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8��-�so-ooza Cit�of Zephyrhills Permit Application FeX e�a-7saoo2�
<br /> � • Buitd�ng Department -
<br /> Date Recslved Phone�Cantact for=Pe�mtttin �t� �7 - � ot t
<br /> Owns�'s Name 4� � C�l.....� Owner Phane Number V(��� �l� 7�
<br /> Owner's Addrass � J.7C� C� G�l� � �-. � Owner Phone Number -�-� .�
<br /> Fee Simple Tltleholder.Name � � Owner Phone Number � �
<br /> M .
<br />�
<br /> Fee Simple Tltleholder Address
<br /> JOB ADDRESS C� ' LOT# C�� �
<br /> SUBDIVtStON � , � PARCEL Ip# C�a�'c7.�'�a "�� (C�"C� �}�QC�-^'��p��} `,
<br /> , , (OBTAINED FRONl.PROPBRTY TAX NOTICE)
<br /> WORIC PROPt?SED ¢_NEw C4NSTft ADDIAE.T � S1Gi+t Q [� DEMOi,iSH
<br /> '.e. INSTALL 8 REPAIR -•
<br /> PFiOPQSEQ�.USE -��' ' SFR Q GOMM Q OTHER ' ' '
<br /> 'TYPE OF CONSTRUGTION k Q ' BLOCK + [,� FRAME � STEEL CJ
<br /> QESCRtPTION OF WORK �, ��R.� � C9 Gk-'C � � C � �S�`�N►il J --- S
<br />� BtliLDING SIZE �� ���SQ FOOi"AGE ' _ HEIGHT C�_____�
<br />� QBUi1.DING $ • � �
<br />� , VAIUATION"'tO��O`fA�COi�STRt1GTi0A1
<br /> QELECTRICAI . � � AMP SERVICE Q P140GRESS ENERGY Q W.R.E.G.
<br /> I QFLUMSIIVG '�-� ' � ( (���
<br /> [�MECHANiCAL $ �c, VRLUATION OP MECHANICAI IIdSTALlRT10N
<br /> �' ��E°
<br /> � -
<br /> QGAS Q ROOFIPtG ;Q SPECIALTY � CITHER
<br /> FINISHED FL.QOR ELEVATIQNS �---� FI.00D ZONE AREA QYES NO
<br /> — �s
<br /> BUlF.DER COMPANY
<br /> SIGNA7URE REGI$TERED Y/ N FEE CURREA Y/N
<br /> Address Ltcense# � � �
<br /> EtECrRlClXN: ,,,,�/�J, j`rt.-�^-..,..�� . `�COMp,4NY -. � `"T- 1.��:. ;,t
<br /> SIGNpTURE REGISTEREO Y/ N FEE CURREk� 'Y/N ''
<br /> Address , � . License# ~� �L,t;� `�C3 � ���( � �
<br /> P�UMBER ` - . GONIPANY .. - �
<br /> SIGNATURE` ' , REGI57ERED, : Y/.N- - ,FEE CURRE� � Y•/N .
<br /> � , _
<br /> Addre88 � , L1C8R$9# �.. ,�.
<br /> 1 � r �
<br /> MECHANICAE: COMP�tFlY, ��? �'{�t,• . � �f}
<br /> S1GNA7URE REGISTERED., Y,/ N _ __ � FEE CURRFJ� Y/:N :
<br /> J�ddress� ~ .. J � ` ' License# [�.�r i'�1�'�7,?-��`► �
<br /> O'THER .` � . , . �CQMPAt+1Y ` - ` .� �
<br /> SIGNATURE �� ' •� ` `REGI37ERED Y/ N:. FEE CURREA Y/.N
<br /> .,,� - � .
<br /> Addre�s 1 .. ._ ��. . ' - - � l"icen`se# �� �
<br /> .. ... . 4�.:: '.: � 3��.: _:.. .. ,- ...� . '
<br /> RESlD�Ni1A1:;�.= Attacti:{2)„P1otjRlans;:(2}"s'et"s"�.cf{Biillding�'Piaiis,�{.1)set`of-Eriergy�Faiins;'Ft=O-W'Petinttfarnewconstru�tEan,
<br /> � ;;, Minimum:.ten;(:1,0),working�;tlays�affer',�submlEtal dat`e.'�•Requtred onsite,:C6nstiiicdon:Pians,Stormwate'r'P1ans w'/Silt Fence installed,
<br /> ;u....� .,,,.._„ ;,_.,. _ , ,
<br /> ' Sanitary Fa.cllldes_;&i;1.dumpster8lte•;WorkzPermit-for_subtlivisions/large�projects _,,. �_- �
<br /> COMM�RCiAI. Attach(3}�coinplete sets"of'Bulli4irig Ptaits`plus"a i.tfe Safety Page;{9)set of Energy Forms.R-tt-W Permlt for new cons#rucUan.
<br /> i Minimum ten(10)working days after submittal date. Requlred onsite,Constructian Plans,Stormwater Plans w/Sflt Fence installed,
<br /> Sanitary FacfliNes&1 dumpster.Site Work Permlt for all new�proJects:All commercial requlrements.must meat compilance '
<br /> St�N PERMIT Attacti'{2)sets of'Eiigineeredf.Flans:. .,--���, ��..,
<br /> '•""PROPERTY SURVEY required for a111NEW construcdan.. _
<br /> � Dlrectlans: � . -� - �
<br /> I, Ffll out applicadon completely.
<br /> Qwner&Contractor sign back of appficaHon,notadzed
<br /> if over a2500,a Notice of Commencement 1�required. {A/C upgrades over 37500j
<br /> `" Agent(for the contractor)br"Power of'AttoRmey(for the owner)would be�someone with natarized letter from owner authorizing same
<br /> f DVER�THE GOUNTER,PERMIiTtNG --r,{�ront of APPlicatian�Otiij+}",.'�,;...;";: = ' " •
<br /> �I RerooFs If shingles Sewers Service Upgrades'NC'�- -Fences(PIoUSurvey/Foatage) _
<br /> �.. - �..-' � , ,; ,^,:
<br /> i Drivewaye-Not over Counter if an pubtic roadways..iieed`s,ROW� +, , ,
<br /> �' ± `__�'.t . .. . ......... ..r.., ..., � . ,
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