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:'+813-7'80-0020 City of Zephyrhills Permit Applica#ion Fax 813-780-0021 <br /> � • Bullding Department <br /> �. . . <br /> . � <br /> 'I 1 -�y <br /> Date Recetved k PhaRe-Cantact for Perrnittin 1 t �� — ���� <br /> Qwner's Name �� '��.,.�.A�� 4���`� ��� Owner�Phone Number' .� � •�.���-���7 <br /> Owner'�Addra s_ ��.f�`'��• ��'�`�. �W �,�� �� Owrner+�Phone�.Number�5�= ��--� � � <br /> . ; _ '. ., �., .. <br /> --}� <br /> U/1�� <br /> Fee Simpie Tit ehoider Flame � ��YP,A'3�t,..f��Qa 1.��,.�!�iR,� Owner Rhone Number ��� � <br /> Fee Stmple Tit��holder Address _ ,. - <br />� ,soB,a�nR�s� � ���SG.e�t�c� �.t 2�� ��2�t � � �mT# .�-�:. �, , : <br /> , ��.� <br /> li 'SUSDiVFS10H ����t�'��� }�ARCE�.ID# ��-"2(�, ^`Z� ^��C�" �" �i�C� <br /> i (OBTAINED FROM PROP,ER'1'Y TAX NQTICE) _ <br /> WORIC FROP 5ED NEw CONSTtt ADD/ALT Q SIGN Q Q DEthltOLISH <br /> 1 l tNSTALL 8 REPAiR �I <br /> PROPOSED l0 E �S�R Q GON1M: � :QTHER <br /> TYPE QF CON�TRUC710N �BLOCK Q FRAME � STEEL Q <br /> DES�R#PTION OF WORK ����� �344� �: <br /> BUILDlNGSIZE �� `��X J r SQ'FOOi'A ��� HEIGFiT L�._� <br /> i � <br /> QBUIL ING $ 1 ,,,., _���/,j � VAL F 1'OTAL GOi�lSTR!lCTIOiV�� ` <br /> td� �c� <br /> C]ELE�TRICAl. $ �S� . Ait!!P 5ERVICE I+SQ �i�pROGRESS E[StERGY Q W.R,E.C. <br />, ( <br /> QPLU I BING $ � <br /> ' [�MEC�ANICAL $ � VALUATION 4F MECHANICAL INS7'ALLATION� 4 �2 i <br /> ���� � i�� <br /> [�GAS , � ROOFING [� SPECIAI.TY C] OTHER <br /> FlNISFiED FlQ� R ELEVATIQNS � � Fi.00D ZONE AREA QYES IVO <br /> �---�_..,,_ � (v�t�Y� �1����4.ek�.��� ��� <br /> BUILDER r"�+� COMPANY <br /> $IG[31ATURE REGISTERED N FEE CURRER � N <br /> �►a��$� � R�� h rt1n� u�n��� ��C- l�11'?'�� <br /> ELECT[tIClAN COMPANY ; <br /> SIGNATt! � REGIBTERED Y/ N FEE CURRER Y/N <br /> � i <br /> Address lEcense# ���'_C_.l ����U�� ' <br /> � <br /> RLUM�ER ��,J� � COMPANY i <br /> SIGNA'1`URE REGtSTERED Y 1 N FEE CURREM1 Y!N ' <br /> Aeldress I.icense# ', <br /> MECHANICAL ���� ���� COMPANY � <br /> SIGPIAT�.#RE REGISTERED Y I N FEE CURRER Y/N <br /> �,�AddCeSs UcenSe# <br /> QTHER COMPANIf M'�� ���� � ; <br /> SIGPaATUf2E REGlSTERED 1'N. . FEf CtJRREE Y P1 3 <br /> Address I ��,•�'� �' "��"q .�P. t � Ucense# �CC. (3����� � <br /> ; <br /> RESIDENTb4L � Atkach(2)Plot Plans;.(2)sets of•Building'Rlans;(1)set of Energy Forms;R-O-W Permit for naw conshucUon, <br /> Minimum:ten(10)•woztctng days afkec.submlttat date: Required.onslte,Gonstructior�Plans,Starmwafer Plans wl Silt Fence ins#aAed, <br /> , Sanitary FaGlities.&1�dumpster;Site•_Work:P.ermit for subdivlslons/large pro]ects <br /> COMMERCIAL Attach(3)complete sets of Bufldirig Plans plus a Llfe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> - Minimum ten(1Q}working days afker submittai date. Requlred ansIte,Constructton PEans,Stortnwater Pians wl Sflt Fence lnstailed, <br /> , Sanitary Facilities&1 dumpster.Site Work Permk for aii new projects.Aii commerciai requirements must meet compliance <br /> SIGN PERMIT ( Attaah(2)sets of Englneered Plans. <br /> � <br /> � •'••PROPERTI'SURVEY requtreri for�11 NEW construcSon. <br /> Dlrectlo�s: � - ; <br /> Fiif out app icaUoe�comptetely. � <br /> Owner& �ntractor sign back of applicatlon,notarized <br /> If aver 52�0,a Notiee af Commencement Is required. (AIC upgrades over�7500) <br /> " Agen#(far e canttaetor}or Pdwer of Atkamey(for tiie awner)wauld be someone with notarized letter imm awner authorizing same <br /> OVER THE CO I NTER.PERMI'(TING (Front of Application Only) <br /> Reroofs tf shing��s Sevvers Service Upgrades RtC Fences{PtoUSurveylFootage} <br /> I <br /> Drlveways=Not over Counter if on public roadways..needs ROW <br /> ( _ _..___._.___.�...__v__----__. �_._.____.. _. ; <br />