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813•780-Q�20 City af Zephyrhills Permit Application Fax 813-780-0021
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<br /> Buftdtng Qepartment
<br /> Date Recelved � Phone�Contac#for Perm[ttin �. b �Q
<br /> Owner"s Nama G, �, ,S'tW� �G Owner Phone Number � �(� �
<br /> Owner's Address ��' L � Ownor Phone Number �� �
<br /> Fee Slmple TI#leholder Name � Owner Phone Numb�r
<br /> � �
<br /> Fee Stmple Titleholder Address
<br /> J08AQDRES$ �L 1 � �t ^ LOT# ��_�
<br /> StlBDtViStON �- �� � PARCEL iD# y
<br /> - , (OBTAINED FROM.PROPERTY TAX NOTICH)
<br /> WORIC FROPOSEQ 3 NEW CONS7R ADDIAtT [� S1GN` Q � [� DEMOLlSH
<br /> � INSTALL REPAIR - ,
<br /> PROPQ3ED?USE Q� SFR � COMM � OTHEF2 � , .
<br /> TYPE OF CdN3TRUCTION � C] ' BLOCK + [� FRAME C] STEEL Q
<br /> DESCRIP'f101V OF WORK
<br /> SUILD1t+IG SFZE ��� �`8Q FOOTAGE `CL`(j� • NEtGHT�'C_..�
<br /> �BUlI.DItVG $ � � ��� VALUATtON"OF't'OTAL COtStS'FF211G'TiO����
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<br /> QEL,ECTRIGAL � � AMP S�RViCE Q -PROGRESS ENERGY Q W.Fi.E.C.
<br /> [�PLUMSlNG .$ ' ,
<br /> C �-- � ���
<br /> QMECHANlCAL $ VALUATION OF'MECHANICAI tNBTALLATlQN
<br /> QGAS Q RC?OFING � SPEClA�TY �] OTHER
<br /> FINISHED FLOOR ELEVATIQNS �� FLQOD ZQNE AREA QYES. NO
<br /> BUILDER COMPANY= f% �G I S��
<br /> SIGNATURE REGI3TERED Y/ N F cuR�n Y N
<br /> ����$ Llcanse# � �
<br /> ELECTRICFAI�t= 'COMPAl�tY" -
<br /> SIGNATURE � REGISTERED Y/ N FEE CURREk � Y/N
<br /> Addre�s . _ ,. iJcense�#.� �
<br /> PLUMBER ` , � ,- GOMPAI+IY . � , I .--
<br /> S(GNATURE` '' _ • „REGIS7ERED Y,/.�N i FEE CURREA '- Y,-/N
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<br /> Addr988 ; � , lIC8t1SB,# � , . ��.
<br /> MECFfANlCA[: � � � GOMPANY ' .
<br /> $IGNATURE � ' ` "' RE�ISTERED Y./ N . , FEE CURRE� Y�/-N = �
<br /> Address` ' �- , .� � ` Licanse# � �
<br /> OTNER ; � ' � � 'CONIPANY ' G
<br /> SIGNATURE � ' '� 2 " �` _ � ' '` REGISTBRED� Y/ N,.- FEE CURRE� � . Y/N
<br /> Address _ 3� . . _ llceiise# � .� � �
<br /> ,. �. .=, � . .,.. .,
<br /> EtESlDENTIAL','= , Attacti'{2},�R[ofPlans;,.(2}sefs=bf�Building�Plans;'('1}�setof�Eriergjr�Foiins;`R=0-=WPerinitfarnewconstruc�oa,
<br /> , .r Minimumtten:y(:I,O)iworicing;days;aiter'submifta�'d'at'e.`�.Required onsife;CbnstiucNon�Pians;`Stormwater'Plans w/Stlt Fence�installed,
<br /> ' '"`��`Sanitary FaGlttless&=.1t:dumpsterSite�Worlc;P,.ermittor_sutidivisions/large;pro)ects, _ ` ` �
<br /> COMMERC#At. Att�ch(3)�cumplete set's'oE Buitding Pians plus a l:ife Safety Page;�{1}set of Energy Focros.R 4-W PeRntt for new construc�tion.•
<br /> Minlmum ten(10)working days af#er submithal date. Requlred onsite,CanstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
<br /> Senitary Facilitles 8�1 dumpstar.Site Work Permit for all new proJects._All commercial requlrements.must meet compliance
<br /> SIGN PERMIT Attacti`{2)"sets of'Englneer.ed,Rlaiis.� 1.-�� . `
<br /> '•"PROPERTY SURVEY reyuired,for all NEW ganstruction.
<br /> Directlon�: .._ -�_.
<br /> Ffll out appflcadon wmpletely.
<br /> Owner&Co�tractor sign back of appltcaUon,notadzad
<br /> If aver�2540,a Notice of Camntencement 1�requieed. {AtC upgrades aver�T504) , -
<br /> , �,.�Y,.,:.,:.:.. .,:tC;s•.z.^Hna'.1:..:_-...;+..�;s.�.-�rv�........
<br /> '" Agent(for the contractor)or P�iwe'r of Attomey_(fpr the owner�..vi�ould be someone with natarized letter from owner authodzing same
<br /> OVSFt 7'NE COUN'I�R.P.,.ERMITTING� �=;��Fro'nt of�AFPlioatEbn:Only}.�'.. ;t ` �
<br /> Reroofs if shingles Sewers ` Service llpgrades-;A/C Fences SPIodSurvey/Footage) , ., ,
<br /> Driveways-i�2at over Counter tf on public raadway`s":neeifs'i2b�+il""''�"`-' . . ..
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