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813-78Q-0020 City of Zephyrhills Permit Application Fax-813-78Q-0021
<br /> • Bu{Iding Department
<br /> Da�a Recelved • ;''-Pha CbntacY�for Permtttiri''� -
<br /> Owne�'s Name Owner Phone Numi�er � �
<br /> Owner's Address �"" � Clwnerphcne-Number. � �
<br /> Fee Simple Tltleholder:Name � Owner phoni Number .� � -
<br /> , , . ,{J, . ., - . "�
<br /> Fee 3(mpla Tltieholdee Address � '"�
<br /> JOB ADDRESS LOT# ��
<br /> SUBDIVISION ��T�� �PARCEL_ID# . � .
<br /> ' " �(08TiUNED FROk!PRQPERTYTAX'NOTICE) ` �
<br /> WORK PROPOSED . NEw CONSTR � = ADD/ALT =[,,,'� S1GN' [� Q;� DEMOI:ISH , ,
<br /> ..-.' e '. INS.TALL 8�. 'REPAIR ' .
<br /> PROP4SED•USE- Q�- SFR `[� COMM'� � OTFiER_,' . .
<br /> TYPE OF CONSTRUCTION., '� BLOCK�' " � FRAME, � STE Q: _
<br /> DESCRIP7'ION OF WORK �'�`- - �
<br /> BUII.pIWG SiZE '-SQ.F.00TAGE�._�, - - f�3HT,.�,���.. , �
<br /> .. .. O���La�{�.�`7 r' �. .�.�s,K:,_ �._.2,r-• _� , ,
<br /> --�dALUATION`aF'�TOTAL CQNSTRUCTION
<br /> � , - �
<br /> QEl.ECTRICAL � � A(UtP SERVIGE � PROGRESS E(VERGY [� W.12.E.C. .
<br /> QP�:UMBING $` .
<br /> ., ��� �
<br /> QMECHANiGAL $ 1tA�tlA7'1flN�OF MEC3iANiCAC INSTAt.lAT10N -
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<br /> QGAS . ,Q : ROOFING-. � SP.ECIA,!_TY��� OTMER
<br /> FINISHED F1.00R EI.EVATIONS FLOOp ZONE AREA �YE$. NO.
<br /> � � .� . � � �
<br /> BUtk.DER COMPANY
<br /> SIGNATURE REC3ISTERED Y/ N.. FEECURREP"_: Y/.N ,�. ,.
<br /> i (�'�'' �
<br /> ' f�ddfea�s , .
<br /> .5 License# I �., �
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<br /> EL�CTii1ClAN�>..s: ` „ '`� C�MPi4NY" < : y . . '�' ` : -
<br /> SIGPdATURE '" REGISTERED Y/ N �CuiiaEn � Y/N "
<br /> �''"�.�......,_—.�
<br /> �4ddress � ' . . - . , ;� '.License# l ' ' ' � `�
<br /> PLUMBER . COMPANY* -'- . {:
<br /> SIGNATURE � � �REc31S.7eRED i,.., Y/��N' � � FEE.CURRE�� . 'Y/�N:�_" -
<br /> Addr�ss ,� . , . .Ucense#_� � �
<br /> s �• . , .
<br /> MECNANICAL', ' . �. :GOMPANY. . - - `
<br /> 31(iNATUR� - � �,�' • , ., , ,. � : . ; $�'." `: ,
<br /> RECiI�STERED' , ;,. :Yz/�N_. � , :;'FEE CURREN- � Y/-N::-. ;
<br /> Address�' ;,_ � , ,t . , , . +� �� :License.#. ., .
<br /> O7HEFk t; ., , �:. �, ,. .. . _ - • - , ' -
<br /> . ,;�' .:;co���rnr.� . .. ,... . .
<br /> SIGNA7UttE. - � ,�.REGIST�REo � ,Y/. N..-„ � �e'GUR�n - ..Y�/,N::.� .
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<br /> Addrea�s " .. . • , - � -. . - ,Llc�'nse'#��
<br /> ,.., , . . _ -� - '�a^ ,Y �:i;�;°:r<>,�� -- - - �.y�: i.- �- � '�.{�i,L. . , .. , .. ,
<br /> �1:.•..,;�' _
<br /> RESIDENTIAI;,,_---Rttacti;{2)„P1ct�P.,}ans;z(2)sets�of�Bultdiiiy'Plans,:(1.j seYoffEriei�gy�Foriris;t'R=OjVti�,Permit:fo�;neu`v constnictlon,: � - - ,
<br /> �:;Mlnlmumj.tem(:1r0.j;workln,g�;days�aiter:;`s'Gtiiiiilttalsdate:��Requlred:onslte;-Co'nstiucUon�Plans;�Stormwater`P..lans;w%SIItF�nc,e,installed, .__
<br /> . •��YY�'°Sanftary Fed�ftles 8�a�;c�uJmPster S4te=WorktPemiit;tor,:subdivlsEclnsllarge�pro�ects'�'-�:.,:``,�.`',:. ;,:`� '-: ..: � �`--- � .� _.
<br /> COM64fERCiAL Attach(3j comptete`seEs`of'Su�itiling Plans ptus a L1fe Safeiy Page;(1}set of Energy Forms.R-U W Permit for neW caristniction.
<br /> Mfnlmum Ren(10)woiicing days'aflar submlttal date. Required onslte,,.CanstrucNon Plans,Stormwater Plans w/Sllt Fence lnstalled; �
<br /> Sanilary„Fadiitles 8�1_dumpster..Slte.Work Pemtlt for allynew p'r`tij�i:ts:i411 cammemm�al.c+equlrements must meet compSlence ,
<br /> SIGN PERMiT Attacti(2j"s'ets of`�ngi�eiar,ed�Plaa�::�,;;�:�;�:•- , - ,.,. ., _ ,. ' , , .�` ,, - .
<br /> "`"•PROP..ERTY_SURVEYregulnsd,;forall:NEW�aanstruction...e, - - ��
<br /> Directions: _ .:��r.�..:.� �.v • ...._ _ .
<br /> F(Il.out applicadan completely.
<br /> C>wr►er&Contractar stgn back.of applicaHan,natarizad
<br /> If over 52500,a Notice,af"Commencemant la requlred. (AIC upgrades over 57500). _ � "
<br /> .��,;A�:,,,,�-,;;:;;;a
<br /> i '" Agent(for the cCintrecto�)`or'Powe'rTof Attomey(to�`the'ownerj would•be someane with notarized tstter tram ov+mer authodzfng same
<br /> � 'DVER`THE"COUNTER:PEkMt7TINt3��=- ��(Front�of�Appllcatlon Only)' � � i
<br /> Re[oofs If shingles Sewers Servlce Upgrados A/C Fences,(Pl,ot/$urvey/Footage) __ .- - ,
<br /> _--.: ~-;--.. _.. •_,; :=- -.. '.;,Y��,.'::;:=,�;":�:.�.:;; .. ' - .. . . . . .
<br /> b�lveways-Not over Counter if ompublla roadways.:need's ROW ,
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