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a�s'ieo-ooio � - City of Zephyrhills Permit Ap�lication , Fax-813-780-0021
<br /> Building Department _ _ ,
<br /> �at�Rec�ived _ _ Phane Contact for Permltting � ° — '
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<br /> t�vuner's�tame ���r�1 AX�� �1�(S(���5 Qruner Phane RSuenbeP �l J —���l ��—t O
<br /> l,luvn�r's s�ddress ����' 1 }� �� Owner Phone Muenber � -�
<br /> ��e�imple Titl�holder Wame, � - � � - O+iuner Phone tdumkaer �� � �
<br /> ��ee�IPnple Titlehol�er Address -
<br /> ,��►�a►�o��ss ��2� �\� �-�-. 1n Y"Y����S �1 �3��-k�-- LOT# �� .
<br /> �s��qiv��eo� �� � P�►�ec��.�a# ' . �
<br /> � (QBT,4fNED FRQM PROPERYY TAX NOTIGE) .
<br /> pfll0�@f�ff30P05ED e NEW CONSTR e i4Dp/ALT• [� SIGId O O DEMOLISH
<br /> INS7ALL REPAIR
<br /> B�E�O�OSIED USE Q SFR Q COMM � OTHER
<br /> 1VP�O�COIdS76tUCTIOM , Q BLOCK Q FRAME � S"fEE� Q � �
<br /> �DIEsCRIPTIOId iDF W('1R6f ��C G�'1 G.Y�"� . C�-�I�'• C'1 O ��P �-2.�..1r � -►�r� �4�-4- P S I i'-�-
<br /> I�UILDiR1P�51Z� ���� SQ FOOTA�E�� CiiEI�HT ��
<br /> �BUILDtNG $ VALUATION OF TOTAL CONSTRUCTION '
<br /> �.........� , .
<br /> �ELECTRICAL �� AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C.
<br /> �PLUMBII+IG $ , -
<br /> �, � ` ,
<br /> �ECHANiCAL` $ � �� VALURTtON O�MECNANtCAL,IiVSTALLATIOt�} � ,, � � C � � -
<br /> � t} �t,�j, � .
<br /> ���1 2,
<br /> �G,4S Q ROOF!l+IG Q SPECtALTY � OTHEF2 � �} )
<br /> � „ / /
<br /> FINISHED FLOOR ELEVATIQNS FL.QOD ZONE AREA QYES NO l{1
<br /> �i11LD�R - COAfli'�1RfY
<br /> �lfaAlATURE REGIS7ERED -Y/ N FEE CURREA Y/N �
<br /> Adctress - � License# �! . �—�'
<br /> �L�CT621�IAid CORflP�1IdY �
<br /> - �IGWA�D'U6ZE • REGISTERED Y/ N FEE CURREA Y/N �
<br /> Adc9ress License# ��
<br /> ��.Utlfl��l3 ' COMPANV . �
<br /> '�YC�aR�6►TEJGZE REGISTERED Y/ N FEE CURREA Y/N
<br /> Addr�ss License.# � u�
<br /> MEGHd,R40CAL (���� co�w�a�av �2C� �� � �t1��ts����� l.l.� - .
<br /> �VGW�Y41CtE - �T � REGISTEREp � '/ N FEE CURRE� Y/N ,
<br /> �d¢iress �u�J��1p ��-r� '�J� � License# 1.��.}���t �"�l� ��
<br /> OTb�Q� � � CONAPAtdY
<br /> �IGWd�'9'IdRE � REGISTERED Y/ N FEE CURRE� Y/I�I
<br /> dldcOress " License# �� �
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<br /> �t��Ofl{�t�liTl�lL. Attach{2)Ptot 1'lans;(2)sets of BuECding Plans;(1}seE of Energy Farms;R-Q-W Permit for new.canstruction,
<br /> Minlmum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwrater Plans w/Sflt Fence Installed,
<br /> Sanitary FacititEes&1 dumpster,Slte Work Pesmlt for subdiv]s(onsllarge prujects �
<br /> �OMiNIlERC1Al, Attach(3}comF�lete sets of Buitding Plans ptus a Life Safety Page;(1}�et of Energy Far►ns.R-O-W Permit for new constcuction.
<br /> Minimum ken(10)working days after submittal date. Requlred onsite,Constructlon Plans,Starmwater Plans w/Silt Fence installed,
<br /> Sanitary Facilifies&1 dumpster.Site Work Permtt faratt new projects.AIf rommercla!requirements must meet compliance �
<br /> �iGiV P�Fti�itT Attacfi(2)sets of Engineered Plans. -
<br /> � '•A°PROPERTY SURVEY required for all NEW aonsVuation. � , '
<br /> ili��c�(mn�:
<br /> Fill ovt application completely. ,
<br /> dwner&Gontractor s�gn baak of applicatian,notarized ,
<br /> If ov�er�2500,a Pdottce off Commencement(s required. (A/C upgrades over�7500j
<br /> "" Agent(for the contractor)or Power of Attomey{far the o�nrner)would be someone with notarized letter from owner authorizing same
<br /> (�VE6t TH�COUNTER RE9tMiTTiN�, ... . (Front caf Application Oniy}
<br /> , Reroots if shingles a�.�Sewers. , .:Service Upg,rades A/C� Fences(Plot/Survey/Footage) •
<br /> Drivew�ys-Not over�Counter if'on pubiic roadways,.needs ROW , '
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