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813aso-ooxa City of Zephyrhills Permit Application Fax 813asaoaz�
<br /> Bullding Department
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<br /> Date 12ecetved Phane�.Contact far,Parmltttn �!� �t� — G� Y'�,�
<br /> 4wner's Name l �r�1' �i YN� '� s� �'.Of Owner Phoae Flumber ���^�a�
<br /> � � Zl T .
<br /> Owner's Address � � - � .� T Owner Phone Number �� ` �
<br /> Fee Sirrnple Tltlehold�r Nama � ' � Owner Phane Number '� " �
<br /> Fee Simpte 71tleholde�r,Address '
<br /> JOB ADDRES8 LOT# C�
<br /> SUBDIVISION ; � � PARCEL ID# - �
<br /> , . (OBTSINED FROM PROPERT1f:TAX NOTICE)
<br /> WORK PROPOSED � NEW CONSTR ADDtALT � SIGN` Q Q pEMOL,ESH
<br /> INSTALI. REPAIR •
<br /> PROPOSED�U3E Q SFR Q COMM ` Q �C}TFiER ' `
<br /> TYPE 4F CQNSTRUC'1'ION Q ' �BLOGK " [] FRAME �� $TEEL ,�Q
<br /> DESCRIPTION OF WORK L ,3 Lyl�✓ d,,ipT f/�rs
<br /> BUILDING S�2E �� � SQ FOOTAGE��, HEtGHT�-��.�
<br /> �B���d���' I- . � VALUATION"OF'TOTAL COI�STRUCTION
<br /> , .J
<br /> QELECTRIGAL _� � AMP SERVICE Q PROGFtESS ENERGY Q W.R.E.C.
<br /> QPLl1MBING $ ' � �cj,`��
<br /> ,��� , � �
<br /> �MECFiANtGAL $�j���• VALl71�TION C1F MECI1AidIGAI!h!S'i`ALCRTit3N -
<br /> � 7 �
<br /> (�cAs [� �ooFis�� .p SP.ECIA�TY Q o-r�E�
<br /> FINISHED FLOOR ELEVATIQNS ��� FLOOD zONE AREA . QYES NO
<br /> -_ 3.
<br /> BUFLDER COMPiAN1tA. = . `
<br /> SIGNATURE REGISTERED Y/ Pl � FEE CURRE� ` Y/N`
<br /> Address � License# � �
<br /> .. . , � - ' .. ,.
<br /> EtEGTRtC1AN : . -=GOMPANY' � ' `
<br /> SIGNATURE '�` REGISTERED Y/ N FEE CURRE�� ' '�Y/N- '
<br /> Address . _r.. . Lfcense;#:If � .�� �
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<br /> PIUMBER CCiNtP1�i�lY ._ � . - ,,; . .
<br /> SIGNATURE' " ' , u REGISTERED� � Y:/,.N�. ,�FEE;CURRE� '.�. Y/N_ :.,
<br /> Address . ircense# (•. �. - � �
<br /> MECMANtCAL` ' , ,����..._ .__ , . Y CQMPANY `,-����5 ,�t.o. A!+G L G,dS G s/
<br /> SIGNATl1RE REQISTEREn Y,/ N , - ,, FE CURREP Y,/�N -
<br /> Address� ` ' � � � . � - License#' _G�r-.a f.,,?9 %� �
<br /> _. , . ,.
<br /> oni�� . � . . s con��Au,r� _ .
<br /> SIGNATURE � � '� � � ` ` ' " ' �REGISTERED Y/ N>.� FEE CURRE� Y/N.
<br /> Addres�, „� � _ � � ' License#�� � �
<br /> RESIDENTIAI;,: _••l1#tacti{2j,Pfot.Plarts;;(2}set"s,of'Bultiling?Plaii`s;{1}"'s`efof�Energy=Foiiiss;R=Q=W Peripitfar new canstruction, �
<br /> , ..� Minimum;ten:(�1.0)�working;days,aiter subriilEtal`date.�,R'equlred onsite;�ConsttucHon-Plans;�Stortnwater'Plans w/SilYFence fnstalled,
<br /> `�A��Sanit'ary Fadl(tles,&s13,.;dumpster,xSite.YVor1c�P;,ermit fnrsubdivisioi�s/largiatproject�s _ � ' � -
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<br /> COMMERCIAL Attach(3)�cbinplete�set`s of'Buflillisg`Plans plus a"Cife Safety Page;('1}set af Energy�Forms.R-O-W Permit far neuv c;bnstruc8an. _
<br /> Mtnimum ten(10)working days'efter subtnittal;date. Required onsite,ConsUuckion Plans,-Stormwater Plans wl Silt,F,ence installed,
<br /> Sanitary.Facilitles&1 dumpste�,�,ite Woric Permit for all new.praJeofs::Rl!commercial requlrements.must meet comp!lence' :'`
<br /> StGN PERMiT Attacti-(2)'.sefs of'Engineereii:F'�a�`ys.. ,:..;;�. . . . _ .
<br /> """PROPERTY SIJRVEY required for all,NEW construction.
<br /> Directian�: , ;�, -` � - -
<br /> F(U out applicaUon completely. '! �` ` '
<br /> Owner&Contrackor sign badc af appticatton,notarized ' � ' , , �
<br /> if over�2500,a Notica af Commencemeqt is,�uqulriad. (AlC ap'grades ovar 57500) � � ,
<br /> �t .,. � .._. ,.. , . ,,.._r.:�i•.1 ..
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<br /> '" Agent(for the contracEor)or'Power of`Attoiney f for ttie irnnmer)iivould be someone with notarized letter from owner authorizing same" �
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<br /> DVER7HECOUNTER,PERMITfiNG:..' '- :(Fron�of'APplication-0nly);;�; o: .�� ,� ` . .. - _ �`1.,,s...:,�-.+,w..v.h__« .,. _...a
<br /> Reroafs if shingles Sew�rs „ Service Upgr'ades,:�%C :'Eence§'(PIoUSurveylFootage) ^ ,;- �- „-,,:: ,...., -, �K�� = �
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<br /> i. ;. '�:5�cs;': � t .�.
<br /> Driveways-Not over Caunter if on.pubtfc roadW�ys.,neei�s,ROW�, i . - - •. � .. ,.,.. . G��..,:.. �y`s,�r�
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