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<br /> a�a-7eo=oo2o City of Zephyrhills Permit AQpiicatian F�x-813-780-0021
<br /> Building Department
<br /> . Date Received }j� 7—� phae�e Contact far Permitting U 1� ��'� -- � �'�`��
<br /> C3uva�er's Name �t�t?" pLCtt.+'� Ownec Phone Rlumber ���� ���' D 7 a ( : .
<br /> � ; . .s, .,:..•� .
<br /> Owner'.s�Addiess;; . �`��j � I a�hAUl,r�y� � r h���5 �� 3�5�� {Dwner Phone Nuri�ber�� �
<br /> Fee Slmple Titlei�alder Name • Owner Phone ldumber
<br /> Fee Simple Titleholder Address •
<br /> JOB;ADDRESS�. `�865� ��t�A����,.e � •k�l�s r� 3���a �.or# �
<br /> sueoivisroN � � Q��ac.r�:i�� f t-a b-�1- �oro-r�uoao -- ov7 J ,
<br /> . �..,
<br /> � ' � � � (OHTAINED FROM PR4PERTY TAX NOTICE)'
<br /> WORK;PROPOSEq„ NEW CONSTR ADDfALT Q SIGN Q MOVE [� DEMOLISH
<br /> � � INSTALL � REPAiR /
<br /> PRQPOSED USE , Q SFR Q COMM Q OTHEft '
<br /> TYPE OF CCINSTRUCTION [� BLOCK � FRAME � STEEL �] OTHER�—���
<br /> ��sc�apP:rioN}o��fwo��c; ' � �.b k� c l o�,�k add.�-���� . .
<br /> .:. ........:...�..�,,�. ,, . ;,.,.,,,,.
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<br /> BUIL,DIN �IZE; • ^ , � ;, :;SQ,,F.,OOTA„CaE� ^� ' HEIGHT �_
<br /> BUILDtNG $ �_..,,.� �;, ` : . • .�
<br /> _ ' � R�''�Q��' �' ,-VALOJATIQN:OF_T�CITAL.�CONSTRUCTIGIN • ,
<br /> - `�� , � .
<br /> Q EL.ECTRICAL $ AMP SERVECE Q PRO�RESS ENERGY [� W.R.E.G,
<br /> • �. �
<br /> Q PE.UIUiBfNG � �
<br /> � ��� �,
<br /> Q MECNAN2CAL $ VA�.UATIOiJ OF MECHANICAC ENSTALtAT10N `�
<br /> Q GAS Q FtOOFiNG [� SPECiA�TY Q OTHER
<br /> FINISHED F�OOR ELEVATIONS � � FCOOD ZONE AREA QYES QNO
<br /> �UIB.DEi'i � CCDMPAIIlY '�` Y�c'." �'i'S�'rii.c " v� c' .�G► C.
<br /> SIGWATURE � REGISTEREp / N FEE CURREN7 N
<br /> Address �b`'l� 3 ��- ,�4� 2��� r�1�)�s FL 35`-�( ' License# �G� l S J •�'I 7 7 r�
<br /> ELECTRICIAN . ' , . • �1.� � �' G6aMPANY �4� �c•St.c`s� ��P•-L�d"i C
<br /> SIGNATURE REGISTEREp I N �FEE CURRENT Y N
<br /> Address `�i'�`�f` �hr1�`�� �. �� Grl , �(.. �3525� License# �'�. 13�o3c��`i �
<br /> PLUMBER ���yypqNy
<br /> SIGMATURE � REGISTERED Y/ N FEE CURRENT Y/N
<br /> Address License# �� -�
<br /> M�CFiANiCAL CfJMPAMY , , , - .
<br /> SIGNATURE REGISTERED Y/ N FEE GURRENT Y/N
<br /> Address ' ' License# � , ��
<br /> OTHIEPf;;k._ � - �� :G{3MPi4NY. ��-.�t1,"1`� � . .
<br /> SIG9VATUR�;;�� �REGISTER�p : Y N FEE CUR r Y N
<br /> - - • - -- ---=----- � . _
<br /> •. __._. . ---- --_.•__-----= -- - ---- - -- -
<br /> ,�,qlilcess �`L.ic�ense#
<br /> -- - _ __---- --- - �Js3 z:�c�''
<br /> RES1�rE�ITiA1." � Aftaah;(2)P(ot Pians;{2j sets of Buitding Plans;(9}set of�nergy Forms;i2-Q-Vft Permit for new oans#ntctian,
<br /> , , ;�Minimutn ten(10)warking days aRer submi#tai date. Requlred onsite,'Conskruction'Pians,Storrtiwater Plans.w/Silt Fence installed,
<br /> Sanitaty PaciliGes�&'4 dumps#er;Site 1Nork Permit fo�subdtVlsians!la�ge projects � � � , .
<br /> COMMERCiAL � Alfaeh(3)sets of�Buildirig Plans;(1j set af Eriei�gy Forms.R-O-W..Permit for new construction. �
<br /> Minimum ten(10)working days after submittal"date. Required onsike,Const�uctian Plans,Stormwater Plans w/8ilt Fenee installed, -
<br /> Sanitaty Facltities&1 dumpster.Slte Work Permit for ali new pro�eats.A4!commeccia!requirements must'sneet compilarice'� � �
<br /> StGPI PERMiT Attach(2)sefs of Engineereil Ptans. , , ' �
<br /> *"`"PR4PERTY SURVEY'required far all NEW construction. , , � .
<br /> Direcfions: '' ' ,
<br /> Fill out appiication completely. � '
<br /> Owner&Gant�actoc sign back of appiication,natarized
<br /> ' if over$2500,a Notiae of Commencemenf is required. (/UC upgrades over$5000) ,
<br /> i"' Agent(far the contrac#ar)or P,ower,of.Attorney(for the owner)would be someone with notarized le#ter from pwner autho�ztng same
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<br /> 'OVEf2 tN�COUNTE62�PERMITif1�OG' (�ront:ofApplica#ion Only) ,, ;,:;,_. ., . a::;, ,,ry . .. .;,.
<br /> Reroofs � � Sewers � '" Service Upgrades A/C Fences(Piot/Survey/Footage): , , , � � ' -
<br /> D�iveways-No#hover Counfer ff on�pubi"ic roadways..needs ROV11 - ,-. ••�:�°-'�=� �• -� �� �• - �
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