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813-780-0020 City of Zephyrhills Permit Applica#ion Fax 813-T80-0021
<br /> Building Depa�tment
<br />( Date Recetved � [ 1`T�� � � Phone:Cantact for�Permitttn I� � � — �t � �
<br /> I /� / �/ L/l
<br /> Owner's Name {.,;,_ — � Owner Phone Number l � l I l .
<br /> Owner`s Address ' ! � � v �� Owner Phone Numbar �� M�
<br /> Fee Slmple TlNeholder Name �(� t,..�lT.�l/vi��'�J� Owner Phone Number �— �
<br /> � . .
<br /> Fee Simple Titleholder IAddress � 7J� -! �� � l/�� — l ���J �+� ��� /
<br /> JOBADDRESS � � L( ��� �� Z` / I�GS �L'T I.OT# �_�
<br /> SUBDIVISION �� � P.ARCEL ID# ��—�� -'�j— �lp— /73�'QO/�?
<br /> (09TAINEO FROM PROPERTY TA%NOTICE)
<br /> WORK PRBP�SED _NEW CONSTR ADD/ALT Q SIGN` '[� [� DEMOCISH
<br /> '.:.e: INS7ALL 8 ,, REPAIR
<br /> PROPOSED.USE Q SFFt C} YCCIMM Q {?TH5i2
<br /> TYPE OF CONSTRUC'f70N Q BLOCK ' �` FRAME � STEEL Q
<br /> DESCRIPTION OF WQRK ' ���� '� ,..„7�� 11�� ( ..r� j �. I� r
<br /> BtliLD1NG'SiZE' � �'SQPOOTAGE��1. HEIGHT ���
<br /> �B��L����' $ L� fj�� � VALUATION:OF'i'OTAL CONSTRIJC'TION -
<br /> LJ L
<br /> QECECTRICAI. ($ —�� AMP SERVICE Q PFtQGFtESS ENEf2GY [� W.R.E:C.
<br /> �
<br /> �PLUMBING � �
<br /> Q MECFlANICAI. ��, VACLfATtON OF`iV1ECNANICAI.INSTALLATION' � �,E�L���
<br /> lJ l �
<br /> QGAS Q RQOFtNCa Q SPEGIAL'fY � OTHER
<br /> FINISHED FLOOR ELEVATIONS �_ � FLOOD ZONE AREA QYES NQ
<br /> �
<br /> � , , )
<br /> � BUIIQER � � ,,�/ �OM�AtdY•' t�/�� l�v L-
<br /> SIGNAI'URE REGISTERED Y/ N FEE CURRE� Y/N
<br /> '� ,, , , .
<br /> ' Addre�s ' � � � . Cicense#�"� �
<br /> El.ECTR{CiAt+1; COMPANY' - "•:. '�: ;;`� . ' , . .
<br /> $IGNA7URE � REGISTERED Y/ N F�e GUFtRE���� �•��-Y/N
<br /> Addres� � ~ . , - , �, �.- . License.#_,�."'��. �
<br /> PL!lMBER ` COMRANY 1 .._ �.- . -- . '
<br /> SIGNATURE REGI3TERED Y/,N� ;F.,EE CURRE� Y�/N. ' ,
<br /> � €...'� . _
<br /> Address � � License,# �� . � -
<br /> MECHA1+ItGA1:` -, � COMPANY , � , -.
<br /> SIGNATURE ` � ' � Recist�Ren Y./ N � . ��E Cuwt�n.•. -. .Y./:N _
<br /> Addre'ss`� � ,, ° �� ` - =" � � License# � . .�: . , � .,
<br /> OTH�Et � � �;�GOME�ANY -
<br /> SIGNATURE = � ` � REGISTERED Y/ N,. ��FEE CURRE� � Y/N
<br /> Address� ' - . � . � • � Cicen'se# � ` �
<br /> RESlDENTIAL°>- :At#acti"{2}�Pto.fPlans;�{2)se#s:o�:BuildingPlan's;(1)sefofEnergy�Faims;'R=t}`=W�Perirtltfor';reewcanstructton, �
<br /> , �:,:>Minimum,ten;,(�1,0):warking;daj,rs_:atte_r,:"submifkal date.�.Requlred onslte,:Constructlon=Plans;Stortnwate�'Plans w/SIIt Fence fnstalleii,
<br /> �� �? �Sanitary Faclltties�&w:1;;dumpste_r;�Site�Work�Rermit.for.su6diVlstonsnarge.proJebts,-,,.�>:.� � ' � �% � -� �
<br /> -. �> _�_�,
<br /> COMMEFtC1Al. At#ach(3)�complete sets bf Bultding Pians plus a-Cife'Sefe#y Page;{'1)set af Energy Forms.R t}-W Permit for new construc�on.
<br /> Minimum ten(10)working days afker submittal date. Required onsike,ConstrucUon Plans,Stortnwater Plans w/Silt Fenca installed,
<br /> Sanitary Facilides&1 dumpster.Site Work Rennit for al!ne+rv proJeots..All commerciat requirements.must meef compllance
<br /> . SIGN PER�411lt Attaciti(2)sets af Engirieerecl�Ptans:t = ,°°,: ., `
<br /> '••"PROPERT'SURVEY required fa�all NEW consttucUon.. _. •
<br /> Directlons: • �� � . � � '
<br /> FIQ aut applica8on completely.
<br /> Owner&Contraotar stgn back of appifca8on,notarized
<br /> if aver�2500,a Flotics of Commencement is requlrsd. (AlC upgcades over$7500j
<br /> a. ;,,.
<br /> "' Agent{for the contrdctor)'ar'Powrer of Attoriiey"(for ttie oJuner)�would be someone with natarized letter from owner autho�izing same
<br /> OVER'1HE COUNTER RERMiTffNG :�(Front cf•Applicat�on Only) - - "
<br /> Reroofs.if shtngles Sewers Service Upgrades A/C Fenoes(Plof/Survey/Footage)
<br /> _ . ,. . ` ..4�_:e mJ.ih..._s?YX>:i-:1 ...... .l.:s r . v s.._.'tS� ..
<br /> Driveways-Not over Counter if on pub�ic roadweys.needs�ROW„�„�.,,,-F.-^� ---�• :'� _„��;`. . ;�;;;;;;;,�=i.�.�;"w�1 �'
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