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813-760-0020 City of Zephyrhills Permit Applicatian Fdx-813-780-0021
<br /> • , Building Department /_ �
<br /> , �SYr.'�'���G:��e'�✓ ��"�Ol�D��G't�/n
<br /> ,Date Recetved � phone Gontaat far Permitting -
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<br /> Owner's Name r� � GS ,�y r � Qwner Phone Number ��'j.�. �. �?� �
<br /> Owner's Address �a'�.Da��I"" c-e' ,+'" �/' �',�.n.►�e9�.35� 3 JpWner Phohe Number �� ��
<br /> Fee Simple Titleholder Name �'��.�r� �,,. � Owner Phone Number � �
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<br /> Fee Simple Titleholder Address ✓G•��G�-
<br /> � JOB ADDRESS r�G�G�1(c� ��/'/K� �c° �i�� ��" LOT# ��^ /
<br /> SU8DIV1StON �.J��, t.��/^G ��a � PARCEL ID# ��f yr��"�1"���'�°' C���G''����,��
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED �NEW CONSTR 8 ADD/A�T �� SIGN � � DENfOLISH
<br /> INSTALL REPAIR
<br /> PROPQSEI}USE �"'� SFR Q GOMM � OTHER
<br /> TYpE OF CQNSTRUCTION � BLOCK Q FRAME �] STEEL Q
<br /> DESCRIPTION OF WOAK ��� ����te�'�.rr,_.� �, �;�,.'S���n,C+G I�-,,,,1""e�^� be�.�-� --��oc.�
<br /> ....
<br /> BUtLDiNG S1ZE �� S�FOOTAGE p�� HEIGHT ���
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<br /> OBUILDING � •��" �� VALUATION OF TOTAL CONSTRUCTION
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<br /> �ELECTRIGAL $,����� AMP SERUiCE � PAOGRESS ENERGY C) W.R.E.G.
<br /> �F�UMBING $ ,,,�,,,_��
<br /> �_ ����
<br /> �NlECHANIGAL $��� VALUATION OF NIEGHANICAL INSTAL.LATION �J�C
<br /> 1
<br /> �GAS � FtppF1NG [� SPECIALTY � OTHER
<br /> FINISHED FLOOR ELEVATIONS ���D ��� � FLOOD ZONE AREA DYES NO
<br /> �#�1�1�f���i i i. i i�i�l+•1�1� ...._ ■ .����_�_.■ . . .
<br /> f-{�-i-1�-4�d-1--1--1-f-�-�f-1�-L-1-4-i�1-�-1-1-1��{-•f�i- • ■ • 1-Fa-i-1�
<br /> SUt�DER � ���A�, �� COMPANY �� T . �c3�ra r-,, �,�.0
<br /> SIGNATURE FIEGISTERED Y/ N FEE CURRE� Y!N
<br /> Address 1��"�ri��'C��"Cp�ry /a r" I/Y� "� c
<br /> License# �'�����i Q �v ��
<br /> E�ECTRtC1AN �"}��.�� COMPANY �� 1rY1C����� �t'��;-`Tr'� �
<br /> SIGNATURE ��"""� � REGISTERED Y/ N FEE CURRE� Y 7 N
<br /> Address 1 �� � �K� i���" !'i��G r r+ �J�"'� License# ��l���E �� �
<br /> PLUMBER � P�j�f`��' COMPANY 1..��/`""�'t �t"-r�d rl 'E?.-�(j`"at�S^ � �Y/i
<br /> SIGNATURE ��� `�� REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address '�'l'��p L(z �O � j v� �J�. License# ��C }tf,2'�'j�('� �
<br /> MECHANICA� ����,�,�� Ct7MPANY �"�� (�C.-"Sc� i 1��. C�y f"��'f �`�•'� S�
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
<br /> Address ��j E}�} c S'�j e_,�C'�, ��,�-,,��`c_�+� License# �Jwf"�.(:��;3 .� �.
<br /> SIG ATURE �^t�'��� ��MPANY �I i Gt�r' �"'� ��3G}-� 1 r"► �
<br /> REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address ��/13 f �"f�s .�7�" /e,�:n .= License# �(,.� (,.�.�� � .1r� � �
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<br /> RESIDENTIAL Attach(2)Plot P(ans;{2}sets of Building Alans;{1}set of Energy Forms;R-O-W Permit for new constructian,
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed,
<br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisians/farge prajec#s
<br /> GOMMERCIAL Attach(2)complete sets of Building P(ans 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,Starmwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities&1 dumpster.8ite Work Permit far aIl new projecTs.All commerc�al requ�rements must meet compliance ,
<br /> SIGN PERMtT Attach(2)sets af Engineered P(ans. �
<br /> ****PROPERTY SURVEY required for all NEW construction.
<br /> • �'Tf�Mi�f•"n��f ! • ■ ! 1 � e ■ L��+�l1��i�T�lT!l��F�l��i • ■ • ■ ■ ■ � ■ ��-1��r��l���
<br /> Directians:
<br /> Fill out application completelj/.
<br /> Owner&Gontractor sign back of application,notarized �
<br /> tf over$2500,a Notice of Commenaement is required. (A/C upgrades over$7500) �
<br /> *" Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with natarfzed Ietter from awner authorizing same
<br /> OVER TiiE COUNTER PERMITTING (copy of contract required)
<br /> Reraofs if shingles Sewers Service Upgrades A/C Fences(Plot/$urvey/Footage)
<br /> Driveways-Not over Counter if on public roadways..needs ROW
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