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- - — I <br />� � <br /> .. K <br /> 813aao-oozo City af Zephyrhills Permit Application Fax-813-780-0021 <br /> BuiEding Depa�trnent <br /> Date Received . Pho�e Contact for Permitfin <br /> Owner's Name �`�''/��C��Q7�� �f�P�2-i Qwner Phone Number C}��,!" /�.1'"°!l�.7 t� . <br /> Owner's Address � g9� �/ ��61�G 1 � v/�� Owner Phone Number � � I <br /> i <br /> Fee 5lmple Titleholder Name � Owner Phone Number � � I, <br /> Fee Slmple TlNeholder Address � <br /> JOB ADDRESB ��U�r..� �,Q-�,L,3,�'1�'�(�»• UG1 LOT# �� � <br /> fJl I <br /> SUBD�VISION �� �� PARCEL'ID# / T � �I �l�O U ���� ��Cp� { <br /> (QBTAINEO FROM PROPERTY TAX NOTICE) I <br /> WORK PRBPOSED , e NEW CANSTR� ADD/AtT � S1GN• Q Q DEMOI.tSH <br /> IN3TALL REPAIR i <br /> PRQPOSED USE Q SFR � C{7MM �] OTFiER <br /> TYPE OF CONSTRUC'i'ION Q BLOCK T �] FFtAME C�] STEEL Q ''' <br /> �'' / i <br /> DESCRIPTION OF WORK � L �I�j� G�-'�ZG�� — �✓ON !� D��. �rr1' DNG�'/tJ� i <br /> � <br /> BUILDING SIZE 5Q FOOTAGE HEIGHT ' <br /> �8���'Q»� � � VALUA710N QF TOTAL CONSTRUGTION _ <br /> QE�BCTRICA� � � AMP SERVICE Q PRQGRESS ENERGY Q W.R.E.C. <br /> QP�UM8ING � i <br /> � ��J ��� 1' <br /> QMECHRNICAL $ ���� �v ' VALUATION OF MECHMIICAI.tNSTALLATlOtV ' <br /> QGAS Q ROOFIl+tG Q SPECIA�IY [� OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLQOD ZQNE AREA �YES NO <br /> ���E�E� COMPi4NY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Addres� Cicense# �� � � <br /> EIECTRICIAN � CBMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r� � <br /> PLUMBER � COMP.ANY <br /> $IGNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address License# �—� � <br /> MEGHAi�i1CAi. �.,+ . C 1,`�t,, , GOMPANY ��}�'� fijdlff'11j�- S ���' ,.��j <br /> SIGNATURE �'��'�''� `""�'��h^-� REGIS7ERED Y/ N , FEE CURREn Y/N <br /> � AddrBss `7'�}7 j /7�f�.'!�/ ,�'�}J�-S �, a LicenSe# (..�/1�"U���c��'��� <br /> OTFlER COMPANY <br /> SIGNATURE REGISTERED Y/ N. FEE CURRE� Y/N <br /> Address - License# � � <br /> REStDENT1A[., At#ach(2}Rlof Rlans;{2)setsof Building"Plans;(1)set of Enengy�Forrns;F2-O-W Pemiit far new canstructian, <br /> Minimum.ten.(10).working;days akec,submNtal date. Requlred onsite,ConstrucHon Plans;Stormwater Plans w/S(It Fence installed, <br /> Sanitary Facilikies&1.dumpste,r,Slte'Work-Parmit for subdidlslons!large projects <br /> - COMtd1�RClAL Attach{3}cornptete sefs o#Buitditig'Plans plus a Life Safety+Page;{1}set of Et�ergy Forms.R O-W Pertnit for new cansUuetion. <br /> Mlnfmum ten(10)wa�lcing days afker submlttal date. Required onsite,Ca�structlon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster.8[te Work Pertnit for all neinr projects.AI!carremercia!reqairements must meet comp!}ance <br /> StGN PERMIT Attach{2}sets of Engineered Plans.,, � <br /> ""`PROPER7'Y SURVEY required for all NEW canstructlon. <br /> Dlrsatlons: <br /> Ffll out applfcaUon completely. <br /> Owner&Cantractor sign back of appliratlon,notadzed <br /> if aver 52508,a Natice af Commencement is required. (AIC upgrades over!�T500) <br /> '" Agent(for tFie contractor)or Power of Attomey(for the owner)would ba someone with natarized letter from owner authorizing same <br /> dVER THE Ct3UNTER.PERMITTiNG (Front af Application Only} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on publtc roadways..needs ROW <br /> � � <br />