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-�---�-- <br /> , <br /> s�s- so-oozo City af Zephyrhills Permit Applicatian �aX-s�a-7ao-oaz� <br /> � � Building Department <br /> Date Receive�l phpne Cantact for Permltting � �� �O a� - ���� � <br /> 'Owner's Name � /Q/�/!_1,.5 '� T� O�w�Ph�Numbe� ���-��/��� <br /> Owner's Addriass �� V�� 5��dh" L.4�/�C�l `,� Owner Phone Number �— � <br /> Fee Simple Tittehotder Nama �— � Owner Phane Number �� � <br /> ';. <br /> Fee Simpte Ti�iehotder Address <br /> aag naaR�ss �2���- �A-�Kt�1�� �Gr�h'���R� �oT# �—� <br /> susa�V�slo �Ft-f�'k�t1LL 7~'�rr 1�°TS P,atzcE�.io# Do�- ��P �1 �6131.3 D�3D13 Dl�l� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK RROP SED . NEW CONSTR ADDlRLT � SiG3V Q [� DEMOLIfiFi <br /> e INSTALL REPAIR <br /> PROPOSED SE Q SFR [� CQMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK - [� FRAME � STEEL Q <br /> DESCRIPTIO�OF WORK ��5� �`lL�., .�'�{�H' �'16� 02 lr�d"!�'j c',?7tt�N'I'S �Dltl <br /> BUI�DING St�E �' � SQ FOOTAGE� HEIGHT C� � <br /> i <br /> QBUi t?tNG I$ _ � VALUAT101V�OF TQTA�COiVSTRUCTION <br /> � " <br /> QEL GTRICAL � � AMP SERVIGE Q PRQGRESS EtUERGY Q W.R.E.C. <br /> OPL MBINCy ��� <br /> QMECHANICAL $ VALUA710N OF M�CHANICAL lNSTALLATIQN <br /> .�1��, bCS <br /> QGA� Q ROOFING Q SPECIAL7Y �� QTHER <br /> FiNISHED FL�OR ELEVATIQNS FLOOD ZONE AREA QYES NO <br /> BUILDER � CONtPAtVY <br /> SIGNATURE ,, REGISTERED Y/ N FEE CURREA Y/N <br /> _,,,�,,,....,._,,. <br /> Address, License# �� � <br /> ELECTRtCF GOMPANY <br /> SIGNATURE � REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address �icense# �— � � <br /> PLUMBER C{?MPAIyY <br /> SIGNAYURE :REGISTERED Y/ N FEE CURRE� Y/N <br /> ,,%�� Address License# � � <br /> . <br /> MECHANIG � � , �r,� C4MPANY �����R� F �111�'-+�9L ��-��1I� <br /> SIGNATURE ��� �r��"��"� REGISTERED Y/ N FEE CURRE� Y/N ' <br /> Address �}'�}l}' �,�/t'1V I� License# ������g�S � <br /> � <br /> OTHER' ' COM PARlY <br /> S(GI$ATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# �` � <br /> REStDENTI � Attach{2}Pfat Ptans;{2}.sets af Bu(Iding•P[ans;(1)set of Energy Forms;R-.Q-W Permit for new construc6on, <br /> ,. Minimum ten(10}working days after submittal date. Required onsite,Construction Plans,Stormwater Pians wl Silt Fence installed, <br /> _ __ Sanitary,Facilities&1.dumpster;Site Work Permit foc subd'ivisions(large projects <br /> C4�t+fitF2Cli�i,.- Attach(2}coinplete se�s`cf Bas.LxfSi�P�3�iS-{1IUS-a I_(��Safe#+r_Page;{1}.set of_Energ rLForms.R-4-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans;Stormwater Plans wi Siii-r=ence t�sia�led, � = - --- <br /> Sanitary Faoilities&1 dumpster.Site Work Permit forall new projects.All commercial requirements[nust rneet complianee <br /> � SIGN P�RMI Rttach{2}sets af;Engineered P1ans. <br /> ""PROPERTY SURVEY required for aII.NEW canstrucUon. <br /> Directfons: <br /> Fill out application complstely. <br /> Owner 8�Contractor sign back of application,nokarized <br /> tf over$2}500,a NatEce af Cammencement is required. (AtC upgrades over$7500) <br /> `" Agent(fo th'e contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner autharizing same <br /> OVER THE C. UNTEit PERMITTtNG (copy of contract required} <br /> Reroofs if shin les Sewers Service Upgrades A/C Fences(PIoUSurvey/Foo#age) <br /> Drlvewa -Nof over Counter if on pubtic roadways..needs ROW <br /> , , <br /> i f ---- <br />