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a��.7saoo�o Clty of Zephyrhills P�rmit Application Fax-813-780-0021 <br /> - Building Departrnent <br /> Date R�ceiv�d . .. phone Contact for Fermittin - r'�"� �' <br /> Owner's Wame e. Owner Phone Nnmh�e � b c� 1� <br /> Owner's Address � Q � ��.�5 (�', �(,r pYyner Phane Plumb�r �- n� <br /> Feo Simple Tikiehotder Name� Owner Phone Numlber �- � <br /> Fe�Stmpfe Tttt�hotder Address <br /> �ae ano��s LZ��, �Yti�C'_ LOT# ��� <br /> suBo�v�s,o� �l�1��1�G��{�.�_ ��cE�r� 5- `°-�i� -O 11 O � <br /> (peTAIPIED FROIIl1 PROPERTY TAX NOTICE) <br /> �r���c p�a�o��� , e �,�nr co�� ��g��.x [� s�G� Q Cj DEMQLISH <br /> INSTALL REPAIR <br /> w�oPos��,us� 0 s�� � p con�� � o��a <br /> 7YPE OF COWSTRUCTiOId Q BI.00K ' [� FRAME C� STEEL Q <br /> . , <br /> ��sc�t���r�oF we�Ra �1�1 -�� trl 1(1 }�l� <br /> ��I�DlRi€s�I�E �Q FOO'TAGg��� H�iGH'C C�� <br /> �BUl�.RifVG . � ���_� VAlUATtOi�OF'E'OTAt CUiUST'RUCTEON " <br /> [�ELECTRtGAI �� AMP SEFtVICE � Q PRC?GRESS E{ttERGY Q W.R.E.C. <br /> [�PLUMBI�IG $ �rl�• �� �� <br /> GJt {�. <br /> v <br /> [�MECHANICAL $ VALU10.TtON OF MECHAAl�IIiCAt.INSTAItATIt?N <br /> QG�1S Q RQOFlNG .� SPEClP�7Y � UTHER � <br /> �FIiVISHED FLQOR ELEVATIOtVS FLOOD ZpNE AREA [�YES IVO <br /> �!DlL�IEF� COIi�PA�31( <br /> SiGP1Pi7URE REGISTERED Y/ IV FEE CURREP Y/N <br /> �t9�r�s� Ucertse# � � <br /> f��.ECTRIC@f�4d COEVIPANY <br /> $ICyN�IYUP$� �' REGISTERED Y/ N F�cut't�P Y/N <br /> AdtQPe�sB L(C8t1S9'# t � <br /> �iun���� (�_ coM�a�r ,�1� �1�V1 �{� t.�� <br /> uPE'sWATt➢�E REG18TERED Y/.N FF.�CURREn Y/ <br /> Aadr�r� �'J�� ��', 1'�1 ucer�se# �`c��J-��t�� � <br /> �f1EGW�4ICAl: CO�fi�AAAlY <br /> S�GP3PiTU�� REGISTERED Y_/ P) FEE CURREA Y/IV <br /> �dtBSS LiCBA39# � � <br /> O'PNLi3 GOMPAA�3Y � <br /> '�"`.bEt`+RI�.'$'U�E REGIS7ERED Y/ 1V . FEE CURRE� Y/N <br /> �itYtiPeS� ` L1CetiSe#�� � <br /> RESIClE�'fl�f. Attacfi{2}.PIot.P.lans;{2).sets of Buliding�Rians;{1)set of Eaergy Fosms;-F2-tkW Perinit iar new cx►nstru�t3on, <br /> �lfinimum.ten(i0)wurtcing;tiays after,submftiai date.'Requlretl onsite,Consttuctlori°Plans;Stomiwater Plans w/Stlf Fence instatied, <br /> � Sanitary Facflfdes&.1_;dumpste,r,-51te Work Permi#tur subdidislonsAarge projects, ' <br /> C�t�F9�R�l�l. Attach{3}complete setis of Bultdlrig Ptans ptus a l.ife Safeiy Pege;{1}set af Energy�osms.R O-W Permit far nsw constnu�ton. <br /> Minimum ten{10)working days afker submiftai date. Required onsite,Constructlan Plans,Stormwater Plans w/Silt Fencs inshalled, <br /> Sanitary Facilifles&1 dumpster.5ite Work Permit�or all new projects.All commercial requirements.must meet aampliance <br /> SlGP9�ERRt}FT Att�cFi{2}sets of Engineered Plans. � � <br /> ""PROPERTY SURVEY required for ati NEW conshuctian. <br /> �lreetlons: - <br /> Fili out appltcatlon completely. <br /> Owner 8 Caotractor sign back of applica�ton,notarized • <br /> {�OY�C�"SOO.�Nct#ce c�E Camm�ncemeRt is r�quirecf. {�C upgrade�cv�r$Y�00) <br /> "' Agent(for the contractor)or Power of Attamey(for Uie owner)wauld be sameone with notarized letter ftnm owner authorfzing same <br /> tDVER'�"t�iE��lU��ER PSRiVt1171AtCs. •{Front a€AppttcaBon OniY) <br /> Reroofs If shingles Sewer� s�r.�u��a� ae Fences(PIot/Survay/Foot.�ge) <br /> �riveways-Ptat over Gaunter iF on pu6lia roadways..needs R8W , t <br />