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� 813-�so-ooao City af Zephyrhills Permit Application Fax-813-780-002� <br /> Bullding Qepattment <br /> Date Recelved �"�-�'�� p�qne�ontaet for Perml#t1n � � <br /> Owner's Name ' �'��' " ���.� - � Owner Pho�e Plumder `� V l� ;��"Z���� . <br /> Owner's Address ��'"�'{�� C'+i�: ��,�" '6f�" ����(�+`a9 Owner Phone Number - „__,,,_" �� <br /> ,�, ;: ; .. , , . � � <br /> Fee 5lmple Titleholder Plame-� -�i.',�i, /�1P.g,F?r���{�:;8A1.°���� � �^@d,� Owner Rhona Number <br /> Fee Slmple'fltleholderAddress ��+ j `��` s�. �� �'^�(��' ��'l� �,1��'. �� �.���J <br /> J08 A4DRES$ � t�['� f�r`.3�'u,�Ct �l 2� �'• " h (Z�t�1� �� LOT# � <br /> suB�w�ssoH� � � 121-�-�w eao. �a�cEa:oo# C�2�2 Csj- r2 l?^O 3QC� -C>ooQ����r�t5 <br /> ` � �(OBTAINED FROM PROPERTYTAK�NOTICE) <br /> WORK PROPt}SED . , NEW CdNSTR ADD1Al.T ��' SIGP1 [�. Q pEMOl,tSH <br /> iNSTAtL 8' REPAIR <br /> PROPOSED USE �'"� SFR � CQMM � OTHER <br /> 't'YPE OF CON3TRUCTiON � BLOCK [� FRAME � STEEI. Q <br /> DESCRIPTION OF WORK ��'S 1 - � i��.�I� /'� <br /> BUtLDlNG S1ZE <br /> l����'�..I� � '_� SQ F TA E t��� HEIGHT ��.�--� <br /> QBUII.DING $+� VA�UATlOtU{�F TUTAL CONSTRUCTIOt�!`� <br /> ii2'� l��i t <br /> QELECTR4CAL $ ���a AMP SERVICE ��'�' Q Q PFtOGFtESS ElUERGY �W.E2,E,C, <br /> QPLUMBING $ ��e��`� <br /> , ��QQ . �\� <br /> [�MECHANICAL $ VALUATION OF MECHANlCA!INSTALCATION � � <br /> ' ��� ��S <br /> [�GAS ✓[�'�``� ROOFING Q SPECIALTY �]. OTHER � <br /> F1t+ftSHED f�00R ELEVATIt3NS FLOOD ZONE AREA [�YES NO"' �� 1� <br /> _ � ��,�P <br /> 9UILDER GOMPANIf � M�� {�a�,"�c�.kat.�,..""��6�q� �''� <br /> SIGNATUR REGIS7ERED Y N FEE CURREA Y N <br /> Address •�'���- �} Ctcense# ��r�"' ������ �� <br /> ELECTRIClAN COMPANY <br /> SlGNATURE REGiSTERED Y/ N FEE CURRE� Y/N <br /> Address L[cense# � <br /> �p' COMRANY <br /> S(GN1l'NRE .,...��'� / ' �.J��� <br /> REGtSTERED Y J hf FEE CURRE� Y/N <br /> i <br /> Address I�cense#' <br /> �� � � <br /> MECHANICI�I. LJ 1�,� COMPAMY <br /> SIGA}A'TtIRE � REGISTERED Y 1 N FEE CURRER Y/N <br /> .�\G�---- ' <br /> �Address Llcen&a# � � <br /> OTHEfi COMPANY 1\ Pu IN 1-����'t Pa� �.� <br /> �i������� REGtSTERED Y J N. �cu�n N <br /> d�a� . 5� � �� } � ���nse� C� t3��s o 5 � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of•Building�Plans;(1)set of Enargy�Forms;R O-W Pam►it far new aonstrucUon, <br /> lVtfnimum ten{10}warking iiays after_sabmittai date: Required or�slte,Gonstruction P1ans,S#ormwater Plans wJ Silt Fenae instalted. <br /> Sanifary FacfliUes&1.dumpster,Slte Work P.ermit tor subdivislonsAarge.pmjects <br /> COMMERCII�J. Attach(3)complete sets of Buildirig Plans plus a Ltfe Safety Page;(1)set of Energy Forms.R-O-W Per►nit for new constructton. <br /> Msnimum ten(1Q}warklrsg days after submittat date. Required onsite,Gonstructlon Flans,Starmwater PEans wl Silt Fence instailed, <br /> Santtary Facflities&1 dumpster.Site Work Permlt for all new proJects.All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered•Plans. <br /> "'"PROPERtY SURVEY requlred for alt NEW canstruction. <br /> pirectlons: <br /> Ffl!out applicatton campletely. <br /> Owner&ContracMr sign back of applfca8on,notaiized <br /> If ovar 52500.a Plotiee of Commencement is required. {A!C upgrades over�7500) , <br /> ; " Agent(for the cantractor}or Pawer o#Attomey(far the owr�er}woutd be someone with notadzed tetter from owner authodzing same <br /> DVER THE CdUNTER PERMITIING (Front of Application Only) <br /> Reraofs if sfiingles Sewets Service Upgrades A!C Fenoes(PloUSurveylFoatage} <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />