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81�aso-oo2o City of Zephyrhills Permit Appfica#ion Fax-813-780-0021 <br /> , . Buliding depattment <br /> Qate Recel�ed , �-'��'"�� Phone-Contact for.Permtttln - <br /> Owner's N II e l�en e S�~a�-e� Oa re s,dc Tr�,,1 pr�a�'k Owner Phane Numbac <br /> Owner"s Adldress 4�r a ► L.a rK Owner Phone Number �— � <br /> Fee Slmple I Itleholder Name � � � Owner Phane Number �� � <br /> ";t _ " <br /> Fee Sim.ple Itieholder Address " <br /> JOB I�DDR 8S • LOT# �� <br /> SUBDIVISI I�N � � - PARCEL ID# ' <br /> II . , (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PRO OSED }NEW CONSTR ADQ1Ai.T �" SlGN Q Q DEMOI.lSH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER " <br /> TYPE OF C�NSTRUCTION • Q BLOCK " [� FRAME [,�] STEEI, Q <br /> DESCF2IPTI N 8F WORK n�^1/ a� <br /> BCIILDING 3 ZE �4 ��`SQ FOOTAGE C�. � HEIGHT' ���� <br /> „_,,.—,,,. ,,,., <br /> OB I����C' � VALl1ATiOh1:G1F TOTAL CONSfiRUC'i'IOid ' <br /> QE�I CTRICAI $ ��- AMP SER1tICE PROGRESS ENEf2GY V1t.R.E.C. <br /> ��� ; � 0 <br /> C]PL MBIN� '� � 1c1��� <br /> (�M CNANICAL $ VACUATlON OF.MECN/WICAl.lNSTALLATION �f � ��� <br /> � �� l <br /> QGAI Q FLOOFlNG Q SAECIALTY �] OTHER - <br /> FINISHED F 'QOR ELEVATIONS FI.00D ZONE AREA QYES. fV0 <br /> 8�11���R C�MPi4t�llf� , -- --- - . -- <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Addrese � • Llcense# � � <br /> E�ECTRICIAi�} �' �Gc.�p�p �COMPANY ��ut�4 �-1��sz4 �uMc.. ��"L't'�'�v�tr <br /> SIGNATURE ���r+�� � D�� � REGISTERED Y/ N FEE CURRE� ' � `Y/N <br /> Address ` � License#. ��- d�.���7� * � <br /> PLUMBER � COMRANY <br /> SIGNATURE� REGI3TERED Y/.N F.,EE CURRE� Y-/N. <br /> Address Licertse.# � . -� <br /> MECHANIC . � . GOMPANY <br /> SIGNATURE � ' � " REG,ISTERED Y../ N . FEE CURREA Y/N <br /> Address ` ` � ^ ` , � . _.ticense# � I <br /> OTFiER - - � . _ ,CON1PAt�1Y <br /> SIGNATURE ' ¢ ' ' ' ' " � REGISTERED ' Y/ N... FEE CURRE�' Y/N <br /> AddrBa$ . � . �tC8r1S8# ��� � <br /> RESlDENTIAI: � Attacti'{2},Rlot:P,lans;:.{2}sets�of=Batlifing�$'tans;'('f}`sef of�Eiiergy Foirns;R=�={N'Psririlt for new cahsttuctlon, , <br /> : ;Mtnimum�tem(:10)�wa,rking;,daysafter submlttai date..:Requlred onsite,�C`onstiuctlorinBians;Stormwate�'Pians w/Siit Fence instailed, -- <br /> -����-Sanitary FacillUes.&;1:clumpster-,Site Worlc;Permft fqr.sutidiVislo�sllarg.e>projects,; _� . ' ' ` <br /> G4MM�RCIAL Attach(3}�complete`sets of'Bu1[iiiag Plans plus a t�fe�Safety Page;{1}set of Energy Farms.E2 O-W Permit far new canstructtan. <br /> Minimum ten(10)working days afker submittal date. Requfred onsite,Constructian Plans,Stornnwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site Wark Permit for all new:projects:_All commercial requlrements.must meet complience <br /> Sl�N PERM17 Attscti{2}"sets�of'Eisglrieer,ed,Plans.;. .� <� �.� . � � � <br /> ••'•PROPERTY SURVEY required for all„NEW.constructlon. , <br /> Dlractlons: .. <br /> FIII out applicaUon completely. <br /> Owner 8 ContracMr sign baak of appltcaBan,notarized <br /> {f aver� 00,a Notice of Commenrsment Is required. {AIC upgr�des aver ST500j <br /> " Agent(for e�cantractor)or'Power of Attortmey(fur tFie owner)wauld be'someone with notarized letter from owner authorizfng same <br /> DVER THE CO�NTER PERMITTiNG- - �(Front of-APPllcatlon On{y)- � � , <br /> Reroots if shing es Sewers Servica Upgredes A/C Fences(PIoUSurvey/Footage) <br /> Driveway I-t3ot over Counter if on public roadwa}rs..rieeds R�W� ' <br />