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i -- <br /> ! s�aaeaoo2o City af Zephyrhills Permit Application F�c-s��-�saoozt <br /> ' � Building Department <br /> Date Recetved � ��j / phone Contactfor Permitting ��� g 7� _ !3�" <br /> Owners Name ��� �+�L+ti�M Owner Phona tJamber 971^��.�?ri I� <br /> Owne�s Address l dG 6" j�ct�{ �� Qwnet Phone tlumbe= � � <br /> Fee Stmple Titlehalder Namo Owner Phona Number � � <br /> Fee Simple Tltleholder Address <br /> JOS ADDftE5S ��y� t�� �� l4T� (j L_—! <br /> SUBDIVISION Z � � ��"`""��-- PARCEL ID# 6 2'�G -21- 0/�o-Oc?60 d --Q/�'d <br /> {08TAiHED FROM PROPERTYTAXHOYiGE} <br /> � WORK pROPOSECI e NEW CONSiR 8 ADD/ALT � SIGN Q [� DEMOUSH <br /> INSTALL REPAIR <br /> PROPOSEO USE Q SPR Q GOMM Q OTHER <br /> TYPE OF CONS7RUCTION Q BLpCK � FRAM �"�STEEL Q <br /> DESGRIPTION pff WQRK � C"!K d �( �l3f�t�S" <br /> �.,^.' <br /> BUtLDiNG SIZE ��� OOTAGE NEIGHT <br /> rr��-e-r�rrrt�trr-e-s-rr r�r• �rti-rr-e-t-r-rr�-s-i-re�rrr�r��-rrrt�t-i�rrrrrt�s�e-s-rrt^t--rr' <br /> �BUILDING $ "7 VALUATI4NOF70TALCONSTRUCTION <br /> [�ELECTRICAL �� AMP SEf2ViCE Q PROGRESS Et3ERGY Q W.R.E.C. <br /> [�PLUMBtN� �6� � ;3�iz-`� C5� ���'_`_ C.� , �/, <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� ������ <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � I'""] ry�� <br /> �SNlSNED FLOQR ELEVATlONS Fl.00D ZONE AREA QYES NO � � � <br /> TnMP�rriw+l�Tl�1f�TT�1.'TlT�lT� � �iY/�'��ClritiYT�Tr�iT���T�+�Ti"S��AtiTi"ti�iTrn��Ti"� <br /> Y , j� <br /> BUlLDEE2 ��f�����,,,/���� � � C4MFANY l�GiStdn YOet �i�r t t <br /> SIGNATURE REGISTffRED Y/ N �Ecuarten Y I N <br /> Address ���37 v�t�+4•�� 1�+1✓d ucense#1`��'ZS�{1G 3 � <br /> ELECTi21CIAN COMPANY � � <br /> StGNA7URE �� � t�cisrEREo Yt N P�cu�n YIN <br /> Address License�� � <br /> PLUMSER � � CaMPANY � <br /> SIGNATURE REGIS7ERED Y/ N FEE cuwzen Y/N <br /> Addregs ��flse�I . � <br /> MECHANICAL � � COMPANY � <br /> SiGNATURE RECal9TEREB Yt N��cut�n YlN <br /> Address Llcense# I � <br /> OTHEt2 COMPANY � <br /> SIGNATURE � � REGISTF,I2ED Y/N �e cuw�en Y/N <br /> AdBress License��� <br /> 1111111111111111111111111111111111111111111I1111111111111II1t11IIIt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Fortns;R-O-W Pertnitfor new consiruction, <br /> tviintmam ten{SO)warhing days after sttbmittal date. Required otrsifa,Constructian Ptaas,Stosmwater Plans wt Siit Fence tnstatied, <br /> Sanitary Facilitles&t dumpster,Site Work Permi#for subdivtsionsliarge projeGts <br /> COMMERCIAI. Attach(2)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnitfor new consWctfon. <br /> Minfmum ten(l0)worktng days after submlttai dete. Required onsite,ConsWetion Pfans,Stortnwater Plans w/Sllt Fence tnstalled, <br /> Sanitary FaclltHes&1 dumpster.Sits Work Pesmit for aki new proJects.Ai1 cAmmerciat requirements mast meef compIIanc9 <br /> SIGN PERMIT Attach(2)sets of Engineered Pfans, <br /> ""PRQPER7Y SURVEY required for all NEV✓conshuctfon. <br /> �r`s-�-i-i-i�.1-i-�-F•l�t-F-S-4•',-'�' :-i-f��FE-l-i-f-i�i-f-i-�-l-E-i�l-1-f�-i-.1-�-�I-H-hi-�-��h'.-i-'r•:-i-'.-'.�-'r:-i-f�-6-f.�l-E-i-4-1� <br /> Dtrectiosts: <br /> Fill out application completely. <br /> Oumer&Cantractor slgn back of appiication,notarized <br /> ____ _ _ 2f aver$250Q,a Naftce af Commencement ts requfted. {AfC upgrades over$7540) <br /> ''' Agent(for the cantractor)ar Power ofAttomey(for ihe owner)woutd be someone with nofarized iefler from owner authorizing same <br /> OVHR'fHE COUNTER PEFtMITfINf3 (copy of contract requUe� <br /> Remofs if shingtes Sewers Seruce Upgrades AtG Fences{PSoYtSu[veylFootage} <br /> Driveways-Not over Counter if on public roadways,.needs ROW <br />