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813-780-0020 City af Zephyrhills Permit Application Fax 813-780-0021 <br /> Bu3lding Department <br /> Date Recelv,ed * Phone Cantact for Permlttiri� �'.���/� - '��£s" _ �3�C� <br /> � � � � " ; , p �i /�/ <br /> Owner's Name �b � �.-� � Owner Phane Nurntier ���- ��O - Z'3`x'G� <br /> Owner's Address �'7� � ,�/ ZE'_ �(�l��l�.s ,33 ' Owiner Phone Number � <br /> Fee Slmple Tikleholder Name �- -� Owner Phone Number � �� <br /> -� <br /> Fee Simple Titleholder Address � <br /> JdB ADDRESS 5 ��G lC� 5� ��/°����r�� 3 7�'''S�� LOT# C� <br /> St3B81VISiON �� � PARCEL iD# � l-��T�`` j-�l�- O �'"��� ~ �3�!C� <br /> (QBTAINEO FROM PROPER7Y TAX NOTICE) <br /> WORK PROPOSED �ntEw CONSTR ADDtALT Q SiGN Q [� DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPQSED USE. Q SFE2 Q GOMM Q OTHER c�3 <br /> TYPE OF CONSTRUC710N � Q BLOCK ' [] FRAME [� STEEL CJ <br /> DESCRIPTION OF WORK * d� �' rt$�l2 ��LI. � /L 7'o Prr�� 1-2-.s�« f'Ct.�Dt�G�L:�� � <br /> ... /!ci✓ .k.��e ! �',. <br /> BUIIdING S12E � � SQ FOOTAGE c��� HEIGHT C�� <br /> �B�i�����' � � !'� �r� VALUATION�OF TOTAL CONSTRiJCTION <br /> �J <br /> QEtECTRICA�. � � AMP SERVICE [� PFtOGF2ES5 ENERGY Q W.R.E.C. <br /> QPl.UMBING �� <br /> '"] /�� <br /> QMECHANICAL $ VAIUATtQN C1F MEGHANICAI INSTAE.lAT10iV ��� l t �;} <br /> . ' 2�� <br /> QGAS Q RC}OFIHG Q SPECIALTY C� OTFtER � <br /> FINISHED FLOOR ELEVATIONS r�� FLQOD ZQNE AREA QYES NO v' <br /> L <br /> � �aui�c��R �� ���'..� coM��a�nr �'��n. �c� .�...�t��� ��c s r <br /> SIGNATURE / \ ,l/""' REGISTERED Y/ N F R E� Y/N. <br /> Addrass c� L(cense# 1.�.'1.3-��'�(��� <br /> EIECTR(CIAN COMPAti1Y <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# r� � <br /> ,. .., „_ <br /> P�tlt�I1BER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �—� � <br /> MECMAfi11CA� COMPANY <br /> SIGNATURE REGISTERED Y./ N FEE CURRE� Y/N <br /> Addres� License# � y� <br /> ! OTHEft COMPANI! <br /> � SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N <br /> Address Lioense# �� � <br /> EtESiDENTiAi. Attach{2}Plofi Plans;(2)sets=af=6uilding°Plans;{1}set af Eriergy°Forins;R-0-W Perrrilt far new consttvaftan, <br /> Minimum.ten-(10).working'days aftec.submtttal date: Required�onsite,ConstrucBan Plans;•Stortnwater Plans w/Silt Fence installed, <br /> Sanftary Facilities&r1.:dumpster;Slte Worlc�Rermit for subdidisions/large projects <br /> GOMNIERCIAL Attach{3}ccmplete sets of Bu91d'iRg Plans plus a Ufe Safety Page;{1)set af Energy Fomts.R-CT-W Petmit far new construction. <br /> Minimum ten(10)working days after submlktal date. Required onsite,Constructlon Plans,Starmwater Plans w/8flt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Perm(t fior all new projects.Ail commerciai requlrements must mest compllance <br /> StGN PERMIT Attacti(2}se#s af Englneered,Ptans.:: :� _ <br /> ""PROPERTY SURVEY required for all NEW constructlon. <br /> Dlractlons: <br /> FIII out application completely. <br /> Owner&Cantractor slgn back of appltcatton,notarized <br /> If over 52500,a Notice of Camrnencement 1s reqnired. {AJC upgfiades ovar 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner}wauld be someone with notarized letter from owner authorizing same <br /> DVER THE COt3NTER PERMITTING {Front of ApplicatEon Oniy} <br /> Reroofs if shingles Sewers Service Upgrades A!G `Fences(Plot/Survey/Footage) � <br /> Driveways-Rtot aver Counter if on publfc roadways..naeds RdW ` <br />