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e�saeo-ooao City af Zephyrhills Permit Application Fax-813-78aoo2ti <br /> ` � Building Departrnent <br /> Date Recelved .,,phone Cantact tor Parm�tt�n " S!3 3� — 1�� <br /> Owner's Name '��Oi'll'•'���/�lr'�'Ar-A �}"�� 4 �� I 1 OvvneK�Phone Numtier'� ��"3�.'?~_ -t 3 <br /> �. t.. . , .. . .. _ R,�, :. .,; - : ,;.�•r_�.: „t ._r_ _- <br /> i �� _i; ..,����•, y �!',� ''t' ,_ ";.,' ; ��:,,:� � i _� <br /> Owner's Add�ess`..�' `3�. 6:: ' C. � ' �VGf� t1i OwneC:Piiane.Number_:t,�,:•:-..:;;L•^----��' _ <br /> i� � . :�<;..,�.;:.:s;::;:G.:_::-:_;,;.�_ - <br /> Fee Simple Titleholder Name C� � Owner Rhor�e Number` � �� <br /> Fee Stmple Titleholder Addees� <br /> I . <br /> �ae�aRess 3�~l l y 7 Ar 1L l�. r. �e h H�i i S 335ye1. �or# � <br /> ,Ip y}s ��j <br /> SU���Vi���l\ Q .�11�.��11__!� PARCEL.ID# "r 2 r Z' "" �" � O <br /> ` �•� (08TAiNED FRtiM PRBPERTY TAX NOTtCEj <br /> WORK PROPOSED NEW CONSTR ADDJAtT � S1GN Q Q DEMOLISN <br /> ' e !(VSTALI. 8 REPAIR <br /> PROPOSEDIUSE Q SFR Q CQMM Q QTNER <br /> TYPE OF CONSTRUCTION �] BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIdN OF WORK K� ��� �� �pi�� ���CT. ��� T�.f��' ` <br /> BUILDlNG S112E �—� � SQ FOOTAGE�� HEIGHT C�� <br /> OB�� <br /> itLDING �� VALUATION OF TOTAL CONSTRUCTION <br /> i; <br /> QEl;ECTRfCAL �� AMP SERVIGE Q PROGRESS ENERGY Q W.R.E.C. <br /> �P�UMBING $ � (`r/- <br /> � ��'. -�(� l�'J <br /> QMECHANICAI. $ VALUATION OF MECHANICA�lNSTALlATION � � <br /> [�G�S Q ROOFING. C] SPEClALTY [� OTHER <br /> FIIVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NQ <br /> �I - <br /> ; � <br /> �_.°�"ill9l.���-,P--pi - � .- - _ __ _..,__.__—G�MP3�I�iY_.__._�... _ <br /> SIGNATURE REGISTERED Y/ N FEE CURREt� Y/N � � <br /> i, <br /> Addra$$ Ltcense# � �� <br /> � �i <br /> EE.ECTRICtAN COMPANY <br /> SIGNATURE REGlSTEftED Y J N FEE CURREt� Y 1 N <br /> Address <br /> 4` License# � —� <br /> i � <br /> P�UMBER'�� COMPAt+1Y `�'ti rqL <br /> SIGNATURE REGIsrERea / N FEE GURRE Y/N <br /> Addres's y�{�Q O�.F�'IC�S g�l. 3 3 'c�t� License# ��� � <br /> �� � <br /> MECHANIG.AL. COMPANY - <br /> SIGNATURE REGISTERED Y! N FEE GURREt� Y i N <br /> . ,�I <br /> Address License# �� � <br /> � <br /> OTHER � �QMp�y <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y!N <br /> � Addre iss Ucen"se# ( � <br /> y <br /> RESIdENT1AL. Attach(2)Plot Rlans;(2a sets of Buildfng Plans;{1)set of Energy�Form's;R-0 W Permlt for�sew constructtan, <br /> ,; Minimum.ten(10)worktng:days afte[�subniiittal date.-Required onsite,ConstrucNon Rlans,Stormwater Plans w/Sflt Fence instaAsd, <br /> 8anitary Facili�es.81.dumpster�Site Work:Permit for subdivisions/large projects <br /> COIWMERCIAL Attach(3j comp4ete sets of Buildirig Plans plus a Llfe Safety Page;{1)set of Energy Forms.R-q-W Permit Eor new canstruotion. <br /> Minimum ten(10)working days'after submittal date. Required ons[ke,ConsUuctlan Plans,Stormwater Plans w!Sift Fence instatled, - <br /> �I Sanitary Facitities 8 1 dumpster.Sita Work Pertnit for afl new projects.AI�commerclal requlrements must meet compliance <br /> SIGM PER�T Rttacti"{2)sets of Englneered Plans., - <br /> � ""'PROPERTY SURVEY required for all NEW constructIon. <br /> Dlrectlans:!� <br /> Fill out�applicaUon completely. <br /> Owner;&Contractor sign back of appiicadon,notarized <br /> !f ovsr,52500.a Notfce of Commencement ts reguirad. {AIC upgrades ovsr ETS00) � <br /> " Agent(far the contractor)or Power of Attomey(far the awner}would be someone with notarized letker from owner authorizing same <br /> 4YER TFFE'COUNTER PERMITTING (Front af Application Only) <br /> Reroofs if s itngles Sewers 5ervice Upgrades A!C Fences{PlaUSurveylFootage) <br /> drivev�iays-Not over Counter iF on pubiia roadways..needs ROW <br />