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i � <br /> 1 <br /> 813-780-0020 City af Zephyrhills Permit Application,,.:,.�.. ..�.. �- � FeX e�s-7eaoo2� <br /> � <br /> ` Bu1�a�ng Depart'rrient"�"` - ; <br /> � I <br /> , � _ ... , . ; <br /> , , , I <br /> Qate tieceiv d �7 / ' ' � - <br /> � ''�G-�L � Phane-Contact'for Pernittt[n' ' . . . � <br /> � L a- 2t�R� �-ft� �. ,; 8����9�=� t� i <br /> Owner's Nar»e � Owner Phone tdumb r . � <br /> _ � <br /> Owner's Adciress �.��7�-' ��� ���� 'Ow�er Phone Number�- � <br /> , <br /> , { <br /> Fee Slmple Tltleholder Name � � Owner Phane Number �� � � <br />' � '� - -' --- �i <br /> Fee SImpV��tlehold�r Addresa � • " ; <br /> JOB ADDRESS ' LOT# ��� <br />' SUBDIViStO I�����G��C�,�� PARCEL ID# ' i <br /> I � (OBTAINED FR4M PROPERTY TAX NOTICE) <br /> WORIt PRO�OSED , �NEW CONSTR ADD/A�T � SIGM1i [� Q DEMOI.ISH <br /> INSTALI. REPAIR <br /> PROP05ED USE SFR [� COMM ['� aTHER <br /> TYPE OF CO�WSTRUCTION � Q 6LOCK " [� FRAME [� STEEL Q � <br /> � <br /> DESCRIPTIdAI OF WORK ��J��/�LGf/IIG � Gf�/Nj}�IGf�JS "'� � ,QQO/Q.. � <br /> ( <br /> Stlt1.QIFIG'S�ZE �� �` S4 FOD'TAGE C�, .. HEiGHT�.��� � <br /> � <br /> 8��11.D1iVG � ,,,, ,,,�,,,, , , <br /> � �,�G�� � VALUATION OF TOTAL CONSTRUCTION ' � <br /> I <br /> QE� CTRIGAL $ " AMP SERVICE Q PR{O�RESS ENEFiGY Q W.R.E.C. � <br /> QPL�MBIN{3 � � -_ <br /> [�MECHANICAL $ VALUATION UF'MEChfANICAI.tNS'TAL6ATION <br /> Q „ � Q FtOOFfNG Q SPECIAI.TY � OTHER <br /> FINISHED F �OR ELEVATI4NS r�� FI.00D ZONE AREA QYES NO ( <br /> L <br /> ��a�����a ����<u'• G-l/��,'�.,�C� � � c���a�nr' ,��- ; <br /> � <br /> SIGNATURE �� REGISTERED Y/ N FEE CURREP ' Y"/N ! <br /> Addres L`Icense•#'� � <br /> ELEC7RlCIAN .'C�MPA41X <br /> SIGNATURE I � REGIS7ERED Y/ N FEE CORRE�` 'Y/N <br /> At1dT8s8 " LiCQ11Se# � � � � <br /> ��i�MBER COMPANY <br /> SIGNATURE' REGI3TERED Y./,-N� FEE CURRE� ' Y/N. <br /> Address .License# �� � - i � <br /> - — _ � <br /> �VIECH,AAIICAt.' ` v CQMP_ANY , <br /> SIGNATURE� " ` � QEG�ISTERED YJ N . _ FEE CURREA= Y/�N �' <br /> I <br /> � Address - - � ' + � :' , < � ' . ' License# �. .� - � � <br /> . . z ,. . � <br /> a�t��rt ,� , � � .. - : t'coM�i�r � - . <br /> SIGNATURE. '-- = '�' - ' " ' REGI$TERED Y/ N;.-. � =FEE CURRE�` Y/N <br /> Addre�s- ' � '. ` - Cicense# 1 � t <br /> RESIDENTIA�t' > �Aitacfi'{2},Ptot�Plan&;.;(2)sets•-cf=B'ulliling�Pians;•(.1}seEofEnercjyFoiins;�R-0=VfFPermitfarnewcons#�uatEan, ' � � <br /> Miniroumeten~(:1:0)yworking*days after„subiiilttal'`d'ate.'Requl�ed onsite;ConstrucUon:Plans;Stormwate�'Plans w/Sllt'Fence installed, i <br /> ���.., . ,..�, .. <br /> � �� Sanitary FacdllU.e.s;&,1,dumpsterkSite_Wa�ic_��Permit fo[:su6divisionsQarge p„roJegts.,_, °:.. ,,. ; � ` <br /> COMMERCIAL Attach{3}°complete sets of'Bulldfng Plans plas a I.tfe SaFety Page;{1�s�t of Ectergy Fcrms.R-O-W Pei�iit for new canstruct�on. � <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Constructlan Plana,Stormwater Plans w!Silt Fence installed, , <br /> � Sanitary Facilities&,1 dumpster.Site Work Pertnit for all new proJects:.All commerctal ret�utrements.must meet complianca " ' ' <br /> SIGN PERN4f� Attacfi(2)se�sb`�`Englneer.ed=Plajns.,4.. F;�^=�.- ., �.. ,. _ <br /> •"•"PROPERTY SURVEY required,afor ap,iVEW construction. <br /> Dlresttans: . , <br /> � FIIFout applicadon completely. � <br /> '� Owner&�Contraator stgn back of applicatton,notarized � <br /> if ov�r 52a00,a Nottce e►f Car►�mencament is cequired. {NG upgrade�aver ST500j � <br /> �. �� ;,, ,:a,..�,, .,. - � <br /> Agent(fa�the�contractor)ar PoVuer of Atkomey(fa�tFie owner)would be someane with ncatarized letter from owner authorizing same <br /> la � <br /> DVER THE CQUN'fER PE�MI'fTiNG.-. .._..tFront of Applic�tion flnly}_,. <br /> Reroofs if shinigles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) � , <br /> Drivswaya-Not avgr COunter tf on public�aadways..needs ROW � <br /> 1 <br /> i <br /> � <br /> ; <br /> I { <br />