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. . _ i <br /> • 813-780-0020 Cify of Zephyrhills Permit Application , Fax-si�-�saooz� <br /> , Building Depertment , <br /> I <br /> � <br /> Date Received (� - /H-�(,. . Phone Contact for Permitting e r� �7�o - �3 Z�i+ <br /> '"` d-1•c. Q(o-L 27- 99 Z q <br /> OwnersName ( f'GVoJ' �o-t OwnerPhoneNumber <br /> dwne�'s Address �s�� ��� 5�" Owr�er Phone tSum6e� � � <br /> Fee Simpie Titleholder Namo � I Owner Phone Number � � <br /> Fee Slmple Titleholder Address <br /> sas aooREss S'S"o� / f'` S�t- tor# �3 f t'�1 <br /> sus�ivisioN Tv�►w o�f Z.?c�rti-'u� PARCEL ID# �' -2 G-2��-t�o�o-�i Soa -o�S a <br /> {08TAINED FROM PRdPEftTYTAXNOTiCE) <br /> WORK pROPOSED � NEWCONs7a� ADD/ALT Q SIGN Q C] LIEMOLiSH <br /> INS7ALL REPAIR <br /> PROPOSEdUSB Q SFR [� COMM Q 4THER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> i DESCRIPTIOt3 OF WdRK �� �t�r' (�o r r -t J( �"�{ �(,� /f'�?�f.j Z Fr I r 2 a �+r S��t G. <br /> BUILDlI1GSlZE ��� SQFOOTAGE� HEIGHT [� <br /> r rrrrr^rrrr-rr-r-res-t-rrrrrrrrrrr-c-nrrrrt�^s--rrrrrrrrtrrrs�rrr <br /> QBUILpING $ ��f.. VALUATIONOF70TALCONSTRUCTION <br /> [�ELECi'RICAL �� AMP S�RVtCE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBlNG �p � '/}, ,� - <br /> [�MECHANICAL $ VALUATION OF MECHANIGAL INS7ALLATION <br /> � ��T������ �t <br /> OGAS Q ROOFING Q SPECIALTY � OTHER .�" � ��� <br /> ��� � <br /> FiNkSHED FLOOEt ELEVAI'lQNS ELOQD ZONE AREA QYES NO <br /> �7 '�ni�:��'e�i��'�-'�-i�i�C-'e-:���7-4.S.�C�i�..'r��/. . . �'r�i-�i��'.���'�nni�'-C-'r•'�' G-'r+i�}�:�i�i�'ri�+�'�{r'�'�.'�i-+ <br /> SUtLDER �fe� " �CO PANY ��� Dv.t.��to-t1 (�eers. � <br /> � <br /> SIGNATURE ��isr�eo Y! N �cuwxen YiN � <br /> Address 2�{ {iJ Gr' f�.w.w Sk License� G-78�8 —� <br /> ELECTF2ICIAN ' COMPANY <br /> SSGNATURE ���ss�ttm Y/N FEECURRE{� Ylt1 <br />, Address License� � � <br /> PlUMBER COMPAAtY � <br /> SIGNATURE � � aEcisTeRm Y/ N FEEcuruzEn Y/N <br /> Addre�s License#� � <br /> MECHANICAL � � COMPANY I <br /> S3GNATURE �c�sr�o Y1 N ��cuwz�n YtN <br /> Address License#� � <br /> OTtiER COMPANY � <br /> SIGNATURE � � ttE�isTER� Y/N F�E cututen Y/N <br /> Address L�cense�� � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItltil <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bulding Plans;(1)set of 8nergy Forms;R O-W Permitfor new consiruction, <br /> MlnSmam ten(10}warking days aiter sut�mittat date. Raqutred onsite,ConsWctton Ptans,Stormwater Ptans w!Siit Fence instatted, <br /> Sanitary Facitit3es&1 dumpster,S"ste Work Peemif#or subdlvislonsRarge projects <br /> COMMERCIAI. Attach(2)complete sets of Building Plans plus a Life Safety Page;(i)set of Energy Forms.R-O-W Pertnitfor new constructlon. <br /> Minimurn ten(t0)work(ng deys after submittal date. Required onsite,Consiructton Plans,Stormwater Plans w/Silt Fence fnstalied, <br /> Sanitary Facilities&1 dumpster.Sifs Wark Permit for al!»ew projects.Ait cammercial reqnirements must meet compSiance <br /> StGN PERM17 Attach(2j sets of Eng(neered P�ans. <br /> ""PRQPERTY 3URVEY required for all NEW constnictfon. <br /> ..1-'Y.'.-'r'r��4d-1-�.I��-i-1--I�:�:�-F;.i-f�i-�l-H�l.-f.�•4.1.1-�I�i�.i-i-1�-1-:-:�:-i-y'-'�' '.�'-{••1�-1-L.f-�-i�l�i..4-1-i-f-1-1-1�-I•. <br /> i DicecHons: <br /> Fill out application compfetety. <br /> Owner&Gontractor stgn back of applica8on,nota�ized <br /> i tf over$2504,a Hottce of Commeneement is required. (AtC upgrades over$7500) <br />( --------....- -- - -----._ _ <br /> " Agent(fo�the cantractor}or Powev of Attomey(for the owner}wouid be someons with notarized Ietter from owner authorizing sams <br /> OVER 7HE COUNTER PERMITTINC3 (copy of contract requlrec� <br /> Remafs if shingtes Sewecs Sesvice Upgrades AfG �ences{PIoUSucveylFootage} ' <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />