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813a8o-oo2o City of Zephyrhills Permit Application Fax 813-780-0021 <br /> ,. , Building Department _ <br /> Dats Recsived — Phone Cantact far Permtttin – �� <br /> �1 _ i <br /> Ownefs Name "�����1 C Y'��fv�t7'�{ �}SC(jCi Owner Pha�e N��tber ,�� -"'�t��-'��t <br /> Owner'sAddress �'J�O ��L-nC�-1-f� ��o.�� � /? �'�OwnarPhan�aNumber ��O`'"'�o�.(sa—���� <br /> Fee Simple TIlleholder Name �� • � Owner Phone Number -S A�"�� f�"S �LiO�/�� , <br /> � <br /> Fee S(mple Titleholder Address � <br /> JOB ADDRESS ���� In�L'RCy�I�. l/(�°� �'�"-- I� /��'�1-��-...7 Fd-.a 3v� LOT# ��� <br /> SUBDIV�SION rN�����D p a-�N/ pqRCEL ID# <br /> -�_ (OBTAINED FROM PROPERTY TAX NOTlCE) ' <br /> WORK PRdPOSED NEW CONSTR ADDJALT 0 S1GN� Q Q DEMOL.ISH <br /> INSTALL 8 REPAIR <br /> PROPOSEO USE Q SFt2 � COMM � OTHER vrr � . Ui ' <br /> TYPE OF CONSTRUCTION Q BLOCK � Q FRAME L17{. 3TEEl. �] <br /> DESCRIPTIONOFWORK �'�b1N k�A'�!� '�ZcacaM � U"��R t''A-Y�IC. �pc}� <br /> BUILDING SIZE �j� f�f = �9 SQ FOOTAGE rPi b� HEIGHT �L�� <br /> �$���"����' � . � ('�� VALUATION OF TOTAL CONSTRU 10 _ <br /> / <br /> QE ECTRiCAt� $ � AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> . -- �PLUMBING ��C} r C a��.J n��.l.� <br /> � �J <br /> QMECHANICAL $ VA�UATION OF MECHANICAI INSTALLATlON � �v���,�2�� � <br /> '' ( GY;J �(rl l:.,v <br /> QGAS Q ROOFIi+SG Q SPECIAL'TY C� OTHEF2 �r� ��,�r,��,z,.���'� ���f <br /> FINISHED FLaOR ELEVATIQNS FLOOD ZQNE AR�A QYES NO ,/��� /�'���= � ��11 <br /> �' � �f��� � <br /> BUIIDER -- - - - - �L�OMPAt�1Y' ,- - -- ---- - - _ -- - <br /> A Y <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> Address -„ Lfc�nse# �� � <br /> ('� i , <br /> ELECTRlCIAN ° �. . ������ `'�COMPANY {�`�'-�M:t.l7�.�-' <br /> SIGNATURE REGIS7ERED Y/ N FEE CUFtRE� Y/N <br /> Address > �� L(cense# �— � <br /> PIltMBER COMP,ANY <br /> 51GNATURE M�� REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# � � � <br /> MECHANICAL. COMPANY i <br /> SIGNA7URE REGISTERED Y/ N FEE CURRED Y/N I <br /> Address License# � <br /> t}TNER COMPANY <br /> SIGNAYURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address • Licen"se# � f <br /> RESEDEN'iIAL Attach{2)Plot•Plans;{2}sets af Btiltdii�g Plans;{1)set of-Energy�Forms;R-O-W Peanit tor new canstructioa, <br /> Minimum:ten�_(�10).working.days after,.submittal date: Requlred onsite,Construcdan Plans;Stormwater P.lans w/3ilt Fence installed, <br /> Sanitary FacillUes&1 dumpster Site`Work:Permit for subd(Vislonsllarge proJec�s _. <br /> COMMERCIAL Attach{3}camplete sets of Buitding Plans plus a�tfe Safefy Page;{1}set af E�ergy Farms.R O-W Perm4t far new construction. <br /> Mtnlmum ken(10)working days'after submittal date. Required onsite,Canstniction Plans,'�StormWater Plans w/;Silt Fence installed, <br /> Sanitary Facilides&1 dumpster.Site Wot1c Permlt for al1 new proJects.All cammerclaf requlrements must meet camplfance � � <br /> S16H PERMIT Attach(2}sets of Erigineered Plans., � , _, i � <br /> •`**PROPERTY SURVEY requlred for ail NEW cnnstruction. � _, I <br /> ,.._. , <br /> Dlrections: � <br /> Fill out applicaUon completely. -�- , <br /> Owner&Cantractor stgn back of appltcatEon,notar�zed > <br /> If over E2500,a Notice of Commencement ls required. (AiC,upgrade�over 57500j • <br /> " Agent(far ttia contcactor)or Powe�of Attomey(far ttie owner)would;be someone wtth notarized letter from owner authorizing�same :'�`, ; "' � <br /> DVfR THE COUNTER PERM17'TING _ ,(Fronfof�Application.Oniy) �. , �� , - � � �. �+ ' ._ <br /> Reroofs if shingles Sewers r� Service.Upgrades A!C � Fences(PIoUSurvey/Footage) �:'- � , ' , ,� , <br /> DrTvewaya-Not over Counter if bn pubilc roadways..needs�ROW � �f� � - '�' � �- '"`"" ` " ' <br />