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a�s-�aa-ooza City of Zephyrhills Permit Appiication F�-813-780-0021 <br /> � ' . Building Department <br /> Date Received _ '� � �'J� ��� ��� 3�1 l� <br /> � Phone Contact for Permitting <br /> I ✓ a <br /> Owner's Namd °-�G � �c?�� Owner Phone Number � 5 �' �" �d b 6 <br /> Owner's Addr ss p L?2 „� _�,, ^f}� 'l�y CG Owner Phone Number � Z �'"-�2�'"��I� . <br /> r �^ ) f <br /> Fee Simple Ti eholder Name �+�� �C%e�} Q/�./�J 13 Owner Phone Number �— � <br /> Fee Simple Ti�Ieholder Address <br /> JOB AdDRES � t3 I e ) � �OT# C_� <br /> SUBDIVISION �— � PARC �ED# <br /> (OBTAINED FRqM PROPERTY TAX NOTICE) <br /> NfORK RR4P�SED e � NSTALI.$�� REPAIR C� St�� � � ��MOLISH <br /> PROPOSED. SE Q SF12 [� GOMfVI � QTNER <br /> TYPE"OF CQ�STRUCTION Q BLOCK • Q FRAME � STEEL Q <br /> DESCRIPTIO OF WORK �x�'� ��� f��� ��-✓j�'G� �ihf?� " �t� � � 6� � <br /> , ' ' <br /> /r /��,�, <br /> BUIL'DING St E � � �J � SQ FOOTAGH Cf��'f H HT tf�j f� <br /> �g�� ��N�' �� VA�UATION'OF TOTAL CONSTRUCTIflN <br /> �J <br /> �1. CTRICAL $ �� � AMF'SERVICE c��� � PROGRESS ENERGY O W.32.E.C. <br /> � ��� <br /> QPl. MB1NG $ <br /> �_.,,,_, � <br /> �ME�HANICAL $ VAL.UATION QF MECHANICA�INSTALLATIQN p� <br /> • �� <br /> �GA Q RQOFWG Q SPEClA�TY �� QTHER � <br /> FINISHED FL OR ELEVATIONS � � � FLOOD ZONE AREA QYES NO <br /> BUI�DER COMPANY <br /> SIGNATURE REGISTERED Y/ N PEE CURRE� Y/N <br /> Address License# � � <br /> ELEG7RtGt �/��--,� �a��6��'" COMPANY I av��'��I�G�� �Gi✓,S'�/`��i- ��(� a <br /> SIGNA7URE ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address' Cicense# �^ �� <br /> P�t1MBER.; �p�pp,�y� <br /> SIGNATURE -REGI$TERED Y•/ 'N FEE CURRE� Y/N <br /> Address License# � � <br /> 3UIECHi0.E11C COMPAFIY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Adilress - -' License.#��- -� <br /> ,j,_ -- <br /> � QTNEf2� .. CONtPANY - <br /> SIGNATURE,� � RE��sTeReo Y/.N FEE CURRE�' Y/N <br /> Address License# �— � <br /> `:RESIQENTf :_ A#fach:{2}Plot`Plans;�{2}�set"s of Build�ng%Plans;{4�}`set`of Enecgy'Forms;R-Q-W.Permit far new.cansUvotion, � <br /> �Minimum,;ten;(,10)i,vorkingtdays afte�submittal tlate. Required`onsite,ConstnicGon Plans,Stormwater Plans w/Silt Fence installed,. <br /> �� � Sanitary Facilities.&<14 dumpster;Site;Wqrk P.e'rmit for.sutid'ivlsions/large projects <br /> �: CflMMEftC1A Attach�{2}"complete sets bf Builciirig Plans plas a�i.ife Safety Page;{1}se#of Energy Farms.ft-O-W Permit for new constructian. <br /> „ Minimum ten(10)working days after submittal date. Required onsite,CanstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> " Sanitary Facilities&1 dumpster.Site Work Permit for ait new pro�ects.AN commeeciai requirem.enfs must rneet compliance <br /> SIGN�PERMIT A#tach{2)sets of;Engxneerec!Pians. , <br /> . """PROPER7'Y 5URVEY r.equired for all.NEW constructian. <br /> '.Diiections: y�- r. • <br /> � Fill out a plication completely. - <br /> Owner&;Cantractar sign back af application,notarized <br /> tf over$ 500,a Notice af Commencemenf is required. (AJC upgrades over$7500) <br /> "' Agent(fo th'e-contractor)ar Power of Attomey(for'the owner)would be sameane with notarized letter from owner authorizing same � <br /> � .OVER TiiE C� UN'fER PERMIFfING . (copy of contract�required) <br /> � Reroofs if shin�les Sewers Service l�pgrades A/C Fences,(PIoUSurvey/Footage) <br /> Drivewa s-Not over Counter if an public,rqadways.�needs•�ROW��-1��•'�"�"'�"�'"'i <br /> ,..t... '.t4�-Y�Lh�..�����.%i�l-7�,: ^� ±�dF• ` <br /> .1 .� ''+h���_� <br /> 1. �, .,�'��>rt't il4.t:t((�Slil�.'�_ ,� �:.:t <br /> .. _ ,}�'^ '}+ <br /> ,:� �:��y�.�,n.^,711':�':Bi�,�?1^.l;i:': :s._'!r._ A <br /> __ '; 7ili.._ ... .. ..'�:Rr' ,:i L�:�7.w��...r f�•u:._,.T^�'. <br /> m _..�rea..-....,r�x-:..:Yr«�'�ar.v,......,. ,.�.� <br />