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� �� --- <br />�' I 813-�eo-ooza City af Zephyrhills Permit Application Fax 813-780-0021 <br /> j � . 8uliding Qepattment <br /> i , . <br /> � Date Recelved Phone Co»tact for Permlttin �` <br /> � _ <br /> � Cawner's Name /�Q���G� Owner Phane Number ` %� �� <br />' � Owner's Address � Owner Phone Number �— � <br />� <br /> , Fee Slmple Titleholder Name � � Owner Phone Number � � <br /> �f <br /> � <br /> � Fee Simple Titleholder Address <br /> I <br /> I JOB AbDRESS , � !' b'•f'_ ,� ' � LOT# � <br /> � � � . <br /> ; suea�visiaH � � � Pa�cE�r� 'ot� � • � l • 9 0 C3 �'C� <br /> i (OBTAINED FROM PROPERTY TAX NOTICE) <br /> � WORK PROPOSED NEW CON5TR ApQtA�T � SIGN Q Q pEMO1.tSH <br /> e INSTALL 8 REPAIR <br /> ± PROPQSED-USE Q SFR Q CON1M � OTHER ' <br /> � TYPE OF CONSTRUCTION Q BLOCK 4 Q FRAME C� STEEL Q <br /> , pE3CRIPTION OF WORK � � 6�+F.�-� U �S / �� l <br /> i BUII.DING StZE � � SQ FOOTAGE[� HEIGti7' <br /> i <br /> �����'����' �� VALt3ATION OF TOTA�CONSTRUGfiION <br /> .� <br /> , QE�ECTl�IGA�. � � AMP SERVICE Q PROGRESS ENEFtGY Q W.R.E.C. <br /> ; QPLUMBlNC# � • �� <br /> �ECHANtCAL $ /�'''J�� VAIUAT[ON OF MEGHANtCAI.INSTAi_LATlOIV � ���� ""'" <br /> �y .71 � <br /> QGAS Q ROOFlNG Q SREGIALTY �� OTtiER � � �L <br /> FINISHED FLQOR ELEVATI4NS �� FLOOD ZONE AREA QYES NO <br /> _ i <br /> ; � <br /> � BUFCDER - C�Ii�PAIYY_ __ _ ��_.�— -- - _ _—_ - ___ -- �-- - <br /> ; SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> Addres$ ' License# � —� <br /> � ELECTRICIAid CON9PANY <br /> ! SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> I Address � License# �� � <br /> � PLtlMBER COMPANY <br /> i SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �� Address License# � �� <br /> I, MECHRNlCAL `f� C� COMPANY �I� ,� t„�,- ��� <br /> ` SIGNATURE — '� REGIS7ERED Y/ N FEE CURRE� Y' N � <br /> i � <br /> � Address t��c� �� �f _ License# ��( QS'� j �,-� 3 <br /> � <br /> ' OTHER COMPAi�Y <br /> iSIGNATURE REGISTERED Y/ N . �=EE cua�n Y/N <br /> � Ad¢ress ° license# �__ �� <br /> � RESfDSNTlAl: Attach(2j Ftot Pla�s;(2}sets of�Butlding Plans;{1)set af Energy Porms;F2-fl-W Permlt for new cor�stntation, I <br /> ; Minimum ten(.10)working`days aftecsubmltta�date. Requlred onsite,Construction Plans;Stormwater Plans w/Silt Fence installed, _ � <br /> � Sanitary,Facili8es&1 du,mpster 5(te Wark•Permit for subdivisionsAarge projects <br /> COMMERCtAL Attach{S}complete sets of Bu3ldirig Plans plus a l.Ife 8afiety Page;(1)set af Energy Farms.R t�-W Permit far new cansfisctlon. <br /> Minimum ten(10)working days after submittai date. Required onsite,Constructlon Plans,Stormwater Plans w/.Sift Fence installed, <br /> � Sanitary Faoilities&1 dumpster.Site Work Permlt for ail new prajeots.All commercial requirements must meet eompliance <br /> SIGN PERMIT At#acti{2}sets af Engineered�Plans.., <br /> i •'"`PROPERTY SURVEY required for all NEW constructlan. <br /> I <br /> � Dlreetlons: - <br /> Ffll out application completely. <br /> � 4wner&Contrackor sign back af applicatton,notarized <br /> � if over�2540,a Notl�of Cammencement�s reqaired. {A/G upgrar�es oxer�T50Q) <br /> I " Agent(for the contractor)ar Power of Attamey,(for the owner)would be someone with notarized letter from owner autho�zing same <br /> j OVER THE CQUNTER PERMlTiiFlG {Front of Appllca#an,Oniy}"°""'` -°°��.=---_•�- .: <br /> i Reroofs if shingles Sewers Service Upgrades+/VC�,.;,., Pences(PIo�Suivey/Foatage) <br /> : '= '. . -•-:t�: >:,- ;�,-, ;,� ' <br /> t Drivewaya-Not aver Counker if on public.roadways::neads ROW,,, ";,;�r j <br /> � ' � ._. ,�� z._-..�.�_w . <br /> � -. �. <br /> ;� <br />