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s�saso-ooao City of Zephyrhills Permit Application Fau-813-780-0021
<br /> , SuEiding Department
<br /> D��e Received �`L. -- � . Phane Cantact far Permittiag � U U — - V�...7 !
<br /> Owner's Idame �� Owner Phone Number
<br /> � ! �Owner's Address �(p�`✓ '(/� .' ,C/CQ�"" � Owner Phane Number ��
<br /> Fee Simple Titleholder Name Owner Phone Number �— �
<br /> Fee Simple Titleholder Address �
<br /> JOB ADDRESS L� G . � .�� r . LOT# �
<br /> SUBDIVISION � � PARCEt,ID#
<br /> � (OBTAINED FRdM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED e '. NEW CONSTR 8 ADD/AlT � StGN Q � Q . DEMQI.ISH
<br /> INSTALL FCEPi41R
<br /> Pi20Rt}SED`USE Q SFR Q COMM C� OTHE12 C , �i , _�
<br /> TYPE':OF CONSTRUCTION [� BLOCK `• Q FRAME � STEEL Q r T�
<br /> DESCRIPTION OF WORPC �' ''. / /7 /'7 �/'-a c.:�"�••
<br /> BUIL"DIPIG 51ZE � � SQ FOOTAGE /�"""� , HEIGHT •���
<br /> �BUILDING $ �7 ��/� VALUATION'6F TOTAL CONSTRUCTfON
<br /> �� v
<br /> [�ELECTBI�AL � � AMP SERVICE Q PFtOGRESS ENEi2GY Q W.R.E.C,
<br /> QPLUMBING � � �
<br /> QMECtiAi31CAL � � VALUATION OF iV1ECHANICAL INSTALLAT10�1 ��
<br /> ��as �oo�»� � sp�ci�.�r [� a��a
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<br /> FINISHED F1.00R EI.EVATIO S �� FLOOD ZONE AREA QYES NO
<br /> BUILDER CONIPJ4NY ��G� • ��� �` �G' •
<br /> SIGNATURE REGISTERED ' N ,FEE CURRE� Y/N
<br /> Address Cicense# I �
<br /> "'ELECTRI,C,IAN� ,. ` COMPANY
<br /> SIGNATURE REGISTERED Y/ N � ��Fee CUR►t�� Y/N.
<br /> Address . l:icense# I �
<br /> i. �
<br /> P.LUMBER;.,, COIVIPAMf, �
<br /> SIGNATURE REGISTEREO - :` Y,•/'N.� ,' FEE CURREA � Y I N
<br /> Address License#`� � �
<br /> � MECH�IVICAI: , � CQMPANY
<br /> `� SIGNATURE� -� REGISTERED , :Y/ N F.EE CURRE� � ;• Y/N
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<br /> �ddre's's�'' `� " . Licens,e.# ,
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<br /> e�:�_��, , . ... .
<br /> ,,:OTHEF3'' ',' , COMPAPIY
<br /> ;.`.`SIGNATURE��,�: � � � REGISTERED Y/.N. FEE CURREK Y/N
<br /> .f,;„<�'J1r.s .- .. . . . .., . . . .
<br /> •Address�.., - _�:� �.;.� � ` � ' License# � �
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<br /> 4'"~ESID,EN1'IAL��;�;,: °Att�ch_;(2);Plot�iPlans;�`(2):sefs�of_Building�PPan§;(1�)`set'bf�Ene�gy;Forms,�B;Or1N,Pemiit_fornewconstiuction,.
<br /> �.�} :.=:.-sMinimum ten(;10,);„w,orki'ng;days afte�;sutiini14a1�date. 'RequiretlYonsite'Con`struction Plans,`StoCmwater Plans w/Silt Fence installed,
<br /> ,.yw. �. . . ,
<br /> - �.�:,.1.. , .. SanitaryxFaclliries}�1�,dumpsterrSife;Wor,k�Permi#for.-;sitbdivislons/farge:pFojects: , .
<br /> ;,....
<br /> „�COMMERCIAL Attach�j2f�oomplete'sets'af"Building Plans plus a Life Safety Page;(1)set ofi Energy Forms.R-O-W Permit fqr new canstruction.
<br /> u Minimum ten(10)working daysafter submittal date. Required ansite,Construatlon Plans,Stormwater Plans w!Silt Fence installed,
<br /> �f San�tary.Facilifies&9 dumpster.Site Work Permit fa��all�new projeats.All commsrciai requirements must meet compliance
<br /> `;:>;`�.
<br /> »�=$IGN�pERMIT ""At#ach(2f sets�,of;Engineered,Flans.�+� �� � � -
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<br /> �'��'����� ****PROPERTY SURVEY,required far aI1,NEW.canstruction: "
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<br /> �:.�;•.'=���.. �.. � _'_e�._ -
<br /> 4.'L• p:., . ,
<br /> .,�--�Di�e�kions: ;=.,r,.;,;,.:,,.,.�:>: _�
<br /> '"`.�, 'Fiii-°out`appiication completely.
<br /> Qwner&Contraotor sfgn back o#application,notarized -
<br /> ` If.over.$2500;a Notice.of:Comniencement is required. (AIC upgrades over$7500) _
<br /> �•�,:-..,.,.r;.,r,�.
<br /> ���*` AgenY{for�tne�cxint�actor)-or`Pawer'of'Attomey{for'Uie ou�mer}wouEd tis sameone with natarized letter fram awner autharizing same
<br /> ;�:.:
<br /> ��;QYElt'rTHE COUN'i'�R:PERMITTING. ._ (copy of contract-required) �
<br /> '�'�fteraofs if'stitngies Sewers Service Upgrades AfC Fences{Ptot/Survey/Footage)
<br /> Driveways-Nat over�Counter if an publia roadways..needs ROW �
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