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a��-�eo-oo2o City of Zephyrhills Permit Application Fax-813-78Q-Q021 <br /> .. <br /> Buliding Depactment <br /> Date Recelved � PhonaContact�for PermittM ' . <br /> Owner's Name �, L- � �.-G G�Z �` �..7� Owner Phone Number �l �� t � <br /> Owner's Address (o � Ll1/ ���—l(a �-�. Owraer Phone Number � � <br /> Fee 8lmple 7ltleholder Name �` � Owner Phane Number �- � <br /> ;t .. <br /> Fee 5lmple Tltl�holder llddrass <br /> JOB ADDRESS ��/ �' � � ��' /�� /� L-� = L� LOT# ��� <br /> SUBDIViStON �— � � PARCEL ID# ' � L Z. ��„/ � <br /> - . (OBTAINED F OM PROPERTX AX NOTICE) <br /> W4E2K PROPOSED •NEw CONSTR RDDIA�T Q StGN' � Q DEMOE,tSH <br /> �. INSTALL 8 REPAIR <br /> PRQP4SED=USE [� SFR [� CQMM Q OTtiER <br /> TYPE OF COWSTRUCTION � Q� 'BLOCK " Q FRAME � STEEL [� <br /> DESCRIPTtON OF WORK [ ��?C �r �5'I G-N �S r t1/�IZ �-G�.,* Ji!.%� ,;.�+ �- � <br /> Btlii.DtNG SIZE �� � S,Q`FOOTAGE��� HEIGHT�� � <br /> .,. <br /> � .+F'^V . ,_ <br /> BUtCDiN� $ <br /> � VALUATIONxt3F�TOTAL CONSTRUCTION <br /> ,„ � J - <br /> �'EI.ECTRICAL � ��� AMP SERVIGE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPt�UMBING $ '- <br /> � � <br /> OMECNANlGAL $ VALUATION OF.MECNANtCAL INSTALUITION {/ �� � <br /> _, „ �'. <br /> �c�s Q ROQFING -Q s�ec�a�.nr � OTHER - <br /> FINISHED FLOOR ELEVATIONS �'-__� FLOOD�ONE AREA QYES NO <br /> BUIl.DER COMPANY� , <br /> SIGNATURE RECaISTERED Y/ N FEE CURRE� Y/N <br /> Addre�s License#'� � <br /> F��c�r�ciar�: . ..coM��a�nr ��r.�/�L,� t �i.L-�� j �1 <br /> SIGNATURE � RECrI$TERED Y/ N FEE CURRE� ' 'Y/N <br /> �Iddress 7�r' /D ��1 tf 1L r I� �f�J�7� �J `� � License#. �.�� 13 aU3 ,oQ� <br /> ,. � <br /> PLUMBER, . COMPAt+IY ° <br /> SIGNATURE ` REGIS7ERED Y•./ N FEE CURRE� '' Y-/N, <br /> Address License# �u - I <br /> MECNAl�lICAi. COMPANY <br /> SIGNATURE � REGIS7ERED Y,/ N FEE CURFtE� Y/�N <br /> Address' • , � � ' License# � � <br /> OTNER - . ' . . � `,GQMPANY <br /> SIGNATURE � � ' � � ' " REGI37ERED Y/ N . FEE CURRE�' Y/N <br /> Address� ( ., . . - � License# � � <br /> RESIDEN31tAt:: � Attach�{2)�Pto#=Platis;(2)"sefs:,of�BuEF�I�g}Plaiis;(1)set af-Energy Faiir�s;`�R-0=W'Peiinit for new construction, <br /> :Ml�imum�:ten.,(�1,0),worlcing;days:ai#ec;"submithal date.:�Required onsite,_Construcdan=Flans;�Stormwater'Plens w/Slit Fence installed, <br /> ' �'Sanitary FardlfUes;&�;1;,dumpster-Site.Worlc�Permit.for,subdivisionsAarge projectst ` _ <br /> GONlM�RC1AL At#ach{3)�compteie`set`s�of Buitdlrig Plans plus a Life Saf�fy Page;{1)set af Energ}t Forms.R-0-W Permit far new canstructSon. <br /> Mi�imum ten(10)working days after submittal date. Requfred onstte,Construcdan Plans,Stortnwater Plans w/SNt Fence fnstalled, <br /> Sanitary Fardlides&1 dumpster.81te Work Pemrit for ap new:projects:.All commercial requlraments must meet campliance <br /> S1GN P�RMlT Attac�{2}"sets of Eiiglriee�red{Platis.: �_. :^.: . , <br /> ••'"PROPERTY SURbEY reyuired for all NEW canstructlan.. <br /> OFre�on�: , ... _ ,. <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor sign back af appltcaBan,notarized <br /> If over�2800,a Natice of Commencernent is required. {A!C upgrades avar 37500) . <br /> " Agent(for the contractor)or Power of Attomey(for tFie owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE Ct�UNTER.PEldMITfiNG�. - - �(Front of Application Only)- <br /> Reroof�If shingles Seuvers Service Upgrades A/C Fences(PIoUSurvey/Fookage) <br /> - -- -- -- -i- . <br /> Drlveways-Nat aver Counter tf on pubtic roaduvays:.iieeds R8W" <br />