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813-780-0020 City af Zephyrhills Permit Application Fax-813-780-OQ21 �
<br /> Bu3fding department
<br /> Qate Recetved �q—,'�3 -2 a! 5 � ��� — �f �
<br /> Phone�Contact far Permtttin
<br /> Owner's Name 17�c�wM �• � ��'�ys�• S���� Owner Phone Numb�ar �3".��J'�'�/T�
<br /> Owner's Address 7,ZZ8 OMFGA CT. ����5 pwrner Phone Number �
<br /> Fee Slmple Titleholder Name �.� • � Owner Phone Number � �
<br /> Fee Simple Tltleholder Address •�•
<br /> JOB ADDRESS 7�8 D//�IJ��R CT. Z�P�Y�it.G s FG 33 5�0 f 7`/�oT� ��
<br /> sueatv�sioN �Pfh1 i�lLLA� �'�`T.s.'�,�pARCEL ID# 3J�:Z�i�I-lJ1150-floDpo—U72G�
<br /> (QBTAINEQ FROM PROPERTYTAX NQTICE)
<br /> WORK PROPOSED e NEw CONSTR ��LT SiGN Q Q pEMO[.ISH
<br /> INSTALL PAIR
<br /> I' PROPOSEf}�U$E Q SFR Q COMNI � QTNER
<br /> I� 'TYPE OF CONSTRUCTION �I.00K " [� FFtAME � S7EEI.
<br /> 0
<br /> DESCRiPTION OF WORK �0�� l�IS77�'✓G �7G�/rJ• /"D��/fi� '�iVc�Tit�L�GT ��p�EIB,�f'��/�DN
<br /> BUIlDtNG S12E f� a� X�$ �f q FOOTAGE �5�7 HEIGHT jI '� �O�'���'����
<br /> B�«���G �2� O�'�,p� VALl1A710N OF TOTAL CONSTRUCTION
<br /> �E�ECTF21GA1. $���� p�r AMP SERVtCE j;EJ(ls'T7�� Q PROGF2ESS ENERGY Q W.R.E.C.
<br /> 0�� � .�4. ..., O�sO�� �
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<br /> ' MECNANlGAI $ .lr��,pp� VA�UATION{3F MECNANICA�tPlSTAI.tAT10N � Q�,,� ��{
<br /> .7 �� � 5i,�,�i-�- t�
<br /> ��.� 3 � ' ���.�
<br /> [�r��kS� Q R40FING SPEGIAI.'iY � OTHEit ���j.,�j
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<br /> FINISHED FLOOR ELEVATI4NS — FL.UOD ZONE AREA C]YES NO �j� `
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<br /> ' au��a�R �y G����j�,, �c M � 1�13C�. CO����G?7�/1�j f.t/G.
<br /> SIGNATURE r�� � REGISTERED Y/ N FEE CURRE� Y/,N
<br /> Address 3903$ C�T,�d�L e��ecGE —',Zl�/LGs Cicense# cGCt',.�`�/�j�
<br /> ��ECr��c� ����'�' �COMPAN1f dt?t1�Sl,�- /�'t ,�L��7t�1�
<br /> SIGNATURE '�A �x REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address � License# �� �
<br /> PLUMBER � � COMPA�tY °�'
<br /> ��, $IGNA7URE " REGISTERED Y/ N FEE CURRE� Y/N
<br /> , Addrass License# � —�
<br /> � r�EC�t,varc�u. _t/i�c/ oMpa�r �''��'S 1��dPl��1`�G.�r�S � �+C
<br /> �I SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
<br /> �
<br /> Address ` License#
<br /> OTHE��� ��I ,��,tp,,�, aM�a�ir ,�� CD�S��'�t1C.�71� � t�tlC- � �
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address ��lJc�� C�7"�9t1-F.� U'1tC�, z�f'IlGS License# e�ca�{t�1� �
<br /> RESID�N7IAL` Attach{2}.Ptat Ptans;{2}sets a#�Butlding Plans;{1)set af Energy�Forms;R-O-W Perrnit for new cansbvctian,
<br /> Minfmum.ten(�1.0)worktng days aftec.submittal date. Required onsite,ConsUuctian Plans;�Stortnwater Pia�s w/Silt Fence installsd,
<br /> Sanitary Facilides,&.1..dumpster,Site'Work�Permitfo[subdtdislonsAarge proJects
<br /> COMMEI2CIAL Attach{3}coinplete sets of Build�rig Plans plus a�ife Safety Page;(1}set of E�ergy Form5.R{?-W Pertnit for new cansttuction.
<br /> Minimum ten(10)warking days after submittal date. Requlred onsite,CanstrucUan Pians,Stormwater Plans�w!Silt Fence installed, .
<br /> , Sanitary Facilides$�1 dumpster.Stte Work,Permit for all new proJects.All commerafal requlreinents must`meet compliance
<br /> SIGN PERMIT Attacti(2}sets af Englneered Plans: �
<br /> •••«PROPERI'Y SURVEY required for all NEW canstructian.
<br /> Dlrecttans: �
<br /> Fill out applicadon completely.
<br /> Owner&Gontractar sign back of appficatlon,nota�ized
<br /> If over S25d8,a Nottce af Commencement i�required. (A!G upgrades„over�7500j
<br /> `" Agent(for the contractor)a�Powe�of Aktomey(fo�the owner)would be�someone with natarized letter from owner authorizing same
<br /> ' ,„.��,F...,vs_,,.>.��..��n�.,�.
<br /> OVER TNE COUN'i'ER PERMIT'fit!iG�?.,.�=«^(Frar�t�`of'lfi�p�ic�tion Onty),;;•,:•-- �.
<br /> Reroo#s if shingles Sewers s ;Servfce Upg'rades.NC , ,�Fe(nce's�(�'IoUSurvey/Footage)
<br /> � .
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<br /> Qriveways-Not over CounteNf�on��ubtic roadways..needs ROW;,,,. ` r,
<br /> , .�, �. .,,� .,..., ._,.,. . �._ _:,��:-.. ..
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