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813-78I0-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> � Building Department
<br /> Date Received _� ~ Phone Contact for Permitting � ��"J �15� — �� � �
<br /> Owner's Name � ��/` �� �b /�� Owner Phone Number �C� —�� ` '� �/�
<br /> ��
<br /> Owner's Addre s �o� `J �� � — ����1-S .Owner Phone Number
<br /> Fee Simple Titl�holder Name Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRES �� J�� �� � �� LOT# �
<br /> I SUBDIVISION PARCEL ID# // ��P �I v��v ` /��� D�SGi
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROP SED B . NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED U E SFR COMM OTHER
<br /> 0 0 0
<br /> TYPE'OF CONISTRUCTION Q BLOCK • Q FRAME 0 STEEL Q
<br /> DESCRIPTION OF WORK �� �/� �1�7�"N � `QZL-'� ,3�oZ, /G � GO-7Y3 B��/�/r`jS
<br /> BUICDING SI� SQ FOOTAGE HEIGHT
<br /> QBUI IDING $ VALUATION'OF TOTAL CONSTRUCTION
<br /> �ELE TRICAL $ AMP SERVICE � Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPLU BING $
<br />� QME �HANICAL $ p� VALUATION OF MECHANICAL INSTALLATION
<br /> � `
<br />� OGA$ Q ROOFING Q SPECIALTY 0 OTHER
<br /> II
<br />, FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �
<br />� BUILDER COiNPANY II
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ��
<br /> Address License# li
<br /> ELECTRI.CI COMPANY ' -
<br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y I N �
<br /> Address ticense# �
<br /> PLUMBER.r COMPANY�
<br /> SIGNATURE •REGISTERED Y-/ N FEE CURRE� Y/N
<br /> Address �' License# —�
<br /> MECHANICAL � COMPANY ��"f7�/��S !►p��}/lSe. 7t'��C.�JVG'
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
<br /> Add'ress ��'�/ /�/,eN �.c�, License#� ���'o �3 �^'�
<br /> 'i,. �
<br /> OTHERY ' COMPANY
<br /> SIGNA7'URE:• � REGISTERED Y/.N FEE CURRE� Y./N
<br /> Address - - License#
<br /> RESIDEN7'I _ I •:, Attach(2):PlofPlans;-(2):sefs•of Buildirig�Plans;(1)set of EneFgy Fomis;R-0-W Permit for new.construction,.
<br /> =- ;, �Minimum:ten..(:10)working:tlays aftersubmittal•dafe. 'Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary;Facilities:8�1s.dumpster;Sife�Work Permit forsutid'ivi§ions/large projects
<br /> � COMMERCI Attach(2)complete-sets'of Buildirig Plans plus a�Life Safety-Page;(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities 8�1 dumpster.Site Work Permit fo�all riew projects.All commercial requirements must meet compliance
<br /> SIGN PERMI i AttacFi�(2)sets of:Engineered Plans. � �
<br /> **"*PROPERTY SURVEY required for all NEW construction.
<br /> I � -- I - � - - .
<br />� �•Directions: II „ ::� _ � �
<br /> Fill out aRplication completely.
<br /> Owner&iContractor sign back of.application,notarized
<br /> If over$2��500,a Notice of Commencement is requ7red. (A/C upgrades over$7500)
<br /> '" Agent(foj`4he cont�actor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizir�g same
<br /> II ,> s- ..+wtr..�.,r_��u c�;e.r��aa�' � � .Y�d� �s�vam7u•.5+�i+'
<br /> OVER�THE�COUNTEf� � ���py of contraet required � n :y� ,•�;• �:
<br /> . Reroofs if shin�les Sew�� ��`�"� `�' : ) ��'��.''•���� }��;.J� - -.+%�_ , ,
<br /> I � 5 g ,.,3er,vice U grades A/.C� . Fences(PIoUSurvey/Foota ti �r �, �;j ���?o�%� ,;, � : _ �
<br /> z�.yl�:?i��; tr:. , .:1 i::�-��' �. -\ 9 ��6'iii{'�i f1 r.f,Yi; !I�.i• e ' i .i r.
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<br /> Drlvewa s-Not q,�er��ounter'i�on public.roadway"s::n:eeiis,:ROViJ , ��`'�;�;.;�< �'
<br /> �iF�S�EU�'.+;. �t,ir;.�,•.�,<<,.: •,-,, -`,.•, ,. AC;�Eit ij ��, �u,:,<•,;,ere':,L� •:r�"�c.� �,:� y�
<br /> �u:.A.@1.;,.;�:tt;�1''E;S,°�+:�i;toi�:slvtr� '.:,1,�•�' �j et^ +; �f.. �r�!f'P::�^,;:• ��i,i<<,'••
<br /> !�i:9A,.c�..''�/I,•Ai,�l `�f:�yL. � 4 f�"' 4
<br /> 's'cli�'c¢s�ss'°�«`3'�g.t«'�cr'���'�'�N�(�='''3�"'T.i%' . . ��`t��'�+'�'`-�Y,9�'"+'�4�y'�A
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