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,� <br /> 813-7so-oa2o City of Zephyrhills Permit Application Fax-813-780-OQ21 <br /> �:,a,+ Building Qepattment <br /> Date Recelv�d � �� (� �� -: Phone=Contact far.Pernitttla ��$�� �}� t}��-� <br /> Ow�er'a Name � �O "C Owner Phone Number <br /> Owner's Address ���� 1_,.` Y�.<.�j S'[� J'��. Owner Phone Number �- � <br /> Fee Simple Titiehoider Name �` � Ow�ier Phone Number r� �� <br /> Fee 8lmple 1'iRleholder Address _ <br /> J08 ADDRESS �t5� �� J'�U � �1 `1.�,� C��• �e Y 1� 1��` ��J LOT# �� <br /> S��o��,S��H �i lvevc��� t'�►��c p,��F��� � �-a�-c��" O��{�~{���--t�13 t� <br /> (OBTAINED FRpM PROPERTY TAX NOTICE) ' <br /> WORK PROPpSED :. N�t CONSTR ADDJALT � StGN' Q Q DEMOI:tSH � <br /> e. INSTALL 8� , i2�PAIR <br /> PROPOSED�USE - Q SFR� � GQMM [� pTHER <br /> TYPE OF CONSTRUGTION Q BL.00K ' C] FRAME [� STEEC Q <br /> DESCRI�TIbN OF WORK y c;G�'r'/i Ot_. j�r 1 (.�lY"i�1 C�7"' <br /> BUILDING StZE �"SQ�FOOTAGE� HEFGHT ��� _ <br /> ��u��'����' L , � VAl.UATiON'OF TO'fAl CONSi'RUG'i'ION <br /> QELECTRICAI. ��� AMP SERVlCE " Q PROGFtESS ENEFtGY Q W.R.E,C. <br /> OPLU{VIBING - �$ ����-� " <br /> �MECHANlGAL $ VAIUATtONOF,MECNANICAIlNSTALLATtQN <br /> �„ �`. , , <br /> OGAS Q ROOFlNG .C) SPECIA�TY � QTHER <br /> FINISHED FLQOR ELEVATIONS r�� FLOOD ZONE AREA QYES. NO ' , <br /> L <br /> �au��o�R cor�Piwr - <br /> SIGNA7URE REGISTERED Y/ N FeE cuRRen Y 7 N . <br /> �,ddres� Cicense# �� � <br /> E�ECTRICIAN; . .,COMPAi�lY ' - <br /> SIGNATURE � REGISTERED Y/ N FEE'CURRE� ' Y/N <br /> Addre�8 ' � LECense# �• � <br /> PLU(YlB�R ', ( - 1+ �.�^^� COMPANY �L.Y� �l,�I l��I G��I,��} <br /> SIGNATURE` ' �- ; REGIS.TERED Y,/.N ;EEE CURRE� � Y N. �: <br /> Addreas . license,# �.� �� <br /> �MECH�►NIGAI: ' C0�4]PAt�Y ' <br /> � SIGNA7URE ' � ' REGISTERED � Y./ N FEE CURRE� . Y/��N ' <br /> Address�''_':_ _ � � � _ f License# �. � . <br /> . � . . ,,: _ ° � - <br /> 07HER . , _ `,COMRANY <br /> SIGN14TURE'� '=��'� - � '` � ' t REGI5TERED " � Y/ N.. FEE CURRE� Y/N- <br /> AddreS� _ , , CiCetlSe#�� � <br /> RESlDEN'if�L;�, Att�tctr'(2).Rtot�.Plat'is;.:(2}`&ets-of:Bu1lding�Ptans;{'E)se#cf Eiiergy�Forms;�R-0=W�Pernilt far new construc�on, ' . II <br /> •; �Minimum.ten�(10)�worktng;days;after,�'submiftai"date.°:Requ�red onsite;:ConsftucHon=Pians;Stonriwate'r Pians w/Silt Fence instailed, <br /> ��1�� 'Sanitary Facllitles:8:1;dur►ipster„Slte Worlr=Permft for subdfvislon'sparge projecCs` ._a; '3 " , ` <br /> CQMi41ERC1A1. Af#ach{3)cbmplete sefs`csf'Bultdirig Plans'plus a'�ife Saf�ty Page;(1)set of Energjr Fotms.R-Ct-W Petmtt for new construtflon. <br /> Minimum ten(10)working days after submithal dake. Required onsite,Canstructian Plans,Storrnwater Plans w/311t Fence installed, <br /> Santtary Facilities&1 dumpster.Site Work Permit tor all new.proJects.All commerctal requlrements,must meet compllance- <br /> SiGN PERMfT Attact�"{2)sets-of�Englii'eeried P1ans., - � . , _ <br /> ••"*PROPERTY SURVEY r uired,for all NEW.aanstructibn.� <br /> _._.._. _ e_4. . <br /> Qlrea#ton�: _._ . , _. <br /> Fill out applicatlon completely. <br /> Owner&Cantractor slgn bacic of appltcaUon,notadzed '� <br /> [f aver�t500,a Natice of Commencement is requi�ed. (A/C upgrades over 57500) <br /> '" Agent(for the contractor)'or'Power of'Attoriie'y�(far tlie'owner)would be someone with notarized letter from owner authorizing same <br /> OVERTHECOtlNTER.PERMITTiNG� '�(FronEafAppllcatlonOnly}. '.' <br /> Reroofs If shingles Sewers :.Servic.e Upgrades A/C ..; Fences,(PIqUSurveylFootage) . <br /> _ �. _ �`, ._. .. . . . �� - .. <br /> Driveways-Not aver Counter if ori pubtEc'ioeilinrays..needs�ROW�� =•' ,•... j <br /> . � <br />