum ten(10)working days after submittai date. Requfre�onsite,Constructian Pians,Stortnwater Plans w/Sllt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new roJects.All comme�cial requlrements must meet compliance <br /> StGN PERMIT At#ach{2}sets af Engineered Plans. � <br /> ••`"PROPERTY SURVEY required for all NEW constructlan. <br /> Dlrestlons: <br /> FIII out appl(cadon completely. <br /> Qwner&Contraatar sign back of application,notarizad <br /> tf aver�2500,a Notice of Cammenaemeat[s reqaired. (AlC upgrades ver 57540) <br /> '" Agent(for the contractor)or Power of Attomey(f6r the owner)would be som ne with natarized letter from owner authorizing same <br /> DVER THE COUt�ETER PERMITTiNfi {Front of AppllcaHan Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Ltriveways-Not over Caunter if on pubtia roadways..nead's ROW <br />