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, --— �.. . <br />� e�a-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0029 <br /> 4 Building Department � <br /> Date Reaeived Phone�Contacttar Permlttin �� ! �� — ���� <br /> Owner's Name �� � ���'�t�00'.��1�� ��� Owner Phona Nunriber C� 3 :���-���.� �, <br /> � � � �. � <br /> Qwner`s Addre�ss '��f�,��• .��. ��'P ��� � Owner Phone Number <br /> , , . ,. _ . .. ... . <br /> Fee Sicnpie Titiehotder�Name � �` "A;�h�J l:Qs fN� 2 t.�C..�4�bB� Owner Rhans Number � � <br /> Fee Simpie Titiehotder Address �� ��• � � r � h v �/ �s ` l ����'l � <br />� �oa����� � � Cceze �� h �h��1S �oT# ����� , <br /> su�o�v�sioH �C�t!�r'�t���� ��c��.to# �2�2, �-tZ l r t��do-��-C��g � <br /> (OBTAINED FROM PROP.ERTYTAX NOTICE) _ <br /> WORK PROPCISED NEW CONSTR ADDtALT Q StGN Q Q DEMOLlSH <br /> � � INSTAL� 8 REPAIR <br /> RROPOSED.USE �SFR �] CQMM' � ' OTHER <br /> TYPE OF CONSTRUC'f10N �BI.ACK Q. FRAME � STEEL Q <br /> DESCRIP730N t}F WORK ����� �t� �„ @. . <br /> BUILdtNG SIZE �� '� [X S ( � SQ'FOOTAGE �� HEIGHT �______� <br /> QBUILDING $�� S�� VA�UATlOIV C}F TOZAt GONSTRUCi'ION � ��,� <br /> <J J <br /> [�ELECTRlCAL $ j�� AMP SERVICE I S{� ��pRpGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $����,� � <br /> JI ,� <br /> • [�MECHANICAL $�� �, —� VALUAYION OF MECHANICAL INSTALWTIQ(V�����'� � �L �j <br /> QGAS �V ""� ROOFING [� SPECIALTY Q OTHER <br /> FlR11SIiED F�OOR ELEVATICINS fi�� FLOOd ZOt�fE AREA QYES (VO <br /> L <br /> „—. ,,._,�� <br /> ' aui���R '" .....____ coMpa�nr � fv�IP��t.? �c������.^�� ��� <br /> SIGNATURE REGt$TERED Y N FEE CURFiER Y N <br /> �aa�s$$ l�► ��. R�- h rt1�t u�ns�� ���,- l�11�"?�. � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RE61S7ERED Y 1 N FEE CURRER Y/N <br /> Attdress � C{cense# �f��Q�% � �%y1"� <br /> PLUMBER COMPANY � �( � <br /> SIGNATt1ttE ttF�tST�o Y 1 N f�EE CURRER Y/N .�, �.--- <br /> Address ����$# � DO 2� <br /> MECHANICAL �p� � �,���,A� COMPEINlY <br /> SlGNA'fURE L� '=�'l� ���sTErt�o Y 1 N Fe�cu�t� Y!N <br /> �' �Address Lfcen&$# <br /> QTHER ��K�: �.,-�.,,. . „ , COMPANY �*� ���N �ic� <br /> ' „-�, <br /> SifiaNATURE �t���STEREo I"�1. . FEE CURRER Y !V <br /> Ad ess �. •�'� � "'�� .� a � Ltcense#• t..CC (3�,���� � <br /> RESIDENTIAL Attach(2)Plot Plans;.(2)sets of•Building'P.lans;(1)set of Enargy°Forms;R-O-W Permik far naw CanstruGtion, <br /> Mfnimum;ten.(1Q}•wortctng:daysatter._subml#tai date: Required.onsite,GonsWctlon Plans,Stottnwafer Plans wJ Sltt Fencs tnstailed, <br /> Sanitary Faciti8es.&�9�dumpster$ite•Woric:P.ertnit for subdivlslons/large pro]ects <br /> COMMERCIAI. Attach(3)complete sets of Buildirig Plans pius a Llfe Safety Page;(1)set of Ener+gy Forms.R-O-W Permit for new construcUon. <br /> � Minimum ten{10}working days after submlttat date. Requlred onsite,Cons#ructian Plans,Stormwater P1ans wl Silt Fence ins#ailed, <br /> Sanitary Facili8es&1 dumpster.Site Work Pertnit for ail new projects.All commercial requlrements must meet compllance <br /> SIGN F��RMIY Attaah(2)sets of EngJ�eered�Plans. <br /> � "'•PROPERTY SURVEY required for at!NEW construc�tion. <br /> Directlons: <br /> Fitt ou#appiicafion campSetety. <br /> Owner&Contractar sign back of appiica8on,notarized , <br /> If over 52500,a Notiee of Commencement Is requlred. (AIC upgrades over$7500) <br /> " Agent{for the t�ntractor}or Pdwer af Attomey(fbr tthe ourmer)woutd be sameone with notarized tefter imm awner authorizing same <br /> �VER THE CQUNT.ER PERMITTING (Front of Applicatfon Only) <br /> Reroofs[f shingles Sewars 8ervice Upgrades AtC Fences{PiotlSurveylFootage} <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />