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e��-�eaoaao City af Zephyrhills Permit Application Fax 813-780-0021
<br /> Building Departrnent
<br /> Date Recaived � >Phon�-Contact.far Permittln �_
<br /> Owoer's Name Q��-^ ��� �t�-� Owner Phane Humber
<br /> Owner's Address �'sC�t . � Owner Phone Number '� �
<br /> Fee Simple Tltleholder Name ��• � � Owner Phone Number � �
<br /> ;�; �--
<br /> FeB Simple Tltleholder Address °'
<br /> JOB AUDRESS �� + � � LOT# C�
<br /> SUBDtViSiON �.������ �� � PARCEL ID# � �5 +`�I C3��y " CJ3Cti 4 b1
<br /> ' � � (OBTNNED FRQM PROPERTX.TAX NO710E)�
<br /> WORK PROPOSED '�NEW CONSTR ADD/AI.T � S1GN� Q Q DEMOLiSH
<br /> INSTALL 8 � REPAIR �
<br /> PROPOSED USE � SFR �. COMM Q OTHEi2 .
<br /> TYPE QF CONSTRUCTION= Q BI.00K ~ Q FRAME � STEEL �J
<br /> DESCRIPTION OF WORK �S�rJ �J - �j�/
<br /> -
<br /> _.
<br /> BUILDING SIZE �� ' � SQ FOOTAGE��, HE1�3HT.. �_� -
<br /> ..,.
<br /> QSOII.DING � '� •�r��=�--_ ,,.�,.. _
<br /> � 1 VALUATION.6F'TOTAL CONSTRUC710N'
<br /> Q���C�FC� � .� � AMP SERt!!CE 'Q PFtOGRESS EhiERGY Q W.R.E.C.
<br /> QPWMBING �g' � ' -
<br /> �MECHANiCAC � VALUATtON OF MECMtWICAL INSTA�LATtON
<br /> '' „_,,,�,,, _ �'"
<br /> [�GAS Q , ROOFlNG ..:Q SPECIA�TY-[�. - OTHER,
<br /> FINISHED FLOOR ELEVATIQNS �-� FLOOD ZONE AREA �]YES NO
<br /> - --- �
<br /> BUiE.DER ,.s..��-_..�x.,��,�.....� _
<br /> COMPANY �1.t.� �'(��2:. Q�
<br /> SIGNATUR � �,.,,,r...�=' "'�����T � REGISTERED Y/ N FEE CURRE�` Y/N"
<br /> Address • � License#-�' ' �
<br /> ,,
<br /> EIECTRICIAN � CONdPANY- - � - -
<br /> SIGNATURE }' REGISTERED Y/ N Fee cu�en Y/N
<br /> Address . � ` ,. .License#:� �
<br /> P�UMBER - . ' ;. COMPAt+IY - - ,
<br /> SIGNATURE � _REGI87ERED Y/_N . FEE CURREK- Y/N �
<br /> Address License#,��� ��
<br /> MECHANIGAL ' � . COMPANY< � , .
<br /> 'SIGNATURE r REGISTERED , Y./_.N . �ee cutt�n Y/N .
<br /> Address� ` � � t , iUcense# I _!�
<br /> {�THER - � COMPANY =
<br /> SIGNATURE�� `� - - � ' Re�Is7E�n' Y/ N . FeE cur�n Y/N
<br /> Address . � � . , � _ ` License.# � �
<br /> 'RE&IQENTIAt�;'�.��At#ach{2);P:.t6#.Rtans;.:{2}.sets�of:BuEtding"Rtans;.{.9=)°set'a#Energy�Famis;�R=0-UV'Perinit for new•construction, � . .{� �
<br /> ,Minlmum�ten�(:1.0)�,workfng;days;afker,.sutimlttal;date:�Required.onslte;�Gonstiuotlan°Plans;8tortriwater'Plans w/Stlt Fence installed,
<br /> Sanitery�FacilidesC&;�1;dumpster Site`.Work�,Permit for:sutidlvistonstlarge prbJects � �� ' �
<br /> COMMERCIAl. Attach{3}�campterte sets`of Buiidirig Plans plus a Ufe'Safety Page;(1 j set of Energy Fornts.R-O-W Permit for new construc�tton.
<br /> Minimum ten(10)working days after submlttal date. Required onsite,Construckion Plans,Stortnwater Plans w/Silt Fence installed,
<br /> Sanitary FaclltUes&f dumpsier.Site Work Penntt for aA newprojacts:-All commercial requfrements must meet c�mpflance
<br /> SlGN PERMlT Attacti`{2j sets of Eiigi�,ieered;Plans.;,:,,,��;� � , � ,
<br /> ••"•PROPERTY 8UR1/EY reguired for_aII,yEW canstructlon. . - -
<br /> Directlbins: . .,,, . - .
<br /> Ftll out appAcatlon completely.
<br /> Owner 8�Contractor slgn back af applica�oo,noiarized
<br /> if aver�500,a Natics_of Commencement is required. (A!C upgrades over�7500) „
<br /> .. ,..�;:�;.,�:,,. . . _, ..
<br /> Agent{for the contracto�)'ar:Powe"r of Attomey'(foFJttie owrierj would ba someone with notarized Istter from owner authorizing same
<br /> OVER TiiE CCIUNTER PERMI'1'i1NG--��,�---�(Front-of�AppflcaUon Only) '
<br /> Reroofs If shingles Sewers '�5ervice Upgrades A/C .Fences(PlobSurvey/Footage)
<br /> Drivewaya-Not over Counter,if on public roadways..needs ROW
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