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e��-�so-ooao City of Zephyrhills Permit Application FaX-s�aaeaooz�
<br /> Buflding Repartment -
<br /> Date Recetyed C�'�ZU'`�� � Phone Contact far.�PerinittEn .��� �7 D '
<br /> qwner's Name ..�� vi. Owner Phane N�mber .Sv��Z���l 70
<br /> Owner's Address 3 o'�Z Ca TrD V1 0 Owner Phone Number J�G ��-�G/_'��Z� _I
<br /> Fee 5lmple Tltleholder'Name � � Owne�Phone Number '�� �
<br /> Fee Simple Titleholder Addresa
<br /> JOB ADDRESS �� L � W�0 4T �!G +.',. LOT# �_��
<br /> SUBDIVtS10N � � P.ARCE�tD# W
<br /> . (08TAINED F.R4M.PROPERTYTAX NOTICE)
<br /> W4RK PROPOSED �.,NEW CONSTR ADQIAI.T � SIGN C] [� DEMOLISH
<br /> -e: INSTAL4. 8 REPAIR
<br /> FRQPqSED:USE _ Q� SFR Q COMM Q OTNER �
<br /> TYPE OF CONSTRUGTION � Q ' "BLOGK ' [� FRAME ' G� STEEG Q
<br />� .
<br /> DESCitIPT1�N OF WORK v J � �Q c..2 "'�W t�CZ �'��r i G�� Y�O 1+rt �vt Gf O WS
<br /> i BtlILDIMG'812E _�� � 3{�FOOTAGE�� H51GHT .C�_____�
<br /> ��������" � ,� ��lZ VAIUATE0t+1'�CiF`TO'4'PiL COt�STRt1G1'ION
<br /> E�ECTRICAR. . -� � AMP SERVICE Q PROt'aRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING ' � �y�'� �
<br /> ��_ � � � .� �
<br /> , �
<br /> QMEGHANICAL $ VALt)ATtOtV QF MECHANiGAi INSTALlAT10i+1 ���
<br /> y��b
<br /> �� [,,,�]GAS CJ RQOFING Q SPECIAI.TY [� OTHER - "!'
<br /> i
<br /> FINISHED FLOOR ELEVATIQNS � FLOOD 20NE AREA [�YES NO
<br /> �; BUFl.DER ' �� ` COMPANY ����-�Cl{.�Yl i°f--
<br /> '� SIGNATURE �"�O�' � REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address ` CicEtttse# � �
<br /> �
<br /> � E�EC'CEi1C1AEt , ' �`COMP�WY
<br /> SiGNATURE �' REGI3TERED Y/ N F�'cuFtRer. Y/N
<br /> Adctress • - _ ' - � , . , Licanse,# � . �
<br /> � PLUMBER � „COMP.ANY . .� °� ,
<br /> ' SIGNATURE �y , REGISTERED . Y:/.-N �FEE CURREP ', Y�/N `
<br /> Addre�s � - ' ' License,# � - , '��.
<br /> MEC11Al+lIGAE: ` � � C.OMR�WY, � -
<br /> SItiNATURE � ' REGISTERED � ... Y/ N ' FeE�cuttt�n Y,/-N
<br /> i ' � , . . _ . , , ,. � ,
<br /> Addre�s' ' s- � ' ' ticense.# �—� ��
<br /> OTHER � - � ' � �;COi111PANY, , � �
<br /> SiGNATURE ' � � ' � ` ' � � �REGISTEFtED " � Y/ N... FEE CURREA Y/N
<br /> Addre�, � » � ��r � � ' Llcense#�� �
<br /> �;;;-,...:: :. .r . . .. .. ;. � .
<br /> RESIDENTIAL•:,_.°Attach"(2j P1ofiP,lans;,(2)sets�of::Butliling�Plai►s;(1)sef of-Energjrx�oiin's;R=00.W Perrmiit for new copstruction, .
<br /> - Minimumkten�(1.0);wo,rking;days_aiter�"submittai`date.�R'equlred onsite,ConstrucUan:Rians;Stormwater'Plans w/Siit Fenrs installed,
<br /> - � ' "���� Sanitary FaclltUe.s,;&;1;dumpste_r,�Site Work,Permlt#onsubdivisio�s/large<pr,ojects ,N,::., � `- � -�: � '
<br /> CQMMERCtAL Attach{3)complete�sets af Bu1l�liig Plans plas a Ufe Sa�iy Page;{1}set of Energy Forms.!Z 4 W Pesmtt�os new aanstnsction, - --- -
<br /> Minimum ken(10)working days after submittai date. Required onsfte,Construc8an Plane,Stormwater Plans w/Silt Fence lnslalled,
<br /> Sanitary Facilitles 8�1 dumpster.Site Wodt Permit�or ali new:proJects:All commercial.requlrements.must meet campllance `
<br /> SIGN PERMIT Attac�'{2)sefs of'Englnee,r,ed�1?ians. ..: .<: : , , , ,
<br /> ""'PROPERTY SURVEY required for all NEW construCUan.
<br /> Directlons: .. .:. � . , � �• "
<br /> � FIII out applicaUon completely.
<br /> Gwner&Contractor slgn back of appllcaUqn,notarized
<br /> tf aver�2504,a Nottce of Commencement is required. {/VC apgrades aver ST500) ,
<br /> M ... .F�:�_`
<br /> Agent(far the contractor)or"Pbwer of�Attoriiey'(for tFie owner)would be someone with natarized letter ftom owner authodzfng same
<br /> OVER THE COUNTER PERM17'f1HCa.�.,,M•3,:(Fftin#of=1tPP1IcaBon�Onty}��^ �y , " . , _. _.�,_.._ ,.,.. �: '.":-'. -: :
<br /> Reroofs(f shinglas Sewers Service}Upgradas,-A/C ._ Fences(Plot/Survay/Footage) r - " � � . .1
<br /> Drivswaya-Not aver Caunter.if on�publlc roadways..ii�eds Rt3W<, ` �{, f F . � , ' . '�� �� �...
<br /> '„ ... .�M: ... . .. .wN.- .�,-• - _•,.,,, , " .:, ....... .M..<. . ,-. . � ,. �. ,__., , . .
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