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a��-780-002o City of Zephyrhills Permit Applic ie —�"� Fa�e o2�
<br /> BuHding Departrnent /�'r���'�'�y � ',.-���?j_
<br /> 4 `�' �
<br /> Qdce R��eiyQa r� / '� - ���� (,��C�. � `7 t Q
<br /> J 1 Phone CantacYfar tttn
<br /> Owner's Name r ' � �t�er
<br /> Owner's Address ,.3� O. Owner•Phone Number � �
<br /> Fee Slmple TlNeholder Name �` � Owner Phan�Number �-� �
<br /> ,J�� �
<br /> Fee 3imple Titleholder Address "
<br /> JOB ADDRESS 'e._ LOT# �„_�
<br /> SUBdIV1StON � � PARCEL ID# ' �
<br /> . (OBTAINED FROM'PROPERTVTAX NOTICE),
<br />, WORKPROPOSED �� NEwtONSTR ADD/ALT [� S{GR! [� Q bEMOLISH -
<br /> INSTAI:L �, REPAIR
<br /> PROPQSED•tlSE � SFR [� CQMM [� O'fFlER
<br /> TYPE OF CONSTRUCTION � BLOCK " Q FRAME C,� STEEL Q
<br /> DESCRIP11dN OF WORK
<br />' J
<br /> BUiLDiNG°SiZE SQ FOUTAGE (1CJ ,FIEIGHT :
<br />' QBUiCDINCa $ �r.��`'�u ��=�- �� } ,
<br /> i ��� VALUATIO(V"�OF TOTAL CONSTRI:ICTI (�' ��
<br /> /
<br /> QEl.ECTRICA� $ AMP SERVICE ' Q PRO�ES NERGY r W R.E.
<br />� QPLUMBtNG $ - � 1 �
<br /> ��� ' � � � 7 � o /�.�
<br /> QMECHANICAl. $ VAl:UATION t3F MECHANICR�INS7ALtAT10
<br /> I �� �
<br /> �
<br /> � ���
<br /> OGAS Q ROOFlNG...;Q SPECIALTY�[� OTtiER
<br /> FINISHED FLOOR El,EVATIONS ��� FLOOD ZONE AREA �]YES. NO
<br /> BUI�DER ,��' �� ���OMPANY " � � 1l12
<br /> SIGNATURE � �'",�',..E/ �� REGISTERED Y/ N FEE CURREA N.
<br /> Addres� L.laense# I � �
<br /> 5�EC7RtC1AN COMPANY �
<br /> SIGNATURE �' REGISTERED Y/ N FEE CUltREA Y/N
<br /> Addres� , -.Cicense.# �— ��
<br /> P�UMBER CCIMP.ANY° , '
<br /> SIGNATURE REGISTERED r ,X/. N' :, FEE,CURRE� Y/N
<br /> Address License# � ,� —�
<br /> MECNANtCAI:. , ,.Ct1MPAMY
<br /> SIGNATURE � REGISTERED ° .Y.;/- N ,FEE CURREA , Y/�N•
<br /> Address . . t . . � License# � � �
<br /> OTHER � - COMPANY � ,
<br /> SIGN/1YURE REGISTERED 'Y% N:: � F.EE CURRE� ;, YI_Nt ..
<br /> Addre�s °`�� . , , ,- _ , "Gcense# � �
<br /> RESti}ENTIAL:: �'�Attach.{2},Ptot:P..lans;(2}�sefs_of=Bulldtng�'f?i�ans;(1}setof�Energy'Famis;:R-O=VtiI:,Perrt%itfor,n`euv„ciins#ruction, , ��
<br /> ,. .. ,-. , .„.,..� ,
<br /> , . Mlnlmum�,ten�(10);wo:rking;d"ays;aftei;sutiinittal:d"ate:±:Requlred onslte,�ConstrucBbn°Plans;Stortnwater�Plans w/Sllt Fence installed,
<br /> ���Sanitary FaGltUes;&�1$dumpste,r;f-SIte.WorkhPermlt.for:"subdlvlslonsAarge proJecks�,:='�~'��;�'.:.:'� ' '
<br /> _ __ COMMERCIAI. Attach(3)'coinpleta�sefs'of Building P!"a�s.ptus a Life Safety Page;{1j set of Energy Farms.R-O-W Permit for new canstructton. ----
<br /> Minfmum ten(10)worktng days'after submlttal dake. Required onsite,ConsUucUan Plans,Stormwater Plans w/Silt Fence Installed,
<br /> SaNtary Facllitles!i 1 dumpstar.Site Work Permlt for al!'new'prcJeots.-All commeicial requleements must meet campltance
<br /> SIGN PERMIT AttacFi{2}'sefs of'Engliieei;ed�Plans,Y�;.;,,rc��;. ..... .,. .. - ,
<br /> •`""PROPERTY SURVEY reguired,for all IVEW constructlon..
<br /> Dlrecttons: .. ._...:'x�.. , � .
<br /> Ffll out applicatlon wmpletely.
<br /> Qwner&Contrackor slgn back-of app4ica�an,notarizec4
<br /> If vver a2500,a Notice af Cbmmencement is required. (NG upgrades over S750d)
<br /> .. --�.=;�r u;;-".•> . ._
<br /> Agent(for the contractor)`ar:Powe�ofAttomey(fiS��tFie�dwner)would be�someone with natarized letter from owner suthodzing same
<br /> 'OY,ERTHE Ct�UR1T6R,PERM1'fTING._.�.. (�mnt-of-ApPlication Onty} ' .
<br /> Reroofa If shingles Sewers Servica Upgrades A/G Fences(PlodSurvey/Footage)
<br /> Drlveways-hlot aver Counter ii an pubflc roadways.:neeils i20W
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