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813aso-oo�o City af Zephyrhills Permit Application Fax-813-780-ooz� <br /> Building Depattment <br /> : " ' ' <br /> Date Recaived � - ph�ne�CanNact�far.Permittln — <br /> Owner's Nama l�1 �C?�V�7 �'Q,�1 Owner Pha�ss Number <br /> Owner's Address �— r�� Z. —1 9 v1 .l •Owner Phon�'Number - � � <br /> Fee 5lmple Tltleholder Name �� � Owrner Phane Number �i � <br /> Fee Simple Tltleholder Addre�s <br /> J08 AdDRES3 LOT# C� <br /> SUBDiYiS10N �� � P.AftCEI.tD# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPt}SEd � NEW CONSTR ADDIAIT � S1Gt�f' Q Q DEMOLISH <br /> .e. INSTALL � . REPAIR <br /> RROPOSED::USE [J SFR� Q COMM Q QTHEF2 - <br /> TYPE OF CONSTRUCI'ION � Q BLOCK " Q FRAME [ _] STEEC Q <br /> � � � . <br /> pESCRIPTtON OF WORK (`� ��' -- �� <br /> B[Ftl.D1t�G SI�£ �� � SQ FOOTAGE " HEtGHT .. <br /> �_,�. - .. "�� _ <br /> ���«'���fi' � I"' 1 VALUATION'.CiF'i'O`fALCONS'i'RUC1'IOiV • ' <br /> L__�._-..._ J <br /> QEI.ECTR1�__ _- $ �h�}� AMP SEF�VICE Q PROGRESS Eh1Ef2GY Q W.R.E.C. <br /> lJ <br /> �PLUMBINC3 •� � � <br /> QMECNANIGAI ($� � YALUATlON OF;MECHANICAL INS7ALLP►TIOi�! � <br /> � �� , <br /> [�GAS , Q RCIOFING .[,� SFECIAITY � OTHER . <br /> FINISMED FLOOR ELEVATIONS r�� FLOOD ZONE AREA QYES. NO <br /> L <br /> BUI�DER COMP74NY= <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N . <br /> �.ddress � .Clcense# � I <br /> ELECTRICfANr : ,'COMPANY ` _ <br /> SIGNATURE � "` REGI3TERED Y/ N ��`cUR�ten= ' 'Y/N <br /> Addre� . , . Llcense#��. � � <br /> P�tJMBER ` • COMPAHY ' <br /> SIGNATURE` ' ' � �ecis�RE� Y./-N FEe Cu�ten ` Y/N. � <br /> Address ; license.# � .� <br /> MSCHl�ti�110E0L` - . ' COMF�AFtY ' <br /> SIGNATURE � ' " � REGI$TERED Y,/ N . : FEE.CURRE� Y/�N ' <br /> Addre�s''� � . � "- - • _, .` Ucense# � . .. I <br /> t�TNER - _ � , CO,MPAHIt � <br /> SIGNATURE �•� ' � � ' ' � � ` �REGI87ERED ' ` Y/ N,..:- ` � FeE cuatt�n Y/N <br /> Addre� ._ ' , . . Llcense#�� � <br /> ,...�_ . - " - <br /> RESFDENTIAL,°;t .Attacti(2},PIot.Ftans,.:(2)sets�of Suildliig-Rlans;{1)'set of<Energjr�Fatii�s•,'-I�R-0=W Permlt ftsr new constructton, .� . <br /> - � �Minlmum�:ken•(10);wo_rk(ng,days;aftet:subrtiltfai'date..:R'equired onslte;_Constriicd�on°Rlans;Stoimwate�Plans w7 Sllt Fence installed, <br /> ' �"'`Sanftary Facllttles�,&;1:dumpster_Site WotluPermit#or su6divisionsAarge.proJects'` ;: 4 " " ` � '� <br /> COMMEitC1A1. Attach 3`cam lefe sets`af Boltdto Plans �1us a Life Saf�i� Pa e� i set af Ene Fotms.R-O-W Permit far naw cans#ruction. <br /> { } p g p iy g ,{ ) t�gy <br /> Minfmum ten(10)working days afker submlttal date. Required onsite,Construc#io�Plans,Stortnwater Plans w/Sllt Fence installed, <br /> Sanitary FadltUes�1 dumpster.Site Work Pertnit for all new.proJ'ects.All commercial requi[ements.must meet campllance ' <br /> St�N PER14I1T Attach"{2}'sets of'Eiiglneered,,Plaris.; .s -� � � ` � <br /> ••"'PROPERTY SURVEY required for,all NEW canshuctlon._ <br /> DEractlons: • � - , <br /> Fill out applicaUon wmpletely. <br /> Owner 8 Contractor sign back of appltcatton,noia�ized '� <br /> tfaver�500.a Motice of Cammencemerr#la reqairecl. {AtC t�pgrades over�T500j <br /> '" Agent(for tkie contractor)or Pbwer of Attoriiey(fqr ttie qwner)would be�someone with�notarized letter from owmer authorizing same <br /> OVER TNE CCIUNTER PERMITTING - �(Fron#af•Appt�cation Only} <br /> Reroofs if shingles Sewers 5ervice Upgrades A/C Fences(PlodSurvey/Footage) _ ,.. <br /> Drivewaya-Nat over Caunter if on public roadways..needs ROW <br /> i <br /> -�J <br /> _ � <br />