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813-�so-oo�o City af Zephyrhills Permit Application FaX-813-780-0021
<br /> �"
<br /> - Sullding Department
<br /> Qate Received P.h e Cotitact fot PermlttFn
<br /> Qwner's Name Owner Phane Number
<br /> Owner`s Address � er•Phone Number �� �
<br /> Fee 3lmple Titlehold�r Name �����^��,, Owner Phane Number � � ,
<br /> t.,�� �
<br /> Fee 3lmple Titleholder Addres� °��
<br /> JOB ADDRESS LOT# [�
<br /> SUBplViSION � � PARCEL ID# -
<br /> (OBTAINED FRpM PROPER7Y TAX NOTICE)
<br /> WOR1C PROPOSED NEw CONSTR ADDIAIT � SIGN Q Q DEMCi1.ISH -
<br /> INSTAI:L 8` R�PAIR
<br /> RRORQSED USE Q SFR � Ct3MM OTHER
<br /> TYPE OF CpNSTRUCTION Q BLOCK " �Q FRAME ST�EL Q
<br /> DESCRIPTIQN OF WORK �'�-
<br /> -
<br /> BtilE»DING StZE � SQ FOOTAGE , .HEIGHT C��,
<br /> 08U1l.D1NG �_-� -,,-�-___ �- - � -
<br /> VALUATiON OF TOTAL CONSTRUC710N
<br /> QELECTRIGA� ��� AMP SERVICE [� PROGFtESS ENEi'2GY Q W.R.E.C.
<br /> QFLUMBlNG � „ � '
<br /> OMECHANtCAL $ �� F MECNANICf1L tNSTA�LATtON
<br /> OGAS Q RflQFiNG., SPECIAI.TY �� OTHER
<br /> FINISHED FLQOR ELEVATIQNS �� FLOOD ZONE AREA QYES: NO
<br /> BElt1.DER COMPANY
<br /> SIGNATURE REGISTERED Y/ N �E cuttREn Y./N:
<br /> Addres� LJcerise# � �
<br /> ELECTRtClAi+! COMPANY
<br /> SIGNATURE �M REGISTERED Y/ N FEE CUF2RE� Y/N
<br /> At[d�8�8 , LiC911S9#.�—_ ^�
<br /> PLUMBER COMP.ANY• ,
<br /> SIGNA7URE , , ReGlsT�eo -.,Y/•-.N �E CURRen Y/N
<br /> Addre�s ff—_11_ff License# ,� �
<br /> MECHAN1CAt. ' " ..C,OMPANY _ .
<br /> SIGNATURE QEGI�TERED - Y:1 N . . FEE CURRE� Y/�N� ;
<br /> � . - '
<br /> Address � ,Licen
<br /> OTHEFt � - ,COMPAt±1Y ' -
<br /> SIGNATURE � REGI3TERED .. � " ] N.. .EE CURRE� ,�. Y,�N� .
<br /> Addreas ,; . r- Licerise# �
<br /> �,... ._. . ._ . ._,. ... � . .... :;.,..�...,-.. . .,,. ...
<br /> RESIOENTtAI:. -Pittach{2}.P1ot;P.,1ao§;x(2).§efs:c#�Building'E?tans,'{1}sefof°Eriergy=Foirris;-R-O-W,Perm,if�fc,r"iiewi�onstructibn,
<br /> ... �,.��-..��,.,
<br /> Minimum�.ten:(10);w,orktng;days,after„submlttal:date.�.Requlred onsite;�ConstriictiornPlans;�Sto'rmwate�Pl�ns w/�(It Fence tnstalled,
<br /> nSanitary�Facilldes;&K1:Sdumqster,Sl4e�WarlCxPertnit.fo,r,:sutidivi"sloifsllarge�projects=�:-`::�;$:.::: '� ` '� -
<br /> CQMMERCtAL Attach(3}'cio�plete sets of Biiltding�Plans plus a Life Safe#y Page;{1}set a£Energy Forms.R-t3 W PermEt for new oanstruction.
<br /> Minimum ten(10)working days after submlttal date. Required onsite,Constructlan Plans,Stomnwater Plans w/Sflt Fence installed,
<br /> SanlNary Facilitles&1 dumpstar.Site Work Permt�for,all;new'.proJects.AII commerciat requfrements.must.meet_comp!lance
<br /> St6N PERMIT Attacti{2)sets of`Engineer,edi,Plans:;s:=,=;:;^;r _.: .� , , �
<br /> ,•«"PROPERTY SGRVEY required for.all_NEW_aansWction.,,
<br /> Dlrectlons: ..�. -
<br /> Ffll out appflcaUon completely.
<br /> Owner&Contrackor slgn back-of appiicaflan,notarized .
<br /> tf ovar 52600,a Natice af.Comrr�encement is required. (AIC upgrades over ST500) ,
<br /> .. � G,r.:�:<�
<br /> Agent(for the contra�cto�)or Powe�of Attamey(ki�the'owner)would be someone with notarized letter from owner authodzing same
<br /> OVER THE COUNTER�P.EltMtTTtNG.-, ,_-:-�{Front:of•AppticaBon Only)- - - � "
<br /> Reroots if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage)
<br /> DNveways-Not aver Gaunter if on publtc roadways..needs ROW . � �
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