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<br /> a��-�eo-oo20 ' City�f Zephyrhills P'ermit Applicatiora Fax 813-780-ao2�
<br /> Buildl�g Department
<br /> Dats Recaived Y Ph�ne Cantaet foi Psrmtttin �
<br /> Ownar'�Nama Y P ��' �t!Z n d C �t Owner Phone Number 7���' 3✓r-� � .3���
<br /> Owner'sAddress � / 3 G `�� SY z'� � � �'����'� /'� `�' OwnerPhoneNumber � �
<br /> Fee Simple Titleholder Name � � Owner Phone Number � �
<br /> _ ' ��� - '�
<br /> Fee 3tmple Tltleholder Address �" -
<br /> JOB ADDRE$S �93� �f� S� �� h ,�/�/i�f' �L�G 3.��y �-- �or# ���
<br /> sueoivis�aN �� � PARCEL ID# - -
<br /> (OBTBdNED FRpM PROPERTY TAX NOTICE)
<br /> WQRK PROPOSED NEw CONSTR ADD/ALT � SIGN Q Q DEMOt�iSH -
<br /> � y. INSTALL � 8 REPAIR
<br /> PROPOSED USE � Q SFR � Ct}MM �,� OTHER""
<br /> TYPE QF CQNSTRUCTION � C] BLOCK " •Q FRAME � STEEI. Q
<br /> DESCRiPT1QN OF WORK /h�f4�/ �� ,�7�' e ovNcx sd� � i� �/rr P d �����trt
<br /> � . � �-� , „�
<br /> BUiLDING�SIZE �^ � $Q FOQTAGE � HEIGHT
<br /> BUILDING $ ���- . � .. . � '� "
<br /> , p o o�� VALUATION dF TOTAL CONSTRUCTION
<br /> �J
<br /> • QEl.ECTFtICAL �_ � AMP$ERViCE Q PROGRESS EhtERGY Q W.R.E.C.
<br /> _ OF?�UMBING $ • -������
<br /> . . .. �
<br /> Q1VlECHANICAI �$"�1�11 � VAIUATt01+!OF NIECHANICAL INSTALtATIQN n��.
<br /> � � ��uv - � o���
<br /> . , s . �c�►s , Q_ ROOFING,�,0 SPEC1At.TY [�'� OTHER
<br /> FINISHED F1.00R ELEVA710NS ��� FLOOD ZONE AREA QYES. NO /�✓
<br /> G
<br /> BUt1.DER „ ��t� COMP�4FlY t�d'W��-'t''�
<br /> SIGNATUItE REGISTERED Y/ N FEE CURREA' Y/.N
<br /> Address Gcense# � �
<br /> E��CTRiC1AN COMPANIf � .
<br /> SIGNATURE � REGISTERED Y/ N FEE CURREP' Y/N
<br /> Addre�� . Llaense# � ��
<br /> P�U[�IBER COIWPANY{
<br /> SIGNATURE ,. REGISTERED .Y�/,,N � �: FEE,CURRE� Y/N-
<br /> Addre88 � LiG8I1s8# ��� � • �
<br /> MECHAI+ftCAl. . , _-COMPANlf -
<br /> SIGWI�TURE ' � REGISTERED . Y:/ N FEE CURREA" Y/�N .,
<br /> Addrsss - - , i • License# � �- . I
<br /> OTHER � ` , . . _ CQMPAI!EY � _ -
<br /> SIGNATURE � ' '" � REGISTERED `Y/ N.. � FEE.CURRE� ; Y./�N° .
<br /> Addreas , ., s�:.. � , = .. Licenss# � � �
<br /> .,._. ;,,..»;. . . ..;,: . . -,-:..
<br /> _ .., -., ,,.,. ,,, _ , ;._,.,
<br /> .� � �:..:: .
<br /> ._ . - ,,s . .. .
<br /> RESlD�NTIA1;.:= Attach{2};;P..lottPlans;;{2}set`s.aftiBullding°Rt'sns;=(1)setof�Erier�gy�Foims;'R-O=WPecmlfforrsew:conshvction, v
<br /> ..;j,...,. 5.• _:.,;. . ;;
<br /> �- Minimum�,ten�(1p);working;d"a,ysxaite�:sabmlftal date.�.Requlred ons(fe,°Const'ruction�Plans;FStormwate�Plans w/Silt Fence installed,
<br /> ��� 'SaniteryfFacillLes;&�S1w;dumPsterf�ite4Wark:Permit tor.;sutidiy4slonsAa'rge projecG��<..::�;'_``�° . :' '
<br /> C�M�It6RC1RL Attac�(3)`complete`sets'of Buil`tling"Plans ptus a ltfe Safety Page;{i}set of Energy Forms.R-O W Parmit for new construc�an.
<br /> Mintmum ken(1Q)working days after submittal date. Required ansite,Construc8on Plans,Stomnwater Plans w/Silt Fence installed,
<br /> SaniNary Facilities 1�1 dumpster.Site Work Permit,for all neriv;projects:AI!commercial requkements must.meet comp!lance
<br /> SiGN PERNIIT Attacti{2)s"sts af'Englneer,ed:Plans.}����=<a.:: . . . . - - �
<br /> •""•PROPERTY SURVEY reguired,for:all NE1Ql_construction... . -
<br /> Dtrsetion�: � :.�.,��.� - � ,
<br /> FIII ouQ applicaUon completely.
<br /> Owner 8�Car�traGtor slgn bacic-of applicadors,notarized
<br /> if aver�2500,a NaNce af.Cora�mencement is required. (A/C u�sgrades over$7580) ,
<br /> �R .r:7:'y[`,C:
<br /> Agent(for th'e�oontractor)'or`Pbwer of Attoiney(fo��the owrier)would be someane with notarized letter from owner authorizing same. .
<br /> b,VER THE CC3UNlER.P..ER1�7i1TiFlG�...---(Front.af:Application On1y} - ` �- ' .� '
<br /> Reroofs if shingles Sewers Service Upgr�des A/C_ ' •�=Fences(Plot/Survey/Faotage) ' � � , ,, -
<br /> Driveways-Not over Caunter if on'public roadways..needs Rt1W,� � � ,
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