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i <br />' e��-yeo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Buiiding Department <br /> Date Recelved , : Phons=Contact for�Rermtttin — <br /> Owner's Na I e Owner Phane Number d��� 7�7�' '��^�� I <br /> ., .. � � i <br /> Owner's Ad�ress �� � Owner Phone Number � <br /> Fee Slmple ,�Itleholder Nlame � Z O� Owrner Phane Number � � � <br /> � +f .� � <br /> Fee Simple�itleholdet Addresa � d ^ E '' L �'� �3 � <br /> i � , <br /> JOB ADDREiSS L07# <br /> , <br /> SUBDIViS10� � � PARCEL ID# � <br /> ! (OBTAINED FROM PROPERTY.TA%NOTICE) <br /> WORK PROPt}SED t--. - NEW CONSTR ADD/A�T [� SiGiV' Q [,� DEMOI.ISH <br /> ��e_ INSTAI,:L � REPAIR <br /> PROPOSED�t3$E Q SFR: Q CQMM � •OTF{ER ' <br /> TYPE OF CONSTRUCTION Q ��BLOCK '" Q FRf1ME � � STEEL [�] ; <br /> DESCRIt�TiQN OF WORK' y �'� � �' '��'�'c <br /> BUILDlNG SFZE � �-I� � SQ FOC3TAGE��� ,• ,.HEiGiiT f�` �� <br /> �I , <br /> �� f��"d�N� �� �� VALUATtO'N?'OF'fOTALCONSTRUCTiON I <br /> ��-- ..J <br /> [�ELECTF21CAl �� AMP SERVIGE �Q FROGRE5S ENEi2GY Q W:Ft.E.C. � <br /> QPLUMBlfVG �� � 1 <br /> �MECHANIGAL $ VAIUA"FIQEI OF�MECHANICAL tNSTALCATtt?(V � �V�/ � i/r <br /> � � ��-�l`�` ; <br /> [�cAs CJ Raa�iN� .[� sPEc�a�.rr � o�H�R � , <br /> FINISHED F�OOR ELEVATIONS FI.00D ZONE AREA QYES NO � <br /> � I � <br /> , � <br /> $ui�a�� � c� coMp�r� 1����N ���� �f� ; <br /> � , <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N � <br /> � Addre�$ - � - L(cense# �� � , <br /> ' i , , ,. � <br /> � E�EC'YRICF. • . - ` .�GOMPANY Y - - , <br /> I SIGNA,TUREi `�'4 REGISTERED Y/ N FEE CURREF Y/N � <br /> ��, ri '�j ; <br /> i Address " . -� license�# � � � I � <br /> PLUMBfR � � � , I <br /> , _ -� C.OMPANY � <br /> , SIGNATURE� � " � � RECi1STERED Y/ N. FEE CURRE� " Y-/N � <br /> Addresa � Ucense.# ( � � � � .� <br /> MECHANIG I" � � CCIMPANY. <br /> SIGNATURE� � � " ' REGISTERED .Y/ N . ; ; FEECURREA Y,/~N . I <br /> ��I�,� - , 1 <br /> Addr�a.� License# i <br /> r - <br /> �� . _ _ - - � i <br /> 03HEFi '; � , � � � ';GOMP�1t�lY; , <br /> SIGNATURE+ " � ' � " ' REGISTERED ' Y/ N�. FEE CURRE� � Y/N � <br /> ', .. . -... , �� � � <br /> Address � - . .Ucense# ' <br /> I !'-� ' Y' .. . �. . ._ �,. � . n,.� � < : . . <br /> i RESIQEN'TfAi:� - •AttacFi`{2}.ptotEP,latis;�,(2}set"s`°ofjBuEldingFi?lai�s;(1}set of`Ener%�y=�oiins,.R=0-W Peririit for new�nsttuotion, <br /> - Mlnimum:ten:_(;10);y+rorking;days;afteesubrinitfat date:>:R'equlred bnslte;;Constructlon�Plans;Stormwater'Plans w/Sllt Fence lnstalled, <br /> Sanitary Fa,cillfles.&T�1.;dumpste_r,,_Slt�.Woric:Permit for su6diVlstons/Iarge�roJects. � ' ' <br /> , r.:: �,� �,.• <br /> GO�IflMERCI!&!. Attach(3)�complete'sets�of Ballilfiig'Plans plus a�.ife Safety Page;(1)set of Eaergy FaRns.R-t�-W Petmtt for new canstruction. <br /> Minlmum ken(10)working days after submlttal date, Required anslte,Constructlon Plans,Stormwater Plans w/Sllt Fence Installed, <br /> Sanitary FacIIIHes 8�1 dumpster.Slte Wark Per+mlt for alf new:proJects..All commerclal requlrements must meet compllanca <br /> SFGN PERMIT Attadi(2)`set"s afEngli��er.ed',Plaiis..... ;;:; •, - ;; ,- � - . . , <br /> I ""`PROPERTY SURVEY,reguired,,for.aU NEVV_constructlon. '- . , • , •- � ' � . � � �� <br /> � _ _.. . . - . <br /> Dlcection�: � __ .__.__-- .. _ - . - • _ . _ � - .. ' � ' � <br /> FIII out applicadon campletely. <br /> 4wner&�GontracMr slgn back of applicatlon,notarized , ', <br /> If aver�2500,a NoNce.of Commencemen#is required. {ac u�$raass oYar srsaaj � , . � _ ' <br /> " Agent(fo�r the`contracto`r)or Power of Attomey`(for tFie owner)�would'be someone'with notarized letter from owner authorizing same. <br /> DVER THE.CC3UH'i'ER PERMI'ETIi�tG,-�. _;.{FronE of-APpt(catiomOnly} _. � , , <br /> Reroofs If shingles Sewers Seryice Upgrades A/C Fences(PIot/Survey/Footage) .,. ^ . � <br /> Drlvewagra-Not over Caunter if an pub�ia roaduvays.,ne�s ROW�.�.e ~, � � � .'` - - r'.�t-' , ^.J a <br /> 5' ,. .. , - , �1 'i��. : ., _ i ..t��.. <br /> p ., , �, �'i�� ._ . ' ' ' (: .� � . . i� ., � - <br /> i .. ... , ._ r ,.. : . .. .a .._. .. .,...��.. „ ,n. .,...., „_ ..-._. ._ .�.. .p-.-.,. .. . " <br />