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873-�saooaa City of Zephyrhills Permit Applica#ion Fax-613-780-0021 <br /> , � Bultding Department . <br /> Date Received ` -Fhone•Cantact far Fermittin �� $ <br /> V <br /> Owne�"s Name 1 C,.J Owner Phone Number <br /> � � � <br /> Ownsr's Address �� , �- Owner Phone N�amtser <br /> Fee Simple Tltleholder Name Owner Phone Number �� � <br /> Fee Simple TitleholderAddresa <br /> J08 ADDRESS O � eQ, -1 ' LOY# C�� <br /> SUBDIVI�lOM � � PAt2CEt�IID# � , <br /> (OBTAINED FROM PROPERTYTAX NOTIC� <br /> WORK PROP0.SED NEW tONSt'R . Ap131Al.T C,� S1GN Q Q DEMOLtSH <br /> � INSTALL REPAIR <br /> pROPOSED USE Q SFR � COMM [� 4THER i <br /> TYPE OF CONSTRUCTtON Q BLOCK " Q FRAME � STEEL Q <br /> DESCRlPTtON OF WCiRiC r Y, � T~ �} ,� '��� <br /> BEJlLDlNG�IZE C,� SQ FOOTf1GE��__�. HEIGHT �______� <br /> Q BUl�t}IlYG . � � VALtfATiO�O�l'OTAL COPlSi`t2ClGT'fON ° <br /> QELECTRICAl. ��—� AMP SERVICE - Q PROGRESS E3�lERGY [� W.R.E.C. <br /> OPLUMSlNG . $ � �� �l./ <br /> ��[�]MECHANICAI. $ YALUATIOfU OF MECHANlCHL lHISTALLATtQJd ` <br /> QGAS Q FtOOFIiVG .[� SPECIAl.7Y C,� CfTHER <br /> *FIiVISHED FLOOR EI.EVATIQNS �� FLOOD ZONE AREA QYES. NO /� <br /> �,"r <br /> BUILD�it CflMPAN1C <br /> i, StGNA'I`UFtE � REGISTERED Y/ N FEE CURREA Y/RI <br /> I Adtlr�tSS f:iG$t1Se# ��_ � <br /> E�ECTR1Gf�fa1 �OMPANY - - <br /> SIGNA7URE � REGISTERED Y/ N FEE CURRe►�� -Y/N <br /> {iddre� � Llcense# � � � <br /> P�.u��ae� L�- cor�p�ua�r �.� 1< , Ct-�' 1� <br /> SiGNAYilRE , ReGiSTERED Y!.N . FEE CURREn Y 1 . <br /> �ad�� 1� �.1� _ ���se# 1��� — C`�q r��r� 1 <br /> 6NlEGHAMtGAl. � GOMPAI+tI( <br /> SIGFiATtJRE r�cw��o Y/ id . �cur�n. . Y/-N <br /> Addreas� � L[cense# C 1 <br /> OTHEEt ;COMPANY .. <br /> SIGi+tATURE - " ►i�ctsT�a� Y/ id.... . �cu�n Y J(d <br /> Attdress , - " Llcetise# � ] <br /> . :. -. �:�.._ . . ,. . ...._ , : _ t . <br /> R�SlOB(d7'!A!:' •Attacfi{2)Piait Plans;(2}sets':of`BuildJng�Ptai�s;(1)'set of-Energy:�oiin`s;'R=tktAt`Peiiriitfor new construcSan. <br /> - • Mlnimum:tem(1.0)uvarktng;d'a,ys;a##e�.;submiftai'date`�Requiie�onsite;'ConstiucftorrPlans�'Stormwafer'Plansw!Si{t Fence in§talleii, <br /> Sanifery FacU(des,&:;1:.dumpster,=.Site;Woric�PermitforsubdiWsionsllarge;proJect`s,v__,._.� ' <br /> COA9MERC@Ai. Attach(3)compleie seis of Bultc![og Plans ptiis a i.ife Safeik+Page;{1}set of Energy Forms.R O-W Permit for na�w canstruc�on. <br /> Minimum ten(10}warking days after submittat dat�. Required onsite,Canstrucdon Plans,Starmwater Ptans w/Sift Fence instailed. <br /> Sanitary Faailitles&1 dumpster.Site Work Permit for all new pmjects.All commercial requlrements_must meet compliance <br /> S1G@�PEFtMlT Rttact�(2)sets af Engit�eered�Pians. � <br /> "`"PROPERTY SUi�iJEY required for alt NEW canstruction.. <br /> D1r�ctla»s: • <br /> Fitl out applics�on r,.ompietely. <br /> Owner 8 Contractor sign back of appltcatlon,notarized � <br /> If over�2500,a Notice of C�mm�ncement l�r+aquired. (AtC upgrade�aver 37500} <br /> `" Agent(for the conkractorj or`Power of i4tfamey(fnr tFie owner)wauld be someone with notarized letter from owner authorizing same <br /> 011ER THE CClUNTElt P�RMIT1'1NG �{Front of�Apgllcatlon O�ly} . <br /> Reroofs if shingles Sewers Sen,ice Upgrades A!G Fences(p1oUSurveyJFootage) <br /> �JrJveways-Not aver Caunter i#on publfc roadways..ieeeds ROW <br /> � <br /> .; <br /> r <br /> .,... ,_ � <br />