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813-7 0-0020 City of Zephyrhills P�rmit Applic�tion_ -. _._-. . : -- �ax-a�s-�eo-aoz�
<br /> „ , Suilding Deparbnent . °
<br /> _ s _ _ ..
<br /> Date Recetvad Fhone Contacfifar Perrttiittln '., � ` — '
<br /> Owner'�Nam � �aW��f i-ew �Q Fne.n'fS 4wner Phone Number
<br /> —�
<br /> Owner's Add� s� �'3 " a � w�atY/'a� �►ns�a� Owner Phone Number
<br /> Fee Slmple TI leholder Name � � Owner Phone Number l �
<br /> r.,r �
<br /> Fee Simple TI I�holder Address
<br /> JO�14M�DRES �� O� ` 'W' 1���%�v'" `� �l LOT# ��
<br /> SUBDIVISIO � � PARCEL ID# '
<br /> , , (OBTAINED FROM PROPERTY TAX NOTICE) �
<br /> WORK PROP SED {_NEW CORISTR ADDIALT � S1GN` Q '�Q DEMOLiSH
<br /> ;e. IIVSTALL 8 REPAIR �
<br /> PROPOSED? SE Q SFR_ Q COMM �„� OTH�32
<br /> TYPE OF CQ STRUCTION - Q BLOCK " [[� FRAME [�,��] STEHC [�
<br /> DESCRIPTIq OF WORK �7V14G Gh n �-C?u� ��1
<br /> BUILDING SI E �� ��SC!FOOTAGE��. HEIGHT t� � �
<br /> QBU LDING � � VALUATION�OF�TOTAL CONSTRUCTION .
<br /> QEl CTR1CAl , ($ ' ' � AMP$ERVICE Q PROGl�ESS EN�RGY Q W.R.E.C.
<br /> �__,_�
<br /> OPI: MBIN{'a '� /f/� ���{7�
<br /> � � r. � � fl/ "
<br /> M CHANICA� VAl.UATtON OF.NlECHANICAL 1(VSl`1�L�ATION �" � �
<br /> � � �Zsa,t�p . �
<br /> [�G S [� f200P1hlG [,� SPECIAl.TY � • OTHER _ � �Jrti.1
<br /> . �
<br /> FINISHED F OOR ELEVATIONS FLOOD ZOPIE AREA [�]YES. NO
<br /> BUILDEit COMPANY� "
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE►� Y/N
<br /> Addres C(cense# � �
<br /> EtEC7RiC{. ;. � GOMPANY
<br /> SIGNATUR� ' REGI5TERED Y/ N FEE CURRE��' 'Y/N
<br /> Addre� - License# ( ' �
<br /> PLUMBER ° Ct)MR�►MY -
<br /> SIGNATUR ' `�` REGISTERED Y/�-N FEE CURRE� � ".Y/N. '
<br /> Address .-license.# � �:
<br /> RAECMAhttGAL j � c��. COMP..ANY t�t(�G��t�ti�'U,4tt �.'1C �t^'f-� il'1G.
<br /> SIONATUR�� ' '�G~��� `' � RECISTERED .-Y.,/.N : FEECURREP Y/�N
<br /> Addr "� � 1:,�1�.- F:•: G/�� �. `�.���fc��a+ "��.33YC`i� , _ ." License# �� �
<br /> OTHER " , . � . ` "' ,GOMPANYt
<br /> SI�3NA7UR ' - ` - -� � " REGISTERED Y/ N_,. � FEE CURRE� Y/N
<br /> Addre � . . , - ;:_, , ,�. - � Cicense# � I .
<br /> �
<br /> �ttli�li+tkf�{ .. ,:, ., . , ,, , .
<br /> '4.t�".. •_:
<br /> �^..'.�r' t:t .t"�e:.
<br /> RESIDENTfJ�I.,,�' A##acti'(2},R1ot°Plans;.(2}sets:of'Bulld�ng�Plans;'{1)setiofEnergyr�Fosms;R=O=W'Perrt%itfornewconsttuc#1an, �
<br /> <a,:Mlnimum�tenr(:1,0);working;days,aiter,',"subtnittal"d'ate:Requlreil ansfte,.Constnictlon>Rlans;•Stormwater`Plans w/Sllt'Fence.lnstatled, .- -- -- -
<br /> +' �'� Sanlfary 1=acfl(Ues&1;dumpster,Slte WorkFPerm�t for,subdivlslonsllarge`Q.rnjects. � `
<br /> COWIIWERC AL Attach 3`-cam teCe`s`etas ofBuitdin Plans +tus a ltfe`Safety Pa e� 1 set of Ene Forms.R-O-W Aermit for new canstruc�bn.
<br /> t ) P 9 P 9 ,{ } rgy
<br /> Minimum ten(10)working days'after submlttal date. Required onslte,ConstrucUon Plans,Starmwater Plans w/Sllt Fence Instelled,
<br /> Sanitary Faclfitfes 8�'!dumpster.Site Work Pennit for all naw qroJecffi..AU commerctal requlrements,must meet compllance
<br /> S1GN PERt�IiT Att,acfi'(2)"s'ets of'Eng,i'neered:P-,.lans.;,.: ��= � -: , ..• ' `
<br /> '� "`••PROPERTY SURVEY required for aIILLNEW}consttuctlon..
<br /> Dlrectlons• ,. , .:. . �
<br /> FIII ou applicaUon completely. �
<br /> t3vme &Contcaotor sign back of appllcatEan,notedzed
<br /> If ove !b2500,a Notice of Commencement i�required. (AIC upgrades over STS00)
<br /> r.. �;�.;,,: �
<br /> '• Agent{fcr the�contractor)or Power of Attomey'(for tlie�owner)woultl be someone with nota�ized letter from owner authorizing same
<br /> DVER TH COUNTER.P..ERMITTING -- •(Front of-Appltcation Only}--
<br /> Reroofs If s ingles Sewers Service Upgrades A/C Fenc�s(PlotlSurvey/Footage)
<br /> Drlve aya-Not over Counter if on public roadvuays..need`s ROW
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