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813-780-0020 City af Zephyrhills Permit Application Fax-813-780-Op21
<br /> , ; Suilding Departrnent
<br /> Date Eteceived _ (j3,,t�� , Z'c� }�,, • P!hcne Contact'for Permittin _ —
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<br /> Owner's Namg ��,��"T)02 Gt.1r t'i�e�--•. C�nrner Phone Number 3 S�2—� �--��' 2.��� �
<br /> 4wner'�Address �7��JZ— , ��" .S �`�c�T QwnerPhone-Num6er �� z•��tS- �Q� 1 �
<br /> Fee Slmple Tltleholder Name r— ` � Owner Phone Number �� �
<br /> . �--
<br /> Fee Simple Tltleholder Address ''`
<br /> JOB ADDRESS S �Z �'� �rr k=-"�'� ' Z"'� � �"k'` � �� LOT# �
<br /> SUBpWISION - � � PARCEL ID# _ .
<br /> � - (087AINED FROM PROPERTY TAX NOTICE), -
<br /> WORK PROPdSED NEW CONSTR ADD/AL.T � SIGN -[�' ''� DEMQt,ISH ' -
<br /> � , INSTALL e. . REPAIR �
<br /> PRf)POSED USE [� SFR Q COMM � OTHER �
<br /> TYPE OF CQNSTRUCTION' Q BLOCK "' Q' FRAME' Q STEEL Q
<br /> DESCRIP710N OF WORK f I" 1� �Y'"1, �� �
<br /> BUILDING SIZE �� � �' $Q"FOQTAGE�. HEIGHT �„ � _
<br /> QBUILDING � � `'^�'��--
<br /> VALUATION�?,yF TOTAL CQNSTRUCTION
<br /> QEI.ECTRICAI �i � � cs�,, AMP SERVICE Q PROGRESS ENERGY C] W.R.E.C.
<br /> �� �
<br /> OPl.UMBING � � •
<br /> QMECHANlCPiI � � VALUATlON OF MECFiANICA�tNSTALLATIQiV
<br /> - QGAS Q ROOFING.„Q SFECIA�TY [� 4THER
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<br /> FINISHED FLOOR ELEVATIONS _ � FLOOD ZONE AREA �]YES. NO
<br /> - - �:
<br /> �tJILDER COMPANY �
<br /> SIGNATURE REGISTEREp Y/ N FEE CURRE� Y/.N
<br /> Addres� ' � License# � �
<br /> t.;
<br /> EtECTRiCIMt �� , J ' COMPANY -
<br /> SIGPIATURE d'��""`�"'� . •�� REGISTERED Y/ N Fee cuR�n Y/N
<br /> Addre�s � � Ltcense# � I
<br /> PLUMBER' COMPANY° '� " �
<br /> SIGNATURE � REOIS7eREp Y/-N � FEE Cuwte� Y!N:
<br /> Address Llcense# � �
<br /> MECHANIGAt � . - GOMPAt�tY � - '
<br /> SIQiNATURE ' �� , REGISTERED. ; Y:/ N , . FEE CURRE� Y/�N .
<br /> [-
<br /> Addre�s•' f � � , License# I. _ �
<br /> OTNER � " � � � COMP1,lNX� � �
<br /> SIC3NATURE. ' ���` ' ' � REGISTERED Y/ N � � � ;FEE CURRE� , Y:/N�..
<br /> - Addreas , . „5 ...s. _-" ��s;,, �- .. ,, � ,. , , .' ` � "License#' ,
<br /> , ,:.��,�, .,, ,�-.. .... .
<br /> RESIQENTIAt: _��,'�Attach.(2j'Flot�:P„lans;�::(2j'setsrof+Buildi'rig`Plans;`(1}set of-EnargyrForrns;:R-O=tNrPeririit for oev.u;;consbu��on,.
<br /> _a�Minimum�ten;(1Q);worfcing,clays�„afte�:�sutiinittal tlate.t.Requlred onsite;�C'onstructlon-Rlans;-Storrriwafer�Plans w/Stlt Fence instal�ed,
<br /> � , :.. .,,._; . .. ,. � .
<br /> ' Sa�ifary.Faclllti,es;8?1,:dumpster�_Slte%WorkyPeitnit_tor;."sutidivislonsAarye;proJects�;:�.'u.;'��;. ,�'; "'.; ' _
<br /> COMMERCtAt Attach(3j ccinptete'sets'of Huitiling Pians ptus a Ltfe�Safely Page;(1}`set of Energy Farms.R O-W Permit for new constcuctton.
<br /> Minimum ten(10)working days after submittal date. Requlred onsita,ConsUuction Plans,Starmwater Plans w/Sflt Fence i�stalled,
<br /> Santtary Facltities&1 dumpster.Site Work Perm4t for ait;newSprdJeo#s':Afl commercial.requi�ements must meet comQllance
<br /> SIGN PERMIT Attaatfi(2)=sets of'Engi,j;%eer,ed�P)ans:,�;��e`., ... -. � :.} � . . ° �
<br /> , . ,. .
<br /> ;� ""'PROPERTY SURVEY reyuired for;all NEW construCtion.. .
<br /> � Directlonst �. . � � -- ... _. f `
<br /> FfO.out application completely,. _. ,.
<br /> {iwner&Contractor slgn back.af app4lcaUan,notarized
<br /> � If over�2500,a Notice of Commencement is requlred. (A/C upgrades over�7S00j ,
<br /> �..:":���s's"="k<'�` .. -_ ��-
<br /> ... ... . . .. ..... ..._ ..... .. -
<br /> '" Agent(forthe contractor)or:Power of Atfoiney(fo�ttie ownerj would be someone with notarized letter from awner authorizing same
<br /> 'DYER THE COUNTER,.PERMi1'fING-�-•- �{Front:af-Appttration Oniy) - � � � �
<br /> Rert�ofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage)
<br /> :.:,��.1.,.� . • ^ ; - � _ � -
<br /> Drivewrays-Nat over Counter if on public roadways.:needs ROW '
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