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s�aaso-oo2o Ci#y of Zephyrhills Permit Application Fax-8S3-78d-0021
<br /> = Building Department
<br /> Date�Recefv�.i �`�j {�l . � phone Contact for Perm�tting `� ��3 � -- �(
<br /> Owner's Name 4� 1 I � m Owner Fhone Number p � 1
<br /> ,� /}� ,.,I
<br /> Owner's Address �� 1 e L.I Yc�l� Owner Phone Numb�r � �
<br /> Fee Simple Titleholder Name �� � Owner Phone Number � �
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS �{�. i� 7'1�r �i{�C � LQT# L�L�
<br /> SUBDIVISION ���`t.'�T'V1C' GUP �Iri 1-� I PARCEL ID#
<br /> (OBTAINEp FROM PROPERTY TAX NOTICE)
<br /> � WORK Rf20FOSEi3 e .. NEw CONSfiR 8 ADDlALT � SiGN Q � Q DEM4LISN
<br /> INSTALL -REPAIR
<br /> , PROP.,OS�D USE Q - SFR Q COMM � _ QTHER '
<br /> IYPE''OF CONSI'FL'UCTION Q BLOCK � [� FRAME �: STEEL Q
<br /> .� � , r t
<br /> DESCRIRTION OF WORK � O
<br /> BUIlD1NG SIZE ��� SQ FOOTAGE� ,HEIGHT :���
<br /> ,,_
<br /> �BUILDtNG $JC�oi`l� VALUATICIIV'OF TOTAL COtVSTRUCTtON
<br /> � � l�'
<br /> .:QELEGTFi1C,4L �� , AMP SERVICE � PROGFtESS EitilERGY Q W.R.E.C.
<br /> OPLUMBING �r---r-� ,
<br /> �MECHANICfiI. ��----� VALUATION 4F NiECHANECAI.INSTALi.HTICtN
<br /> Q,GAS Q ROOFtNG Q SPECIA�TY � OTHER
<br /> FINISHED FLOOR ELEVATIONS L�� FLOQD ZONE AREA �YES NO
<br /> BUILDER '�� /} �/"� y�} � , �}�, COMPAi+11Y (3 �Oli�'TZ�!'{
<br /> 81GNATURE � �`��u ���' �V��� N� REGISTERED Y'/ N FEE CURRE� Y/N
<br /> Address �License# � �
<br /> - 'ELEGTRI,GI14N COMPANY
<br /> �_ 31GNATURE REGISTERED Y/ N ' �FEE CURRE� Y/N.
<br /> Address - � License# �� �
<br /> ..f:.;?� ,
<br /> P.LUMBER.,. CONtPANY '
<br /> -'SIGNATURE 'REGISTERED , Y�/'N; FEE CURRE� Y/N
<br /> ,, r•
<br /> : Address ^ License# � -� �
<br /> :� MECIiANICl4t:` , f COMPANY '
<br /> " SIGNATURE' - '- '' � REGISTERED --, Y/ N: � FE�cuwt�n .° Y/N .
<br /> Address�� _ Licens,e# �� ��
<br /> '�.iSC. .3' ' . ... . - .
<br /> -.;_QTNER��_�-=',.� . ' ` C,ONtPA1dY
<br /> �;"SIGNA?[.GRE�;is�=;.Y ,�� � -�� � REGISTERED Y/.N FEE CURREK . Y/N
<br /> ��aaress? , _ ^�`" � � . ... , ����se� � �
<br /> ���::. . . _ .. s.� _�. . . ,. _ .,: .. . . . , .
<br /> "�RE$tDENTfAL��.;�;Attacha;(2)':'Plof:.P.lans;�'(2,}':sefs ofBuilding Rtans;(1�}'set of'Energy;Forins;"R=0-1(VPefmit fqr new.constiuc#ion,•'
<br /> _�„ m:�w�:�,�a.�,���.�:Minimum�tern:,(;1.Q):vuar,k.ingtday5�:after'"sutimil'tal:date.xRequired"orisite;Constiiibtion'Plans,'Sto"rmwater Plans w/Silt Fenae installed,
<br /> - � ���`" Sanif�ry�Facilihes&��1�iurnpste��Site�Wor,k Pe�tiit for.;su6diirisianstiarge"pra�ects = -'` _ � Y �` - �
<br /> _��COMMERGIAL- Attach(2)`compiete�sets ofBuitding Pians-plus a L'ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> � Minimuin ten(10)working days after submittal date. Required onslte,Construction Plans,Stormwater Pians w/Silt Fence installed,
<br /> �L°`.' Sanitary Eacitlties�;1 dumpster._Site Wark#?ermit"far=aEl-new projects.Aii commerctal requirements must meet compliance
<br /> `x�'31GN�PERMIT "Attach"(2j se'ts;of;Engineered°Plans:r4� �s, _. " - _ . - '
<br /> ",•"PROPERI'Y SURVEY reg.uired for aII:NEW construction.. .
<br /> ;,`;qirect�oris: :�t r? _ �. : ., . .
<br /> �`� ��FlII':outapplication campletely.Y
<br /> �� Ovmer:8�Contra�tor sigh'6ack af apptication,natarized
<br /> nf:r���
<br /> , ,If over$2500;a Notice:of:Gommencement.is required. (A/C upgrades over$7500) ,
<br /> ;...r:� �.:a��,,..,-:,���.:�.�
<br /> Agent.(for ttie`>confiactoc)°ar�F'awer`af Attomey{for'ttie owner}uvouid tie sameone with notarized letter from owner aukhorizing same
<br /> ;<�.OVEi2.TWE COUNTER;P,�ERMIITING ,. (copy�of-contraet:required) ' '"' ' -
<br /> .,.';Reroofsif sfiingles Sewers Servlce Upgrades A/C Fences(Plot/Survey/Footage� ..
<br /> � - --„ --- - r., , :
<br /> . Driveways-Not over Counter if oii:pu6lic'roadways.`.nee�ls RO,�l1f� +�r� . ;;
<br /> _ -�.�ia .. ..� , � : 1 ���'� s+
<br /> t` _ ,;r,i:�(i��:�,. ,,`�'. r" �
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<br /> � �;' ��i�:ii:".�{,.�..,.. `...�llry��:, �o "rsr!4r.w� ..,. ;r� .,
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