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. •e�s-�ao-oo�o , City af Zephyrhills Permit Application Fax-813-780-0021 <br /> Buifding depa�tment <br /> Date Recelve i ; �j�-/7 Phoae-Contact•tor_Permtttin <br /> Qwner's Namb l�ne �rf J Bq�tst d�' t r�',� , �wner Phone Number <br /> Owner's Addr�ss �1—�'� Owner Phone Number � � <br /> � <br /> Fee Slmple Yl�leholder Name � � Owner Phone Number � � <br /> �t - .. <br /> Fee Simple TI leholder Address ' <br /> J08 ADDRES �� ����V LOT# ��� <br /> SUBDIVISiON �� � PARCEL(D# ' <br /> , (pBTdINED FROM PROPERTYTAXNOTICE) <br />' WdRK PROP�SED • NEW CONSTR ADD/ALT C� SIGN' Q Q DEMOi.tSH <br /> � INSTALL 8 REPAIR <br /> Pi20POSED; SE [� 56R � GQMM �] C?THEFt <br /> TYPE OF CO�$TRUCTION - [� BLOCK " [� FRAME [� STEEL 'Q <br /> DESCRIf�T10P1 OF WORK �� ���- <br /> Bt71lDtNG SIZE � �"8Q FOOI'AGE�`� NEIGHT ��� <br /> OB���d���' i' . �� VALUATION;OF"t'OT'P►l CONS'Ti2UC'1'ION <br /> Q �v� w� AMP SERVICE [� PRt'JGRESS ENERGY � W.R.E.C. <br /> El. Ci'RICAL �' <br /> $ _,_,j „ <br /> QPL MSIIYG '' �} ,�� <br /> �.,_,_ .� �' , 18 �,�,� <br /> QMEGNANICAL $ VACUATlQN OF MECNAi�ICAI tNlSTALI;ATICl1�t �t <br /> � ��� <br /> OGA$ Q RQOPtNG Q 3PECtAl.Tf �� OTHER � <br /> FINISHED FLI! OR ELEVATIONS FLQOD ZQNE AREA QYES. NO <br /> � - , <br /> : - - - -- ---- - - - -- <br /> I_ �Ui�.�d1ER . - COMi�ANY"' •- - - - <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address , I C(cense# � � <br /> r'�r.�u�rrA, t �j�¢.. <br /> EEECTfttG . � ° � `COMPANY �vYs�--C �c E"3cedr� <br /> SIGNAYURE "' REGISTERED Y/ N FEE CORRE��' Y/N <br /> Address ' J , License#.����D�d`Z�7��� <br /> PLUMBER .CQMP.A�1Y � . <br /> SIGNATURE REGISTERED Y/--N FEE CURRE� Y/N <br /> Address ,Ucanse# � �� <br /> MECHAl+ilCAI. COMPAt+1Y <br /> $IGNATURE� - ' � � REGISTERED Y,/ N . FEE CURRE� Y 6 N � <br /> Addres� �� � ' � ' ' � ' zicense# � i <br /> Ol'HHR � , � - ` �.CQl�APANY �. <br /> SIGNATURE � � � � REGI3TERED Y/ N.,� FEE CURRE�' Y/N <br /> � Address Cicense# 1 � <br /> RESEDENTIAR�.�, :Attacti`{2};Rtiit�.P.laris;.{2)sets:cf;8ulliliiigil'lans;{1)sefof=Eoergp�Foims;,F2=0=VU Permitfor new constructtan, „ • <br /> - � ,Minimum:ten:,(•1.0)kworicing;days,at�er,.subrinlEtal"date.��,Required onsite,:Cons'tiucBan�Plans;�Stomnwater Plans w/SUt Fence installed, <br /> Sanitery FaplltUes:&:,1:dumpster SIte,Wo�lc�Permit for s,ubdivislons/larae:projecks _,:,_ : __ ' <br /> COMMERCIAI. Attach{3}aomptet'e sets ofBu3tding Plans plus a�t,tfe Safeiy Page;{1}set of Energy Fomts.R-O W Petmit#or new constructSan. <br /> Minimum#en(10)woricing days after submtttal date. Required onsite,Canstruc8an Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllitles&1 dumpster.Site Wot1c Permit 1`or all new.projects..All commercial requlrements.must meek ccmpliance ` <br /> SIGN F►�RMI II Attacti{2)sets af�ni�,neer.ed�Plans;. :- � , �Y. <br /> ""'PROPERTY SURVEY reyulred for aII�NEW constructlbn. <br /> i}trection�: . � . . • � '" <br /> Ffll out a plicatlon completely. <br /> Qwner&�Contractor slgn back of applfcaUan,notarized <br /> tf over 5 540,a Notiae of Cammencement is requirad. (NC upg�ades over S750d) <br /> '" Agent(fqr the contracto�)'qr Power of Attomey(fai�tFie owner)would be someone with notarized letter from owner authorizing same <br /> dVER THE C�UN'f'ER.AERMI'6TiNG-- - �{Front of Applica�omOnty)~ ' <br /> Reroofs if shiiigles Sewers Service Upgrades A/C Fences(PIaUSuwey/Footage) <br /> II -r <br /> Drivewa��a-Nat avar Counter if an pubfic roadways..needs ROW <br /> I <br /> I <br />