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e�saao-oo2o City af Zephyrhills Permit Application FeX a�sasaoa2�
<br /> , • Buitding Department j�� � j�
<br /> �! � _�
<br /> Date Recelyed 'f• � _ �
<br /> •: � 1 7 / ,.: Phone=Cantact�for=Permtttln � i
<br /> Owner's Name �C� '� i� Owner Phone Nomber j oC� !�.
<br /> _ - .����� �,,,��.�����„ �K
<br /> Owner's Address �3. �S"�" � 1 � Owner Phane'Number
<br /> Fee Slmple Titleholder Name � , � Owner Phone Number � ��
<br /> r ` ,
<br /> Fee Stnrple TIlleholder Addresa
<br /> .108 AdDRESS � �'' �.. LOT# C�
<br /> SUBDIViS10N ,���i`Y1� t7-�/�'�fj�, PARCEI.,Id# 1� �°�–o�I._.-6� G�l`3.r3�6C1 — Z31�JC�
<br /> (OBTrAINED FROM.PROPERTY?AX NOTICE)
<br /> II W4itK RROP{SSED t_NEW CONSTR ADR/A�T [� SIGN` Q Q DEMOt,tSH
<br />� INSTALL REPAIR �
<br /> Y 8. .
<br />� PRQPQSEDitt$E . � Q . SFR� � GQMM [,� OTFlEi2
<br /> 7YPE OF CONSTRUCTIORI� • Q BLOCK " [� FRAME � STEEI.. Q
<br /> .,: �
<br /> DESCRiPTiON OF WORK /k17G#"�� €�QR� �. �t :� �f
<br /> Btlli.DtNG SIZE �� �`SQ FOOTAGE � �� NElGHT���_---��
<br /> I
<br /> QBUlI.DING � I ��� VAtUATION:(O�F`TOl'ALCOA157`RUCI'iOW � "
<br /> (b
<br /> QEL'EGTRICAL '� -� AMPSERVICE Q PRO�RESS E[titE}2GY � W.R.E.C.
<br /> QPLUMBING �$ �., ��
<br /> , ��„�„ � � , �� ���l 2-
<br /> OMEGHi4NtCAL �� VALC?ATtON OF,MECNANiCAt.INSTA�6ATiON. `
<br /> QGAS Q� RC?OFING _Q SPEGIAL7Y;[� OTHER
<br /> FINISHED FLQOR ELEVATIQNS r�� FLOOD ZQNE AREA [�YES NO
<br /> L _
<br /> r .�r
<br /> BUtLDER CONIPANY� . ��� I'"�_ss�.�-G� 1��"��{�:1/��- at, ,
<br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> ! Addre$s G►T j5� ���� �li 1� � ��' 7� .
<br /> re ' �Clcense# ( � �
<br /> EIECTRICIAN: . E-;COMPANY ` ` � .
<br /> SfGNA7URE � REGIS7ERED Y/ N FEE CURRE�" ' �`Y/N
<br /> Address � . Licanse# ({ . •. � �
<br /> PLUNlSER ` COMFAA[Y , , . - `
<br /> SIGNAI�URE` � �' REGISTERED Y./.N -�FEE CURRE� Y•/N; �
<br /> Address � , ' Ucense,# � � ,� 1
<br /> MECNANlCAI:•. . , , - G{}MRANY , : „
<br /> SIGNATURE `' � �� ` ` � REGIS7ERED,, Y,/ N . FEE CURRE� . Y/N �
<br /> Addre�s�'_�-�.- • ' ' . _ ' . E _ ' � License# �, �
<br /> OTHER ; � . � ' � . '.GaMPANY ` � � ,
<br /> SiGNATURE '. - "`''�� ' � � ' "` ' REGISTERED`'� Y/ N�..� �FEe cuR�n Y/N-
<br /> Adttres$~ � _-� :'t; . '4 , , ' �l:icense# 1 - � ,
<br /> ,:._.,:
<br /> . .�- -;:,..... ,, � � .;.�:=.,�; ,.� .,. , t
<br /> �.:. .. ,.,
<br /> RESlDEN7'IAL';:;Altacti�(2}nPltit F.:laris;.:(2}seis;of�BulCdiog�Plans;'('t}'set oE EnetgyrsPatms;R-0=W'Peiinlf far new constructian, ` ,
<br /> ;�,.Minimumf.ten;(>1,0);worliing�days;after;;submittal date.�-Required onsife;Cbnstructian�Rlans;'Stortnwa4eF'Pians w1 Siit Fence instalied, ,
<br /> � "'� `-�SanifaryFaciltUes;&s,1;dumpster,5lte�Worlc;PermitforsubdiWslon�Aarge;proJects;�,_� .;�- " " - � °
<br /> C4MMERCIAl. Aftach{3}complete sets'of Sultding Plans pius a`t.lfe Safety�Page;'{1)set of Energy Fotms,R-d W Permit far new sxinstructtan.
<br /> Minimum ten(10)working days after submlktal date. Requlred onsite,Canstructlon Plans,Stormwater Plans w/SUt Fence installed,
<br /> Sanitary FacitiBes&1 dumpster.51te Work Permit for all new:projects.,All commercial requlrements_must meet campliance � ' �
<br /> St�N PERt+�IT A#ac#�'{2}setis ofEnglneecedvPla�is.�r,-,:,:;_... °.,� � - �
<br /> ""PROPERTY SURVEY required for all IVEW canstructlan.. • �
<br /> Dlrectlon�: �� . . . . . . ` �
<br /> i
<br /> FIII out epplicadon completely. '
<br /> Ownei&Contractar sign back of appllcaHon.notadzed
<br /> if aver�2500�a EtaNce of Commsncement ia�equlred. {A!C upgrades aver�T500)
<br /> .. -��„R.,.:,�;,r
<br /> AgeM(for ttie�contractor)or'Powe�of Atkamey'(far tFi'e ow�er)would be someone with notarized letter from owner autharizing same i
<br /> t}VER 7ME COUNTER.PERMITEtNG-., _.{Frant of ApplicattomOnly) � _ , � �_ - - J
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> Drivewaya-Nat aver Counter if on public roaduvays..needs ROW +
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