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_ ,i --.-- - - --. _ <br /> -- ---- -� <br /> 813-780-aozo City of Zephyrhills Permif Application Fax 813-780-0027 <br /> �! Building Department. .._ .,....�.._ . ., .. <br /> �� „ : � _ , . . .. <br /> Date Recaiv�cC, - �..- � �j phone Contact�fo'r Permittfn . ,. <br /> Owner's Namo J��'I Owner Pho�e Number <br /> � �1 ,/ t3wner phone Number - <br /> Owner's Address d'7 � d1'i� �{U <br /> � • (� � <br /> Feg Simpl�Tltleliolder Name Qwner Phone Number ( <br /> i �d , <br /> Fee Slmple Tttlehotder Aildre�s ` <br /> 11 �/ }�1 /� ,/ <br /> JOB ACIDRESS '7�l I� ��Iah OGt Ge LOT# � <br /> �j <br /> SUBDiViSION' � �� PARCEL.ID# ' <br /> � , (88TAINEB F.ROM PROPERTYTAX NOTtCE) <br /> WC?RK PROPOSED � e � N TALL��� REPAIR � SIGN Q Q DEMOLtSH <br /> PROPOSER:.USE � Q' SFR. Q COMMI Q QTHER <br /> TYPE QF COtdBTEtUCT{ON � Q ' 'BLQC!( " Q FRAME �. STEEL [� <br /> DESCRIPTION OF WORK ~ 1/1 0 �►/�`"'[I �j4 ��' AI�L/� ���'� . ��r �. <br /> � <br /> BUIIDINt3 SI�E � �'Sp'FOOTAGE C___�: HEIGHT�.. �� <br /> r � � . <br /> QSU!l,DING �$ . � VALUATiOIV�C1F�70TAL CONSl`RUGI`IOIV <br /> I� � � <br /> QELECTRlCAL $ � AMP SERVICE �] PROGRESS ENERGY {� W.R.E.C. <br /> j �� � °` � <br /> [�PL�MBlfVG (S6 � � <br /> L � <br /> Q ME�HANICAL $ VALUATlON OF'MECHANICAI INSTALIATION ��{� y <br /> - r <br /> QGA{S �J ROOFING � SPECIALTY �J 07HER � '', ��""f <br /> FINISHED FLOOR ELEVATIONS � FLOOR ZQNE AREA QYES. NQ <br /> 1 <br /> BWtDER COMPANY= <br /> SICiNATURE REGlSTERED Y/ f�l FEE GURREA Y i N <br /> Addra�s License# ( I <br /> , i n <br /> ELECi'RICfA[+!- ������ ��✓�'� � COMPAA!!Y I�' �' l�-�'�l:: <br /> SICsNATURE� �� � REGISTERED Y/ N fEE GURREP° ` Y/N <br /> Addre�s� 7!�/ J�o�( �i Y�i �l 3�.��1� , t�icense# �� Z1.6 O.vZ✓�71� ` � <br /> PLUMBER COMPANY <br /> SIGNATURE', ` REGI3TERED Y/ N Fee cu�n '.Y�!N <br /> Address .License# �� �� <br /> iNECHANICAL , . COMPAl+tY <br /> S1t31VA'1'tJRE� � � REGISTERED �..Y,/ N FEE CURt;EP. Y/-N <br /> -�. ' T ,. , ,.. . ' , . . <br /> Address '�� License# <br /> OTHER , �� - . ` �,'iCQMPlWY�� ` <br /> SIGNAYURE � REGISTERED ' Y/ N... FEE CURRE�' Y/N <br /> r <br /> Address ° - ' Ucense# <br /> � � <br /> �,,, <br /> RE8IDENTIAI�;1�� Atkach'(2)�PIot.P,laris;,(2�sets of�Building�Plans;'('I}set af Energy�Forrcas;R=Q-1fU Peiinit fa�naw construcUan, <br /> Minimum;terr_(:1.Q).;worictng;days,after,.;subinittal dat"e.`Requlred onslte,:ConstnucBon�Plans,�Stortnwater'Plans w/Silt'Fence InstaUed, <br /> �il-:_:.'�.,....� . <br /> Sanita'ry`Facfii�es:&;�1.,dumpster-Site`Wortc;Permit#orsu6diriistansllarge.projeots .;_ �; , " - - � � <br /> COMMERCI��L Attach(3j complete sets°'of 8u!!r1lrig Plaris�plus a�Ltfe Safely Page;{1)set of Energy Forms.R-O-W Permi#(or new canstructlon. <br /> i Minimum ten(10)working days'after submittal date. Required onsite,ConsUucHon Plans,Stormwater Plans w/Silt Fence instelled, <br /> °) Santtary Facitittes&1 dumpster.Site Work Permit for att new.projects:.All commerctai requirements must meet comp8ance <br /> SIGN PERM17` AttacYi(2)"sets ot Eriglrieered.Plans., _°,: . . � <br /> � ""'PROPERTY SURVEI'required for all NEW constructlon. • <br /> DlrectRons: '� - -- .. <br /> Fill out ajiplicatlon completely. <br /> � Owner&;'Contractor sign back of appllcadon,notarized <br /> tf over S,�SQO,a NotiC�of Commencement la required. {A!C upgrades over;7500) <br /> __.'* Agent(fa'r the oontractorj ar Fawerr of Attorrie}r(tot ttie�owner}woutd be someone uvitt��notarized letter from awner authorizing same <br /> t�VER THE C,�UN'F`ER.RERMli'f1NG_ --- (Fmnt of Appllca�omOnly} - - <br /> � Reraofs If shinl(es Sawers_ Service Upgrades A(C Fances{Plot/SurveylFootage) <br /> � Drivaways-i+tot over Counter{f on pubiio roadways..neerf's ROW <br /> i� <br />