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$13-784-0020 City af Zephyrhills Permit Applicatian Fa�c-813-780-0021
<br /> •• Building Department
<br /> Date Recei�a�l • �,� �Phone Contact'for Permitting �tl —
<br /> 1�1��'� �,� 1�`���c�,� �..�� �� �--��z_ �z 7`�
<br /> Owner's Name ' uvner one�umber
<br /> Owner's Address � �Ow�one Number �— �
<br /> _..:�__._. �����' �
<br /> Fee Simple Titteholder ldame C � Owner Phane Number � �
<br /> Fee Simpte Titteholder Address
<br /> �aa n�o��ss � �7°C� �f�`v �`�'�2� ��� LaT# ��
<br /> su�a�vis�aca C�s��a�i.7 U�Ks s� �a�cE��a#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> ' WORK PR4POSED e .. NEW CONSTR 8 ADOIA�T [� 51GN [� C] DEMOLISH
<br /> INSTALL REPAIR
<br /> ' PROPOSED USE Q SFR Q CQMM �� OTHER Z
<br /> TYPB'OF CONSTRUC'I'ION Q BLOCK •• Q FRAME � STEE�. Q "
<br /> DESCRIPTtON OF WORK ` KE�-`�J�eC .,�tJ� �1J (�i�/�C�'� ��/�'}vC-t1 �
<br /> Bt!lI:DIN�StZE � � SQ FOOTAGE��' FFEIGHi' •�,.... �
<br /> QBUI�DiNG � VALUATION"�OF TQTAL CONSTRtilCTtON �
<br /> �,. �
<br /> QELECTR{CAl $ -�Z� ,}� AMP SERVICE Q PRQGRESS ENEFtGY Q W.ft.E.C.'
<br /> .. J -
<br /> QPLUMBlNC3 ��
<br /> QMECNANICAL � � y� VALUATlON OF MECHANICAL INSTALlATION
<br /> Q;GAS Q ROQFIiVG [� SPEClAI.TY � OTHER
<br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NO
<br /> �UI�DER CQNIPANY
<br /> SIGNATURE REGISTERED Y-! N FEE CUFiRE� Y/(V
<br /> Address License# �— �
<br /> ELEGTRSCiAN , �� � /„ � CONIPANY d G�✓t� I�zGE�'-i 2j�
<br /> .- SIGNATURE �"~�' t/t� U�'j C REGISTERED N FEE CURRE� Y/N. �
<br /> .. Aaa�as� � 3 ��'� t'12�``�C �'`�� License# �2 a a t Z Z 2-� ° 1
<br /> P.zUNf BER.,, GOMPANY
<br /> 'SIGNiA,TUR� RE131STEREO Y/ N FEE CURRE� Y/N
<br /> ,r -
<br /> Address , License# � �
<br /> MPCHAt�11CAL' ` � _ COMPANY
<br /> SIGNATURE' ' � REGISTERED , Y/ N FEE CURRE� Y/N �
<br /> Add�essY•�� � � ' Licens,e# �- �
<br /> .�%..S^ .. .,.. . , ..
<br /> ,..o.rH��a:}. �,.�-. : � - ca�n�a��r
<br /> ;`;$IGNATtJRE:?x :'� •�� � � • � REGISTERED Y/.N FEE CURRER , Y/N
<br /> Address��, �, ,` _ . . License# �� �
<br /> :r;<<,: . . . . , . . . . .: ,
<br /> 7;4.,..,..,• '_' _ . . . '� ' �, �'pa.��t:..., ._ . `c�: ' ' ' ' ,
<br /> r;RESIDENTIAL;��;.; ;Attacfs,;;{2);'.PIat:Plaris;;(2);sets�of�Biiiliiltig�t'tans;(1}=seta#�Energy,Fqrins;F.t;O-!11t.Permlt,fornew.construction,
<br /> �,� � � •-<-.=Minimum�:tern(�10,)working'days afte�°su6mittal�date.`Required`dnsite;Construction Plans;St"ormtirater Plans w/Silt Fence installed,
<br /> �� -� 5,... .t i-. ,� ..�.�. .� . �� -
<br /> �� Sanita,ry.,Facilities;&;1�;d�mpster;�Site:.Wor�cPecmitforsubdivislons/large=projecfs'- �
<br /> r;;COiY1WlERGIAt Attach(2}cori�ptete'sets"af"Bii9tding Plans ptus a Life Safety Page;{1}sefiof Energy Forms.R O-W Permitfor new cans#ruction.
<br /> �- Minimum ten(10)working days after submittal date. Required qnsite,Construction Plans,Stormwater Plans w/Silt Fence installed,.
<br /> �;..- 5anttary Facilitfes&1 dumpster.Site Wark PermiYfor all�new piojects.All commerclal requirements must meei compliance
<br /> s:�:�SIGNYPERMiT Attac}fi`{2}sets�.of,Engineered`Plans::r.,, • -. � . - - .
<br /> r�;;;.,' """"PROPERTY SURVEY required for„aII,NEW cpnstruc#ion. , ,
<br /> ���'Di�ections:. � _, � , �
<br /> �� �" �FiU<out application completely.
<br /> �..
<br /> �. Oiivner&Contractor sign back of application,no#arized
<br /> r� ` If'over$2b00,a Notice of Gommencement ia required. (A/C upgrades over$7500) � _ ,
<br /> "'�"' .A ent'foc`ttie;conf�actoC`or�PowerbfAttome for'ttie owner would 6e someone wiUt notarized letter from owner authorizin same
<br /> 9 t �.. ) Y� ) 9
<br /> ;°;`,OVER:7HE�COUNTER:PERMIl"FiNG,-':�.:,.(coPY-afi:co,nt'ract�required} '- a.;,';`; � '�. - �
<br /> ',: :Reroofsif sfifngles SevVers '''Serylce!Upgrade"s AfC: Fences(Plot/Survey/Footage)
<br /> ,. : . ` � '- ... ".,. �,_ t _... ,
<br /> �..;."F-"; � ., �
<br /> Driveways-Not over Cdunterif on pubti,c roadways.,n'eeds"ROW
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