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813-reo-oo2o City of Zephyrhills Permit Application Fax 818-780-Op21
<br /> Butlding Qepattment ��Z ` �� j 2,
<br /> /�
<br /> Date Recelved , `� > Phane-Contac#for:Permtttin �� — CS�•!•�
<br /> Owner'a Name �JO ,�r �� D Ow»ar Phone Number ,,,�_,,,��
<br /> Owner's Address l a�� r� T Owner Phane Number �
<br /> Fee Slmple 7ltleholdeeName �� � Owner Phone Number '�— �
<br /> Fee Simple Titleholder Address
<br /> J08 ADDRESS �/Q�l LOT# C_�
<br /> SUBDIVISION , �� � RARC�L ID# � � >
<br /> - (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORIC PROPOSED • NEW CONSTR ADDIAt.,T [,� S1GN" Q C] DEMC?I:ISH
<br /> INSTALL 8 REPAIR
<br /> PROPQSED�USE Q� SFR Q COMM C,� OTHEFi
<br /> TYPE QF CONSTRUCTION Q BLOCK ' [�] FRAME [� STEEL Q
<br /> DESCRIPTION OF WORK G � �
<br /> BUtI.DliVG S1ZE � � SQ f007"AGE�-.-�_ . HEEGHT _C_.._i�
<br /> QBt11GE}ItVG ($ , � .�._. « _-: _ , . .
<br /> L VALUATiOtV"OF'TOTAI CON31'RUC'C{ON
<br /> QE�EGTRIGAI $�'— ' � AMP SERVECE Q PROGRESB ENERGY [� W.R.E.C.
<br /> �
<br /> QPLUMSING $ � f ��
<br /> ..�� 6��
<br /> Q �O � VALKlATtQN OF MECHANICA�INS'TALLATION.
<br /> MECHANtCAL $
<br /> 31�0 -
<br /> C]GA5 C] ROOFING .[� SPECIALT,Y. [��] QTHER
<br /> FINISHED FLOOR ELEVATIQiVS �� FLOOD ZONE AREA QYES NO
<br /> e�u��.��� co��A�rr �
<br /> SIGNATURE REGISTERED Y/ N FEE CURREA ` Y/N
<br /> Addres� � � -. Licerrse�# �— �
<br /> _ �.. � • � .
<br /> ECECTRtC1AN: � _G'OMPANY, ,
<br /> SIGNATURE ' REGIS7ERED Y/ N �ee cut�n- "-Y 6 N
<br /> Addre�s . . ., _ License:# � �
<br /> FLUMBER ' �COMPANY . -
<br /> SIGNATURE' " � , ,� {REGI57ERED . Y/.-N•, - �,FEE CURRE� ,: ' Ya/N
<br /> Address � + License.# � ' �
<br /> ��{fflL ' a
<br /> MECHANICA3: � - . GOMPANY „S. IG.- sv� A.S�'� '�"
<br /> StGNATURE- �� REGIS7ERED , Y4/ N _ FEECURRE� Y./:N
<br /> , + C�iG d�,,�s !►.'g' �
<br /> Address`� �- � � Licanse#�
<br /> OTHER � ' . � � . °�CQMPANY �
<br /> SIGNA7URE �- " ' REGISTERED - Y/ N., FEE CURRE� Y/N.
<br /> Address � - . - � " tici�nse# � � -
<br /> RESlDENTIAt»,;•:-._ :Attacli'(2)rPtot�Plaiis;•(2)sets.of:Biillding'Ptaos,{'1}sef afr�nergy�Foitns;R-0=W`Pemslt for new construation, • .
<br /> -..:Minimum;tep(+1.0);woricingjdays aftec:subinittal`date:�.Required onsite,-�cinstnicGon�Plans,'Stortnwater Plans w/SIIYFence installed,
<br /> .._°���.,, . _ ,
<br /> Sanifary FaclllUes:&�;1.,dumpste_r,-Slfe WorlccPermit for,sutidiVisio�s/large=projects. :�
<br /> COMMERCIAR. Attach{S)�6oimpleCe seGs af'Butldl�g°Rlans plus�a t,ife�Safety Page;(1)set af Energy Forms.R-0 W Pemti#ior new canstruc�on.
<br /> Minimum ten(10)working days afker sutimlttal date.'Required onsite,Canstructlan Plans,Storrnwater Plans.w/SUt`Fence installed,
<br /> Sanitary FaciliUes&1 dumpster_51te Woi1r Pe[mit fo�all new.projects..All commercial,requlrements.must ineet caomplianes
<br /> StGN PERMIT Attadi"{2)`s+ats ofEngineer,edcPlans.� _.-,+� , . ,
<br /> "`"PROPERTY SURVEY r�quired for all NEW construcUan. .
<br /> Dlrectio»�: ° �
<br /> Fill out applfcatlon ccmpletely.
<br /> Owrner 8 Contractor stgn back of applfcaHon,noharized
<br /> {f over�2500,a NotCce af Cammencement is required. (AtC upgrad�s over�7500) .
<br /> ,. ,�,.,�;,�.,_�
<br /> '" Agent(for tFie conhactor)or'Povirer,of�Attomey�(for tiie-owner),would;ti�,;soineone with notarized letter from owner authorizing"same- - _• --
<br /> ,, - ,
<br /> 1 , ;.;,,. .`_y:.���..�; .t` - ,. , , '_ : '_i�`: ..,
<br /> DYER THE COUNTER.PERMiT(1FIG. � , .(Front-af�APpflcatton{}n1Y),'` '�;: s:n � „ i , -�-,,� ,�.. ,,.:., • : �
<br /> Reroofs if shingies Sewers Service�Upgrades.,,/,>/%C , •Fences(RIotLSurvey/Footage) , '� ,-_,, , • ', _ _
<br /> . . . , �;:,
<br /> � - ~ . . , " ,,, „ , .3 .. . .., -, . .
<br /> Drivaways-Not over Counfer if on publfic roadwrays::iieeds ROW ,���°'•�- '.. , ' ' -.�, , 4 ' .,_-.
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