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813-780-0020 City af Zephyrhills Permit Application �r.FeX a��-780-0021
<br /> , k Bultding De�rartment '
<br /> Da#e Etece�ved Phone�Cantactfor-�Permtitin � j� �c��L — �� j�
<br /> 4wner's Name •+� d�"N L.L-- Owner Phone Number ��D '� Cyr ��
<br /> Ownsr's Address � �"`! /l1 Owner Phona Number � �
<br /> Fee Slmple 7ltleholder Name �� �� Owner Phane Number '�� �
<br /> . . : .
<br /> Fee Slmple Titleholder Address �
<br /> JOB AGDRESS �7 6 ��tJ l ZQ/� ��LJ . LOT# ��
<br /> sueo�v�s�oN f�rgn�r,.,a � d r��d P,�����a� �� ��" �1 ��sRt� t��aao c.r0 v�
<br /> __ — —
<br /> ; (OBTAINED FROM.PROPERT-Y.TAX NQTICE)
<br /> WORK PROPOSEQ ..NEW COt3STR ADD/ALT � S1GN' Q Q DEMDl;tSH
<br /> e. IN3TALl. • REPAIR
<br /> PROPf3SED;-USE Q SFR Q COMM' C,� OTHER
<br /> TYPE OF CONSTRUGTION Q BLOCK ' [� FRAME [�� 'STEEL [�
<br /> DESCRIPTION OF WORK- - ' �G$,� �U� ��b GL'� �'} �OI� ,� I� � O/11c4 G"�Om �''
<br /> BUILDING SI�E � � SQ'FOOTAGE � HEIGHT�
<br /> . .
<br /> [�BUiLdiNG $ -��. . �--� �
<br /> � �, VALUATION`C1F�'I'OTAL CONSTRUGTION
<br /> �� , . �
<br /> QELECTRIGAL _ �� AMP SE#tVICE Q PROGRESB EtdEFiGY Q W.R:E.C,
<br /> QPLUM8ING. 4�> �
<br /> Q�JIECHANIGA�. $ j� VALUAT[ON O.F'MEC1iANICAI INSTALLATItOiV
<br /> ..,��lp�, ba "
<br /> ��,as (� �oaF��v� ,Q SPECIAI.TY � a���
<br /> FINISMED FL.00R ELEVATIQNS r�� FLOOD 24NE AREA [�YE� FNO ,
<br /> L _
<br /> BUILDER COiNPANY�', : .
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� ' Y/N� . �
<br /> Addres� - ., -� ;,r' � - •License�#"� �
<br /> , �.. � • _ ,�. . .
<br /> ELECtRICiJiN. <<GOMRANY?'., , =�.. . ° " ' - '
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRE�'''"' �Y/N
<br /> Addres� '� .-�g����,_.� License#�;�� � ��`� , � - �
<br /> PLUNOBER ` �OMPANY - = c.:_ � � ,
<br /> SIGNATURE` '' '' ' ,, REGISTERED Y/,.N;� ,FEE CURREN. ` Y�/N:. '
<br /> Address . � >Licen'ser# �� .��, = , . .. �
<br /> MECHJ4NtC�4i:' _ ��v , COit�PANY ���1� S,�.d"Opf� S �' �t��N'� ,
<br /> SIGN,�TURE REGI$7ERED Y./.N . FEE=CURREP,, .. Y./,�:N
<br /> Address`=. "���f �1/ull� �Qt ,��'�i'�/� ��:d License# ���-���� j.�� .
<br /> � �s:
<br /> OTH�R ' � _ . " . � ° `,COMPANY ' '` .
<br /> SIGNI�TUf�E' �� '�` " °� ' ' ' ' � �' REGISTEREDz� Y/ N:.. FEE CURRE� � Y/N .
<br /> �Addres� � � ��•`��<,. � � � ,� _ . 'License��'� �
<br /> RESIDElVTfAI::� A#taofi"(2),P-_lof,:Rla'ris;:(2}sets:ofxB�uit�IngsPlans;'�(1)set�of�Energy��o''rii�s;'i2-0=UY�Reiinit#or�new'constru6tian, ' � �
<br /> •• v:..Minimum;ten;(_1,Q);worlcing�;daysYafter:subriilttal d`ate:.:Requi�ed ansite;:ConstrucBon�Rlans;=Starmwater Plans-wl Silt'Fence installed,
<br /> "': ,SanttaiyFadtitlesa8�;.1,;dumpster.^Slte,Woric;PermitforsubdiVislonsllarge;projects'_.=_:: ;�� � ' ' S "
<br /> COMMERCIAl. Attach(3)�cbsnptete sets of Bulldirig`Plasts ptus a Li'fe Safety.�Page;(1}set of ERergy Farms.R-O W Permit for new`construction. _
<br /> � M(nimum ten(10)wo�lcing days after submtttal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitacy FactiiUes&1 dumpsker.Stte Work Permtt for all new�proJects:All commercial�equlrements must meet compliance ' �
<br /> S1GN PERMPT A#tactiJ(2)sets of Engineerec�Pi.ans.�;:: :°� � � <:,, �. -. '
<br /> """"PROPERTY SURVEY regulred for all NEW construction., � -
<br /> Dlrectlona: , _ _ �
<br /> Fill out appiicatlan completely. ,
<br /> C�vmer&Contractar slgn badc of appltca#[on.notarizad
<br /> if over y2500,a Notiea af Commencament i�requfred. dAfC upgrades over 575Q0)�
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<br /> " Agent(for ttis contraGtor)�or Povu�c,�,�3��ye�.�"„�,� er o�ld e.�ori eone with notarized letter fro owner�ptho.d���9�S.a�me? ;641+'!l��R. �
<br /> v"t' Y4mC�`' 4r*;t.'��f
<br /> DVERTHECOUMT.ER.PERMITTIFtG ct,;'���ron�nbfAp�li�aB�i'n�Qniy) .t5,°�,.,:.,, fl �:t;��n';'�a�,.=�pr-a=.�s��4�7;;rs.� :`;�_'='-��f�-�,�
<br /> ,^•.:
<br /> +� ��Z�' ;71 ; !'.tt, i ,A, .1�°L';i }.
<br /> Reroofs if shingles Sewers �enYtce�ipg�aile5°N�'�'c•+c,�'ence��(Pfot/Su�rey/Foatage) `�� �s�-��:, �r�.:o; ��^ . �--; >, :�
<br /> '— ....» �,. .��.'Y.�f_i�b.::z?':i:i'', �Ii!'i?L'i. �.ti>< ^l':' ,i�=��� t U ,.y-,�Y.b.�i•;i{.i:.� c dj a.". � , . ..
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<br /> . �� i�:�?L� ,a 4, � =;,:���';,.>;'
<br /> Driveways-Not aver Caunter if a pu�i�icTb�d'wajrs:JrteHds�ROW=;��;'�,�s;` �n` . "r`�''=;';c�'�^n„''''�'�;�-'°;' � �`,`` -1jt-';';`.. " �
<br /> K�� $
<br /> �i�l�l`�'�bS��f iFf��ri`.1�:I:�t� :�', I'ilifi�'^ �td.��� 7� �C�`u�!Ky`''�;.3:�"�n'4�.:�:..�;�r`+�a�x,,.�a..'*�.�.,�s
<br /> ``x�'�„'ar�,",i�,""�-��.:�<a�.�.�}sw,q;gr-a�;,ya:.x. =;r=
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