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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-OQ21
<br /> ,, �,. Building Qepartment
<br /> Date Reaelved Phane-Cont�ct for Permtttin —
<br /> Owner's Name �rG2 el�c� f b Owner Phane Number C������
<br /> Owner's Address Gt, L Owner Phone Number �� �
<br /> Fee Simple Titleholder Name � � Owner Phone Number � �
<br /> Fee Simple Titleholder Address
<br /> J08 AbDRESS �.(.1� U LOT# �„��
<br /> i
<br /> SUBD1ViSiON PA#tCE1.ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORit PROP{}SED NEW CONSTR A[)DIALT � S1GN Q Q DEMOi.tSH {i
<br /> e INSTALI. 8 REPAIR �
<br /> PROPOSED USE Q SFt2 [� C{aMM � OTHEi2 �
<br /> TYPE OF CONSTRUCTION Q BLOCK " Q FRAME � STEEi. Q
<br /> DESCRIPTION OF WORK P
<br /> BUILDlWG SFZE � � SQ F007"AGE�� HEtGHT ��
<br /> �B�«'d���' Iw ' � VAItlATIO(�OF TOTAL CONSTRUCTION
<br /> r�J
<br /> QE�ECTRICAI � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.G.
<br /> �PLUMBINC'a $ Cj r�,�,¢,,,�' r/�`
<br /> l .�� `_ `�
<br /> QMECHANICAL $ VAIUATlON C}F MECHANICAt.INSTRLLAi'1{afV J��,�
<br /> .��
<br /> QGAS Q ROOFlNG Q SPECiA�TY �� OTHER
<br /> FINISHED FLOOR ELEVATIONS �� F�.00D ZONE AREA [�YEB NO
<br /> BUtL0Ei2 COMPANY �
<br /> SIGtdATURE REGI$TERED Y/ fV FEE CURRE� Y/N
<br /> Addre�s License# �� �
<br /> EIECTRICIAN C4MPANY
<br /> SIGNATURE �' REGISTERED Y/ N FEE CUFtRE� Y/N
<br /> Address Llcense# � �
<br /> �°+ �/� � },, 4 /�
<br /> PCUMBER ,U��'�� C4MPA[�Y t..- �G.f S `� �'tlJt tV t�
<br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N
<br /> j tj � � � �
<br /> tWdre�s �X t (,�� �" � License# �fi'� l�„� .�lZ
<br /> MECHANICAL CQMPAl+lY
<br /> SIGNATURE REGIS'fERED Y/ N FEE CURRE� Y/N
<br /> Addiess LlcenSe# �� �
<br /> 07HER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address L1ce»se# �� �
<br /> RESIDENTIAL A#tach{2}Ptot Plans;(2)sets-af'Building'Plarts;{1}set oF Energy Farms;R-O-W Permlt far new coostruotian,
<br /> Minlmum ten(10)vuorking'days after_subrriittal date. Required onsite,Constructiqn Plans,Stormwater Plans w!Siit Fence installed, �
<br /> Sanitary FaciliUes&�1,,dumpster Sfte Work•Rertnit for subdiVisipnsAarge projects
<br /> � GOMNtERCtAL Attach(3�complete sets of Bullcling Plans,plus a t,tfe Safeiy Page;(1}set of Energy Forms.R-q W Permit far new canstruction.
<br /> Minimum ken(10)working days after submlttal date. Required ansite,Canstruction Plans,Stormwater F'lans w/Silt Fence installed,
<br /> 5anitary Facilities 8�1�dumpster.Site Work Pertnit for all new proJeots.All commerciai requlrements must meet compllance
<br /> SIGN PERMFT Attach�{2}sists of Engineered Plans:
<br /> '"""PROPERTY SURVEY required for all NEW c;qnstructlan.
<br /> D1[BGtIOnB:
<br /> Fill out applicatlon completely. �� , s`�<y ��� ~h' � ° ''� . '� .
<br /> Qwnar&Gontra�tar stgn laack of applicatian,notatizad, � ,� ! = �, �
<br /> if over�25d0,a t�aNce oE Commencement is.require�I. {AtG upgr�+�e�over�7500) .�_--_- , , -___. � ' ._ �j _�`". '
<br /> " Agent(for tiie cbntractor)or Power of Attomey(far the owner)would be someone with notarized letter from owner authorizing same� ,
<br /> O1t�R TEiE GOUNTER PERMiTTIRIG {Front af Applicattion On1Y), � v:.- ,.,, ::L-. ,,_.:.,,:.. ,:.,- -�.0._ < < �``,
<br /> Reroofs If shingles Sewers-- �' 'Service.Upgrade§-�A/C,,,��� .,�Fences(PIoUSurvey/Footage) ;� ,�,,•;p ; - „ ` �
<br /> y :;,_�.!;•..: ;,}'j� ;:, „':;' � , ;s �_',i 4 ' � - ,.�r,• ., ,.-_�� _ .iiM1 -i
<br /> driveways-Nat over Couiriter tf'on"pubtla roailway's.'aeecl's ROVi%, « , ,_ �, .. ,.. ,,x-� _ - . ,_
<br /> it._ „, i. , � ;;._ »,r.
<br /> ' , .-. -n.. n_.�c... ..,r.:...r. •cx+,t.', «wwn r.r<.».��� ...�_ .s.. .: ... �..�>..�.. ._ ._ .w,a_.n a.ari
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