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, 813-78��'J020 City af Zephyrhills Permit Application Fax-813-780-0021 <br /> , Bullding Department <br /> Date Received �J.�` � '"f phone Contact for Pormitfing �(; �/ ..�3<< <br /> r��t��i�'t'-1� "....�..,__,__��....r <br /> Owner's Name � ��,�j C'_C��'l 4�'-�-/ Owner Phone Number �3�3�,� J�' 3 <br /> Owner's Address �_f��2 l'ri�` �C1�k t wner Phone Number <br /> I�y�s' 6 ... �,—�j3���- [�.� —1 <br /> Fee Simpie TiUehotder Name � � 4wner Phone Number <br /> Fee Simple Tideholder Address <br /> '� � J oZ�2.. <br /> JOB ADDItESS �yd a 'y��L t�r' • �� `j3 /"t �3-��I+�. LOT# <br /> SUBDIVISS4N ��iP�t/!7 �1.�1tLi' PAE2CEL ID# �e�lo� �Qfo.1�1""'�C.�-i.+�'� ���� <br /> (OBTAINED FROM PROPERN TAX NOT10Ej <br /> WORK PROPOSED e NEW CONSTR� ADDlALT � SIGN Q Q DEMOLISH <br /> it3STAL� REpA1R <br /> PROP05ED USE Q SFR Q COMM � OTHER ' <br /> TYPE OF CONSTRUCTlON Q BLOCK Q FRAME � STEEL. Q <br /> �� DESCRIPTION OF WORK <br /> B[![LDiNG StZE � �� SQ FOpTAGE� HEEGNT C__� <br /> TrY"7�T1"ITTI�TTTI^TTTIT{�T(TrP'{TTIT'TTI�'ITIT'1`T�rf MTrrTPlT1'T9Tr'PPrP'1" <br /> I� �BUILDING �;p1f�� �A yqLUATIONOFTOTALCONSTRUCTION <br /> I IS Z t3 <br /> DELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C, <br /> ( <br /> QPLUMBiNG a � <br /> QMEGHAN(CAL $ VALUATIOPS 4F MEGHANtCAL]NSTALtATI0t3 ��� � <br /> � ( <br /> QGAS Q ROOFING Q SPECIALTV Q OTHEF2 <br /> FINISHED FLOOR ELEVAI'tONS ��( FLdOD 2QNE ARER QYES NO <br /> J <br /> �.,..._._� ...r ...._ r..-:.:�:-;-:-:�:..:��:-:�:_:_:-::-:-:-:.;T:.;-�:_:-�.::_;-r::-:.. <br /> . . . . . . .,;_;. . ..:r:r:..;� . .,_;,� . <br /> [ , , �� �j� �j,C�J� <br /> BUILDEft •l� I � COMPANY . CL�{'---�I lIL L.�L�/�-.-,� <br /> SIGNATURE � REGISTERED Y/ N FEHCURREA Y/N <br /> Address rs- r����h � �z�r°133,-�,�, � �� �.-� . ��ov��e7{ <br /> License# <br /> EIEGTRIGtAN GOMPAMY � <br /> S(CiNATURE �-_ � REGIS7ERED YI N FEECURREA YIN <br /> Address License# � +-� <br /> PLUMB�R � � COMPANY � <br /> SIGNATURE REGIS7EftED Y/ N FEECURRE� Y/N <br /> Address License# � � <br /> MECHANICAL GdMPAHY ��-.0 � <br /> SIGNATURE � � REGIS7ERED Y 1 N FEE CURa�n Y/N , <br /> Address License# � � <br /> OTHER � � COMPANY � <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREA Y/N <br /> Address Llcense# � I <br /> IIIIIIIIIIIII.IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111 <br /> RE9IDENTIAL Attach(2}Plot Platts;{2}sefs ot Build'sng Plans;(1}set of Energy Forms;R-O-W Permit for new coostruckion, <br /> Minlmum ten(t0)working days afler sabmittal date. Required oosite,Construetion Pians,Stormwaier Plans w/Silt Fence instaiied, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions4arge proJects <br /> COMMERCIAL Attach(2)complete sets of Bufiding Plans plus a LIfe Safety Page;(�)sei of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10}working days after submittal date. Requlred onsite,ConsWctiort Plans,3tormwater PIans w!Silf Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for aIt new projects.AII commercial requiremenls must meet compliance <br /> SIGN pERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPER7Y BURVEY required for ali NEW construction. <br /> .��..��F.i-�1-.i-i-t-F1--f-'.-'+•�'-'r:-i-i.-I-l�-T-{•.i-i-R.i-F-S-t-I-x.i-t�-4.I-t-i-I-i-S.a-i-I-i-S.�-�t-t..i�-Fi.I-i-t-.i-�-S-i-i-i�-i.. <br /> Directions: <br /> FlII out applicatlon complelely. <br /> Owner S Contractor sign back of applica6on,notarized <br /> tf over 52508,a Notioe of Commencement is required. (AtC upgrades over$7544} <br /> " Agent(for the conVactor)or Power of Attomey(for tha owner)would be someone with notarized letter from owner authorizing same <br /> OVER TNE COUNTER PERMiT'ftNG (copy of cantraot required) . <br /> Reroofs if sfiingtes Sewers Service Upgrades A/C Fences(PIoUSurveylFootage)� <br /> Driveways-Not over Counter if on public roadways..needs'ROW � <br />