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<br /> ,�c��a-�ao-oozo City af Zephyrhills Permit Application Fax-813-780-OQ21
<br /> Y BuElding Department .
<br /> Da#e Racelved phone-Cantactfar PermitEin —
<br /> Qwaef'�Name ��fl.a Gf r' Owner Phoae Number � �^ 22 3— ��
<br /> � ��Owner's Address ,1 .Y�q ��� � Owner Phone Number ��� "�2-� ���2-
<br /> Fee Simple Titleholder Name �� � Owner Phane Number �— �
<br /> Fee 5lmple Titleholder Address
<br /> JOB ADDRESS �3� �"t�� ��' LOT# �__�
<br /> SUBDIVISION �— � PARCEL ID# / 1 ' ��''� �� ' b0/p -D�b vQ "�7(�j�
<br /> (OBTAINED PROM PROPERTY TAX NOTICE)
<br /> WORK PROAOSED NEW CONSTR ADD/ALT [,� SIGN [� Q DEMOI.ISH
<br /> e INSTALL 8 F2EPAIR
<br /> PROPOSED.USE Q � SFR Q COMM � OTHER
<br /> TYPE QF CONSTRUCTION Q BLOCK ' Q FRAME C� STEEL Q
<br /> DE3CRIPTION OF WORK �i�/ �� .!/�'[v S��L'"L'�� �i/r/'�
<br /> BUILDING SIZE �— � SG!FOOTAGE�� HEIGHT C� �
<br /> QBUiLDING r6_� VALUATION OF TOTAL CONSTRUCTION
<br /> L
<br /> QELECTRI�AL � � AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QP�tiM81NG oCJ ,(a'So��?
<br /> $ ,l�'�� � �
<br /> QMECHANICAt. $ VALUATtON OF MECHANICAL tNSTAE.lAT10N
<br /> ��_��;
<br /> QGAS Q ROOFING Q SPECIAl�TY C� OTHER
<br /> FINISHED FLOOR EI.EVATIONS �`--__� F1.00D ZONE AREA QYES NO
<br /> BUtLDER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
<br /> Address License# � �
<br /> ELECTRIC1AFt COMPANY
<br /> SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# � �
<br /> PLUNIBER 1'� f�"S �R-�ILr Gt�p �'"it-�, COMPANY f" Srz�,Q t/!�� f�J/��fj .,�''vl'
<br /> SIGNATURE � �. REGtSTERED Y/ N FEE CURRE� Y/N
<br /> Address License# �G ��7�1�'�f�
<br /> MECHANICAt» COMPANY
<br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Addres� Licanse# � �
<br /> OTNER COMPAI�lY
<br /> SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N
<br /> Addre�s � License# �— �
<br /> RESIDENTIAt: Attach{2}Plot'Plans;.(2)sets of Buitding Plans;{1}set of Energy^Forms;R-O-W Permit for new construction,
<br /> Minimum�,ten.(1.0),working�days,after submittal date. Requlred onsite,Cbnstructlon-Plans,Stormwater Plans w/Sllt Fence installed,
<br /> Sanita'ry Faciltties�&�.,1.dumpster,_Site Work Permitforsubdivisfons!large.projects
<br /> COMM�RCIAI. At#ach{3}camplete sets of Buililing Plans plus a l,ife Safety Page;(1}set of Energy Farrns.R-O W Permit#or new construction.
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
<br /> Sanitary FaclliUes&1 dumpster.Sfte Wark Permit far ail new proJects.Aii commercial requirements must meei compElance
<br /> SIGN PERMIT At#ach(2)sets of Erigineered Plans. , �
<br /> •«""PROPERTY SURVEY required for all NEW conshuction. .
<br /> Dlrec#ions: ' ' � ,
<br /> Fili out applicaUon completely. . • � �
<br /> Owner&Contractor sfgn back of appllcation,natar#zed `', k�.� ' ' `
<br /> if ovsr�2500,a Notice af Commencement is required. (A/C upgrades over�750q) _ - , M
<br /> " Agent(for the contractor)'or Power of Attcmep`(farthe owner)would be someone.with notadzed letter froin`owrier authorizing,same
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<br /> DVER THE COUNTER.PERMITTING y` (Front of Apphca�on Oniy),,.�,�;""`,;,, � � � � ' �• . ,,.� , ' „ . '
<br /> Reroofs if shin les Sewers Service U rades.,A/C`' Fences°PIoUSurve /Foota e - ' � '.,. ..
<br /> � , ,P9 - .. -, ., � Y 9 )<,, ,. - _ '� _ ,
<br /> Drivewaya-Not aver Counter if on publfc roadways.:needs.ROW • � , � ` � � �-� �• < = -' . '
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