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a��-�saoazo City of Zephyrhills Permit Application F�»813-780-0021 �� �- .
<br /> • Building Department �'`
<br /> Date Recetved . Phane Contact farPermltting '� –
<br /> Owner's Name i9 C � .?/�C� Owner Phone Number ������c�� /�„�O �
<br /> �
<br /> Owner's Address � ��� L'��/� �� O�nrner Phone Number �— �
<br /> Fee Simple Titteholder Name � � Owner Phone Numlier � ��_
<br /> Fee 8lmple Titleholder Address �
<br /> �
<br /> JOB ADBRESS � �a 3 � �� �� �' •/�� LOT# [�
<br /> � "
<br /> SUBDIVISiQN � � PARCEI.iD#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WQRK PRQROSED e .. NEW CQNSTR 8 ADDIA�T �� SIGN Q Q DEMC}�ISH
<br /> INSTALL REPAIR ,
<br /> PROPOSED t15E � - SFF2 Q CC?[UIM 0 QTl1ER . E'.r/G�
<br /> TYPE"OF CONSTRUCTION Q BLOCK - Q FRi4ME � STEEL Q �— —�
<br /> ��. / 1 ��r
<br /> DESCRIPTIOtd"OF WORK � C G� '��� '�f � t /�� G(l�Od /�°t�t° G � �/7'� �'a.✓�
<br />� Bt11�D1Fl�SIZE �� � SQ FOOTAGE HEIt'sH'i • S�f�,�Ti cu,� �/��
<br /> Og������� �y������ VAIUATtOt�OF TOTAL COIVSTRt1CTtON
<br /> f• ,,
<br />�� ..QEI:EGTRICA� �� AMP SERVICE [� P320GRE5S EtVERGY Q W.R.�.C.
<br />�
<br />� �PLUMSIf�!{'a � � �� f� �ry�
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<br /> QIVIECHANICAL � � VALUATlON OF IUiECHAN[CAL tN8TALIATIQN
<br /> QGAS Q ROOFtAtG Q SPECIA�TY [� C}THER �,�if �L^^'�� .
<br /> f� t
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> �.eui�a�R � caM�Ewir �1,Yi� .�t.z-' �'y'"
<br /> SIGNATURE ,,,� a«�??� '/' REGISTERED Y'/'N FEE CURREn Y%N
<br /> �lddress � "Liaense# � �
<br /> �.�`ELEGTRt,C.iAPI , , COMPd#t�lY �
<br /> �SIGNATURE REGISTERED Y/ N �FEE GURRE� Y/N.
<br /> �,7 ' �
<br /> - Address � - License# �u �
<br /> c rt p.,�'.:x- V
<br /> FLUMB.ER;, ,. COMPANY -
<br /> ��SIGNAI'URE REGISTERED , Y•/'N= ' FEE CURRE�` Y/N
<br /> Address � License# � �
<br /> °':MECHAP11CA1:"` ` � COMPAFIY
<br /> ':�SIGNATURE�'"�� � RECaISTERED , Y/.iV FEE CURRE� ; ; Y/N ' ,
<br /> Aiidress�` " � ` ' � License.# �� �
<br /> r;i.., ,... . . �
<br /> � ,OTHER=�;"�`,�. , , , � . �GOMPANY ,
<br /> t"SIGNATURE;i,+'�;;_ .n " � � - REGISTEREd Y/.N . . FEE CURREK Y/N
<br /> ��►aaress. _ _ _ . rt: " , � �
<br /> License#
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<br /> ,, ;'.�f . __ - . { . z ..:},.t,:iP<; -�; ._ sV
<br /> ' ..-,__� ... .,-, ,.._:,. .,, ...,. .. ••. ,= _ _ ;
<br /> R !A[. ;,: Afhach`(2};Plot;Plans;�'(2)E'sefs�of`Building=Plans�(1�}°set of,Energy,;Forms;R=fl-�(1t.Rermit,for new,consttuction,'
<br /> , .ESIDENT
<br /> ,; , . .:
<br /> l; „ Fc�;s�}r R; �>Minimum ten,(10),workmgl,days:after submittal�date.�Required�onsite;Cbn'structlon`Plans,.Stormwater Plans w/Silt Fence installed,
<br /> w'�:;;.-- San[t�ry�F�acitlties�i&ul�dumpster,;Sitei=Wor.k Femiit for-subdivisionsllarge;praJeets -- == .r� � �
<br /> �r:,. .-., .,. _ . _
<br /> -~:;GOMMERCIAG A#tach��(2)�comptete sets ofBuilding Plans�plus a Life Safety Page;{1}set of Energy forms.R-C1-W Permit for new construction.
<br /> - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> -_ -Sanlhary Facilf�es&1 dumpster.;Stte Wor.k Permit fo�ali neuv pi�ojecEs.Aif commercial requirements.mast meet compltance
<br /> �r}��SiGN:PERMIT `Attaati(2)'s'ets-of,Engineered;Plans:��� :;:�..,�. �
<br /> `<;� �" "`""PROPERTY$URVEY required for.all,NEW construcNon. _
<br /> �_._ __
<br /> ���Directions; ..,...� :
<br /> �''�' �� F:ill;out�application completely.
<br /> �;.,...
<br /> .:Ouirner&:Cciritrdctor sign.kiack of application,notarized
<br /> ; If over:$2500,a Notice af'Commencement:ls required. (A!C upgrades ovsr$7500) _
<br /> �.....; .-.. ;.,;,:
<br /> ;0.gent'(for't't�e=cocitiactor)°or�Power o#'Attamey{for ttie ownet�wouid be someone with notadzed iefter from owner authorizing same
<br /> .. �,.,� . .. , � - ,., -.,_ ....
<br /> ;.OVER`,THE�COUNTER;PERMIITING`.` .,(copy:of.contrack;required)� �'� ' - � _ � , ,
<br /> 'r:Reroofs if.sfiingles Sew�rs ;``,Service�Upgrades PJC,"', �Fe�ces(PIoUSurveylFoatage) ' , ,
<br /> � - _ ' , . .. . .. -,,_ • . _ -,F,
<br /> ,��.: .-,-.,••,' ,._;.„��,.. , , , .
<br /> _" Drlveways-Not over Gownter if.on.public.�oadways_:needs ROVV � ,
<br /> � }. _ _. ..,... •� •� � � . -..... .,
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