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813-780-0020 ��� � City of Zephyrhills Permit�4pplication F�-a�aaaa-aa2�
<br /> f Building Department
<br /> Date Rece�.ved � phone Contaat for Permittin
<br /> 9
<br /> Owrfer,"s�ame '��'''<�S �/��� OwnerPhoneNumber �d�F�B���d��
<br /> c: /l1�� ! ��tl' �G nd �rieur� �
<br /> .Owner's�`Addres's:� � /r�c .lY� /f Owner Phone Number ��
<br /> Fee Simple Tikleholder Name � � Owner Phone Number �� �
<br /> Fee Simple Titleholdar Address
<br /> JOB"ADDREBS;.:� ��O'� ��ytc��t ���= , "���'h�t�a'.lI �i� LOT# �-��
<br /> �_".
<br /> �,su�t��v�s�oN,.-� �s�,�n� rf����� PaRc��.fa� .
<br /> (OBTAINED FR4M PROPERTY TAX NOTICE)
<br /> WORK FROPOSED �� ,� ;��;;,:,;�NEUtiJ,:fANSTR.r• ADDlAL.T � S[GN Q Q DEMOLtSH
<br /> �.INSTALL 8 REPAIR -
<br /> PROP.,QSED USE ��-�az�-'�BFR•� Q COMM 0 OTNEFZ '
<br /> TYPE''OF CONSTRUCTION Q BLOCK • Q FF2AME �. Sl'EEL Q
<br /> �DESCRIP_TICEN_OF�iA►('1RK�+~ �Ul� ��.,�l.�c Cu�Ci�+-� `3�vr�'y�st:,r �/:+�'r.�� ��=* J�jan�T,,c�i rc 2��IG r�r�T,Gr.Ck
<br /> BUILDING S1ZE � i SQ FOOTA�E�� MEIGHT •�,,,. �
<br /> ,�,
<br /> �;;�`.:.��g���'����^~�~ � �v�``��� VALUATIOR!'OF TOTAL CONSTRUCTION
<br /> .:QEL�CTRtCA� � � ANIP SERVlCE Q PROGRESS ENERGY Q W.R.E.C,
<br /> QPLUMBING $ ( h "F' �'Y•�3������ Y`�l
<br /> �l V ��4��
<br /> QMECHANiCAL $ VALUATlON OF MECNAiVICAL tNSTAL1AT10N ����1���'��
<br /> QGAS Q FtOQFING Q SPEC1Al.3Y 0 OTHER j vJ 1�;��.,�'L �/i e�1""�
<br /> ��� ��e
<br /> FINISHED FLOOR ELEVATIQNS ��� FLOOD ZONE AREA QYES NO ���
<br /> -BUIIDER /'�-� _�` COMPANY ,
<br /> �S G ATUREa ` �C..�'�� REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address - �License# �� �
<br /> _- 'ELEC�'RI,CFAN .: COMPANY
<br /> �.�SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
<br /> ' 'Address` - License# � �� �
<br /> PCUMBER.,. COtVIPANY
<br /> $IGNATURE REGIS7ERED Y•/'N ` FEE CURRE� Y/N
<br /> _ Address License#`I: �
<br /> - MECHANICAI: � COMRANY -
<br /> " SIGNATURE< ' - ' REGISTERED , Y/ N FEE CURRE� . Y/N ' �
<br /> Address4 ' - L•icense_# � �
<br /> �,;;w . .,
<br /> r�..t}THER�•�"'`;. �. ' � � GdMPAi�EY
<br /> ;�:SIGNA7UREci;;';:� .� -• - REGISTERED Y/ N FEE CURRE�' , Y/N
<br /> �.. �Address�. , � , Licerise# � �
<br /> -f:
<br /> ;,`>:#tESFDENTi�CI.�;'t'':AttacFi;;{2}:Ptot:P.lan's;`'(2}.sets�of�Buildarig�Plans;(1�)`set of-Energy,Far''ms;,R=0=1tV Permit:far new,construction,.
<br /> . . .,: .._ _ ,
<br /> A . ., ... . . , . . , ,: .
<br /> ...
<br /> .:. ,:�.� ,_..,. - Minimum�ten:(;10),workin ,d , q'
<br /> .,�, .� t vs,}:";,;,,:�.,� ,,, ,,,,,,,;,,,,,,,,. .. . 9;.ay§'�:after.'sutimittaGdate.'Re uired`onsite;Con`stnictian Plans,'Stormu'vater Plans w/Siit Fence installed,
<br /> `��--;._. Santtary,-,F�acitlties;�&�1,.dumpster,,Stte�Wor,k Pemiit:for';subdivisionsllarge'pfoJects�- " `� '� - � � - -
<br /> .. a,.,._.,...
<br /> ;'=°.GOIVlWIERCiiiL Attach;(2)�comptete"s'ets of'Building`Pians plus a�Life Safety Page;(1}se#of Energy Forms.R-O-W Permit'for'new construction.
<br /> . Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,.
<br /> ,� "�� Sanitary Facititles&'1 dumpster,Site,WotJc Permit Eta��all-new p�o�eets.Aq commercial requirements.must meet compirance
<br /> �i;SiGN=PERMIT AtEacFi`(2}sets of;Engineered�Plans:�s� ;. ; ... - . : �
<br /> ��{" ""'PROPERTY SGR1/EY r, uired for,aII.NEW construckion.. �
<br /> _ .�. �4. �. -
<br /> �'DirectibHs: ,� , ,. ,_.,
<br /> �� Eill:outapplicatlon completely.
<br /> Owner 8�Contractor s�gi�tiack of appllcation,notarized
<br /> _ Ifibver$250Q a Natice�of:Commencement.is requYred. (A/C upgrades over$7500)
<br /> °`;*'` AgenY(forkh`e coritractor)•or�Power'of'Attomey(fbr'ttie ovirner}woulii be someone with notarized let#er from ownet authotizing same
<br /> �`:�OV.ER.THE�COUNTER;P�ERMIITING. .. (copy.of-cantract-.required) '' ' ` -
<br /> �>-Re�oofs.if sfiingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage� ,
<br /> ':� �. ..._....,__.,...M,.._ .W. ._�._�._ .._�._ _. -, _
<br /> ' Drlveways-Not over Counter If orr public�oadways..needs R01N
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