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e�s-�eo-oozo Ci#y of Zephyrhills Permit Application Fax 813-780-0021
<br /> � ` Buitding Departrnent
<br /> Date Recetved � P.hone-Coritact�far'PermIttln - . .
<br /> Owoer's Name Owner Phane Nutnber
<br /> Owner's Address < i dwnerPhone Number � �
<br /> Fee Simple Titleholder Name Owner Phone Number � �
<br /> �
<br /> Fee Simple Titleholder Address °�
<br /> JOB ADDRESS � LOT# ��
<br /> SUBDIVISION �� � PARCEL ID# - -
<br /> (OBTAINED'FROM PROpERTYTAX NOTICE).
<br /> WORK PROPOSED , � •°� NEW CONS7R ADD/A�T �� SIGN, [� Q DEMO�.tSH
<br /> INSTAl;L REPAIR
<br /> PROPOSEQ USf SFR 'Q COMM � OTHER ' � "
<br /> TYPE OF CONSTRUCTION' BLOCK "' Q FRAME C� STEEL Q
<br /> DESCRIPTION OF WORK []�� l.� � 1/ �
<br /> BUi4DiNG•SIZE � � SQ FOOTAGE�� HEIGHT , v �
<br /> �_ OBUILQING $ ---� �. A. �,,... ._..
<br /> ����T) 1 VAWATION�`OF-TOTAL CQNSTRUCTION
<br /> v�v�
<br /> QE�ECTRICAE � � AMP SERVECE � PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $ ` „ � /�����t�
<br /> ��� �1
<br /> QMECHANtCAI $ VALtJATIQAi OF MEGHANICAL Ii�STALl.ATION �'�r�
<br /> QGAS Q ROQFlNG Q SPECIAL'tY � OTNER �
<br /> FINISHED FI.00R EI,EVATIONS � � FLOOD ZONE AREA �YES. NO
<br /> �Ut1.DER ����
<br /> SIGPIATURE � G�,��'�/� � ROMPANY Y/ NC� FEE CURRE� Y./N
<br /> Addres�s Cloense# l I
<br /> E�EC'iRICiAN COMPANY
<br /> SIGNATURE �4� REGISTERED Y/ N FEE CURRE� Y/N
<br /> Addres$ � , �License#.�_ �
<br /> PCUMBER CLIMP.ANY ..
<br /> SIGNATURE ' RECiIS7EREU , , Y/�N FEE CURRE� Y/N.
<br /> �d�� Ll'rsnse# � �
<br /> MECHA4�ICI4R: � COMPANY -
<br /> SIGNATURE ` REGISTERED Y:/ N FEE CURRE� Y/N�.
<br /> Address ; -
<br /> License# �� ..�
<br /> 07F{ER COMPANY
<br /> SIC3NATURE - ' � RE(31STERED Y/ N - � �e CUR�n ., Y/N .
<br /> _ �
<br /> Address -_�: - . , .. ,. ' Llcen"se#'� �
<br /> ilF. ..a�..n:,— ;.,.t '" ?'_`" . . ._ , i. :�'u,.� `�i:. .' ':�:.,s -'t.?� ,
<br /> RESIDENTiAL` "�Attach�{2)'..p1at:Ptans;::{2)`sefs:of:Bultiling�"Aians;.(1):sefof-Erseigyf�Foirns;`R-O=W�Petrrii,tfor;nsiy,coashu�tion,
<br /> _. r... z�- -
<br /> . Mlnlmumtten:(�1p);working;days:aftersu6mlttal:date:�Requlred onslte;�ConstrucNori�Plans;Sto'rmwate��Plans w/SIIt Eence lnstalled,
<br /> � -.., 'Sanitary-Fac1llf1es.8��4,:dumpster;,S1Ee;WorktPem►R#or sutid(vislons/latge"proj6GtS'::•_'e:d�`,.� ,.' `-`.' '
<br /> COtV1i5�ERCIAL Attach{3}complete sefs qf Bui1'iling`Ptans pius a'life Safe#y Page;�{1}set af Energy Forms.R Ct-W PermiE for naw canstrvctton,
<br /> Mlnlmunn ten(10)working days after submlttal date. Required onsite,ConsUuoBon Plans,Stormwater Plans w/Sllt Fence Installed,
<br /> Santtary Fadlltles&1 dumpster.Slte Work Pemslt for alt,;new'iprolects.All commerdai.requlrements must sneet compllance
<br /> SIGN.PERMt7 Attacti'{2}sets of Engi`�eeied;Plans:,,;z�;s�- � � . . - ... � -. -. �
<br /> """PROPERTY SURVEY regulred_for:all,NEW canstruction.. . • .
<br /> . Dlrections: � �_:,.� : . , . .
<br /> FIII out applicadan completely.
<br /> 09+++ner&Cantrac#or sign badc.of appllcaUon,natarized
<br /> ff over�52500,,a Notice of Gommencement is requlred. (NC upgrades over 57500) •
<br /> ..,, �;,M,,,t!�r;j:.'.ki';�• ,� .;. - �
<br /> '" Agent(for the co�tractor)or:Povre�of Atfdiney�(fio��the'owner)wauld be someona with notarized latter from owner authodzing same
<br /> DVER THE GOUN7ER:P.ERMiTi1NG ---.- Fmnt.of- , `,. '., �
<br /> � { APPflcation Only)- -- . .
<br /> Reroafs If shingles Sewers Servlce Upgrades A/C Fences(Plot/Survey/Footage)
<br /> � Driveways-Not aver Counter if an pubfla roadways.:naecis RC1W ` - � r '
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