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813aao-oo2o City of Zephyrhills Permit Application Fax-813aeaoa2�
<br /> � BuHd9ng Department
<br /> Date Recetved -. - Phon�-Cant�ct#or Perniittin �U v� �f
<br /> Owner's Name L` !r � 7L L!G'-S Owner Phone Numlaer O J� 7 ��t�
<br /> Owner's Address r"b/v � f'L'.� /� Owner Phone Number° � K��
<br /> Fee Stmple Tltleholder.Name � � � ' Owner Phone Number � �
<br /> ;j ' .
<br /> Fee Stmple Titleholder Addresa °
<br /> JOB AdDRESS �� � �I P� G�11�/%��G� LOT# �_��„�
<br /> SUBDIVISI4N ° PARCEL ID# G!� �tL�• � �}�jLf �J�,��}� ���
<br /> , � , . (pBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROF'Q3ED ;,NEW CONSTR ADDIAI.'F C� StGN Q • [� DEMOI.lSH
<br /> �e, INSTALL -� REPAIR
<br /> PROPOSED�USE Q SFR- Q Gt?MM �,,_] C?TNER '
<br /> TYPH OF CONSTRUCTION Q " '" BLOCK " Q FRAME C� STEEL Q
<br /> DESCR{PT10N OF WORK 7f ,��— L�G� pf l�fN �� p5 li1?7Y1 J�JCa "�j
<br /> Bt�ILDING'SIZE � �'SQ FOOTACaE C��. ~ HEIGHT�E��
<br /> OBl!lLDING � � VAtUAT10N'.'OF�TOTA�CONS7ftt1C`TION
<br /> QELEGTRiCAL � �� AMP SERViCE Q PRC}GRESS ENERGY Q W.R:E,C.
<br /> ,.,..,_„'. � '
<br /> QPLUMBING � � � '
<br /> � �1�}�*D ��� VALUATION OF:MECHANICAL tNSTALLflT1t7N
<br /> MECHANtGAI $
<br /> ,. l�'! p J �
<br /> QGAS Q RQ.QFIt+IG .Q SPEGIAI.TY � QTHER= •
<br /> FWISHED FLOOR ELEVATIQNS ��� FLOOD ZQNE AREA QYES NO
<br /> SUILDER COMPi4NY; .
<br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Addre�s License# � -- �
<br /> ElECTRtC1AN. � ' COMPA4IY - -
<br /> SIGNATURE ��` REGISTERED Y/ N FEE CURRE�` Y/N
<br /> 4
<br /> AdtttB$8 ` � liCBflSe.#.� �
<br /> PLUNOBER ` COMPANY . . `- ,
<br /> SIGNAI'URE'� ' ; �REGISTERED Y./=N., _. . FEE CURREA` Y.�/N '•
<br /> Addre�s . ' l�cense# � - ��
<br /> MECHANlGAL` �j1� C,OMRANY ����5 f /�Q�S�` G.��
<br /> SIGNATURE• � ��� ,•./?//�G��20iJt,p„� � ` REGISTERED , Y./ N � FEE CURRE� Y./�N �
<br /> Add�s��� ��� ��`1Tl�v!'L ���/t' , Licc�nse#.����L���� �
<br /> OTHEit �, � . . . . _ _ " � ',`GOMPlWY - ,
<br /> S{GNATURE' �• - �� � � ' ' � � �' � REGISTERED ` � Y/ N. FEE CURRE��� Y/N
<br /> Address ': � -, ' 1� , � Cicense# � —� '
<br /> ... p�.�' + ' .` • . �' , �
<br /> RESiDEN'itAl;�., _:Attacti"(2):Flot P;lans;,.(2)sets:ofiBuEtding:Plans;(1)set of�EnergyrForrns;'R=0-W°Periritt for new ctinstruction, � , .
<br /> - ��Mintmum�tenr(1A):wo,rking"ciays_aiter,:subriilttai date::•Requlred onsife,:EonstiucBon�Plans;8torinwate''r'P1ans w/SiifFence instaped,
<br /> L ' � �SanitaryFacllttles,&,1�;dumpste.r,^Site•Wor1c:,P�rmit#orsubdiWslons/large';projects.:•,-.".,_-_ ' " '
<br /> CQN�MERCIAt. Attach{3)-complete sets'af'Bultding Pta�s ptus a�kife Safely Page;{1}set of E»ergy Farnts.R O-W Pemtit for neW canstructton.
<br /> Minimum ten(10)working days after submlttal date. Required onsite,CanstrucUan Plans,Stortnwater Plans w/Silt Fence installed,
<br /> Sanitary Facilides&1 dumpster.5ite Work Permit for all new projects:.All commercfal requlrements must meet compilance �
<br /> SIGN PERMIT Attactt"(2}sets of Engirieer,edcP[ans.;�,.-.:-.. � � ,. , ��, : ' .
<br /> "`"PROPERTY SURVEY reGuired for all NEW construcUon.
<br /> Dlreetlons: .. .-,,.,,,, _ .
<br /> Fill out appiicatlon completely.
<br /> Owner&ContracMr sign back of applfcatlon,notarized
<br /> If aver�2500,a Notice of Commancement la requlred. {AtC upgrades aver�T500}
<br /> ��'-'�_;,..-..
<br /> "` Agent(for the conVaotor)'or Powe�of Atkomey'(fo��the owner)would be�someone with notarized letter trom owner autharizing same
<br /> OVER THE COUt�ETEEt PE�III�f'f-TING-'�:��F�r`�t'���,'-�"'iication�Oflty);:�� - �" � _ . �.: ,
<br /> Reroofs if shingles Sev�e�S,;, ;:� f�S�rvice U` graiies A/G.��.;;;�'•�F�ences(PlobSurvey/Footage) -!J��"wfs��.�#IV1?'i; ��n YF����,
<br /> �,� C' ifi r,.�c. -^tit��� �i tnf : ' �_�^_�,, I _,i C 7 ��Yr:G�"R';iY
<br /> f r't.... ',,� ., _ :�h'St`,'�44 9�$i<" ^I�U r�pt��DG. =f+� Y`et
<br /> - `- " 1 C r ",f°c •j'^; �• � ' � a t
<br /> Drivsways-Natover urite�Jfoa`p}ili�l�'roadZvays'naed�ROVt1��::' ` ' �=t".�`�u�z�=�c��? �s���e::t�«� g.���P�;,=
<br /> ,�..�t�c:u � +n ��Q�ra�mr}co� •'�.>"�.�:''` ` :a�;S.rtBE a�, +A riat4:in�rric�;. :�ry�,;�,�`';
<br /> !i2Y'„�'YIL!JP�C�'iCif: � .�o�J-��"J�°� �����'�{t[,`%F�'.
<br /> .:iP„�U:��fi��'sRilJft J'��1.�r:',�`� .i'!'s7.�tiF.I'Jti lFiiQ:'.iSi��l�.il:'ti7',�!i:a';��j ��:+:�ii�°�
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