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813-780-0Q20 Ci#y of Zephyrhills Permit AppEication Fax 813-78Q-4Q21 <br /> . • ' Building Department <br /> Data Recelved , „��'�1.����jf� p�one Contacf for PerntittF� ` <br /> Owner's Name ���h `� n� '���' '`A�S�j�� Owner Phane Number �� 'Z�'3�'3�`3 <br /> �. �.` <br /> Owner'a Address ��f�" ������u�r�� �e,�� �,`ff5, f'� Owner�Phone Nurttber <br /> Fea Simpla Tttleholder Name �u�'����e% ''�5S���° Owner phone lVumber �— � <br /> � <br /> Fee Simple Titieholder Address ���Z ��"����'��'� ��f�� !�n'l S1 /�'"�'. '�'�'S �'� <br /> JOB ADDRESS ��7� /f°� °S r ���/���1�If`"a � ��'` LQT# �__�� <br /> SUBDIViS10N ���- � ��� PARCEL ID# Z-- _Z ..��W"'[.�}dUO'""O� O ' <br /> � <br /> (88TAINED fROM PRBPSRTYTA7C NdTICE} <br /> WQRK PROPOSED � NEVv CONSTR r . ADD/ALT Q S1GM1t Q Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED=USE � SFR Q COMM [� OTNER <br /> TYPE OF GON37RUCTION �---�`SCOGK ` �] FRAME Q STEEL Q <br /> DESCRIPTION OF WORK +t��'iYlc9,,r�Prli �C/��fi/V /L ��J /O�," X /lf,6`� <br /> BUILDING SIZE r— �� SQ FCiOTAGE�� HEIGHT ���� <br /> BUlIQ}NG $ —� <br /> �� Q(�v ;�' I VAIUATIQN�C1F 70TAL CONSTRUC710N <br /> � <br /> QELECTRICAL r> � AMP SERVICE Q PRQGRESS ENERGY Q W.R.E.C. <br /> L <br /> QPLUMBING (�S� �� ���� <br /> L <br /> [�MECHANICAL $ VALUATION OF MECMAlVICAL INSTALLATION j�(�a" <br /> ,' ��-1��`� � <br /> QGAS ,�Q ROOFING Q SpECIA�N Q OTHER � ` <br /> FINISHED FLOOR ELEV NS FI.flOD ZONE AREA QYES NO �!�'" ' ,dirt�s <br /> I r. <br /> I/4 <br /> I �sw�aeR �j �'r �?�7 ��coMQa�nr gr��=t`J�rl/rr�. <br /> SIGNATURE�` Y REGISTERED Y/ N FEE GURREn Y i(V <br /> ' Add�ess � Llcense# ( � <br /> I� <br /> �' ELECTRICIAN. , CQMPANY ��'/�'LP at�t✓�!!/'�� <br /> SIGNATURE REGIS7ERED Y! N FEE CURREA Y 1 N <br /> V Acldress � �Ltcense# � � <br /> PLUMBER � COMP�4Nlt 17t�d�.��'DG(���� <br /> SIGNATUI2E REGISTERED Y/ IV �E curtRen Y/N <br /> i Address i,.icenSO# � � <br /> MECHANICAL C!?MPANY <br /> S1GFiATURE REGIS7ERED Y,/ N FEE CURREA Y/IV <br /> Address �icense# ( � <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� ; Y/N <br /> Addrea� �lcense# � i� <br /> _a., ,� <br /> RESIDENTIAI. Attach(2).PIof:Plans;(2)sets:ofBiiilding�'Plans;(1)'setiof'Energy�Forms,R-O-W Pemilk.for new,construction, � <br /> , Minimumt#en:(1U};working;:days.after;subinittai date.�Requ�red onsite,ConstrucBan plans;�Stortnwater`Plans w/Silt Fence installed, <br /> SanftaryFa�llyes:&=1.;dumpste,r.;Site�:Work';Permitfar""subdivlsla�sliargeproJects . , <br /> COMMERCIAL Attach(3)complete_sets of_Buildin�°Pians pl�is a l.ife Safety Page;(1)set of Energy Fo�ms.R U-W Permit toe new canstructlan. ` <br /> Minimum ten(10}working days after submittai date. Required onsite,CanstrucUan Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Slte Work Peemifi far all,new,pro)ectis.Alt cammercial requir�ments must meet campflance <br /> � SICiN PERMIT Attacfi`(2)"sets of Engineered Plans: 4 �,a � <br /> ""PROPERTY SURVEY required for all NEW cansWcUan. <br /> Dlrectlans: <br /> Fill out applica�on completely. <br /> Owaer 8 Conhactor stgn back af application,natadzed <br /> If aver 52500,a Nollca of Cammencement fa tequlred. {A!C upgrades over�750Q) <br /> (-'t <br /> �I " Agent(for the�contra'�tor)or Power of Attomey(for the owner)wouid be someone with no#arized lettec from ovmer authadzEng same <br /> DVER THE COUNTER�PERMITTING (Front of RpPiiraBon Qniy) ° v. , =1 .. .,.,..., .n ,. _ <br /> ' Reroofs if shingles Sewers Servlce Upgrades�A/C�, Fences(PIoUSurvey/Footage) �� � " - `.� , �, <br /> Drlveways-Not over Counier if an public roadways..needs ROW ' . ` <br /> I _ . , : ., ,_.:._. � .., ,- . . - - - _. . .- - ... ... . . <br />