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813-?80-0020 City af Zephyrhills Permit Application Fax-813-780-0021
<br /> �-= _s Building Department
<br /> Date Received �y—l q— f � phon�Confiacfi fa�Permittin� + � 1 � --CL'tJ�
<br /> Owner`s Plame Q,� (U J��{,t,l Ov+rner Phone A}umber �`} '�! �! y�� j
<br /> Owner's�.ddress �,Q �� � �C�i. �� Z 1 II,S ' Owrn�r Phone P�umber � �
<br /> Fee Simple Titleholder'i�am� � � Owner Phone Rlumber � �
<br /> Fee Simple Yitleholder Addtess
<br /> JOBR�DDRESS (,lI,J l D`T�I�C�-I,.IL j ' 1 ��I��� £, ,7�S�G'` LOT� [�
<br /> S�Bo�v�s�o�, ��r`I ves Oc.�`S � P�������� � 3- �t��-al - � 1 S� -�;caooa- 60��
<br /> (OBTAIP!@D FROh4 PROPERTY TAX NOTICE)
<br /> WORK PROPOSED e . NEW CONSTR 8 ADD/ALT � SiGN Q � [� DEMOL(SH
<br /> INSTALI. REPAIR f
<br /> PROPOSED tlSE � SFR Q COMM � QTF3ERi '
<br /> TYPE'OF COPISTRUC'TIOiV Q BLOCK • Q FRANiE � STEEL Q � ,
<br /> DESCRIPTIOPI OF WORK �,�C}�� r��''�VU'f" y S �A� 11�2���CC� N C�.+��zS� V`S ���� S I 1 E'S
<br /> � c� �- !I4�t��d-
<br /> �UICDING SIZE �� , SC!FOOTAGE `1'I �� HEIGIi'Y ��� � S`�P�
<br /> QSUIt�DtNG $ ��� �-- VALUATION'OF TOTAL CONSTRUGTION
<br /> �
<br /> DELECTRiGA� � � AMP SERVICE 0 PRCJGRESS ENERGY Q W.R.E.C.
<br /> �PLUMBtRlG � �
<br /> �MECHANIGAL � � VALUATION C?F IVIECHANIGA�tt�STAL�ATION
<br /> OGAS Q F200PthlG'� SPECIA[.TY � OTHEF2
<br /> FINISHED FLOOR ELEVATIOIVS �� FLOOD ZC7NE AREA DYES NO
<br /> BUILDER CONiPANY
<br /> SIGYUA'TURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Adc9Pess License# �� �
<br /> ..._..
<br /> ELECTt21C1AN COMP�0.RIY
<br /> SIG�I:4TURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# � s �
<br /> PLUiU1�ER. COINiPA�Y
<br /> SIGF�ATURE REGISTERED Y�/ N FEE CURRE� Y/N
<br /> Address License# �— I
<br /> MEC1i61iii1C�4L COiVIi'ANY
<br /> SIGRIATURE REGISTERED Y/ N FEE CURRE� Y/PV
<br /> Address License.# � � �
<br /> OTHER` j�/}-� j�/� n COSUit?RiVY ��� ��T'� �-�''��!
<br /> SIGtdA1'Ui2E:, .. �N' ' �I X-l.l. �l,Q �(JUQ� REGISTERED Y N FEE CUR E� /N
<br /> IA,ddress , c�� � ��..� � � �I I I 5 �35�`I�� License# l.l.l_..��J��5��
<br /> RESiDE�T1A1. •; Attacfi.,{2}�:P1ot�Alans:`(2}:'seCs•of�Building Plans;(1}seYof�Energy Forms;R-0-\N Permif.for new.construction,
<br /> , Minimum,�.ten;(;10)working�tfays aftecsubmittal:dafe.'Required onsite;Construction Plans,StormCvater Plans w/Silt Fenae installed,
<br /> ^ Sar�itary;Facilities;&=1;,dumpster;.S„ite=Work�Pemtlt for..subdi'visionsRarge projects
<br /> CONIWtERCtAt� Attach(2}compiete"'sets afBuilding�P�ans plus a Life Safety Page;(1}se#of Energy Forms.R-O-W Permit for new construction.
<br /> Minimum ten(10)working days after submlttal date. Required onsite,Canstructican Plans,Stormwater F'lans w/Silt Fence;installed,
<br /> Sanitary Facilities&'1 dumps#er.Site,Work Permit for�all new pro�ects.Atl commercial requiremenfs must meet compilance
<br /> S1Gi�PEi2Nil1' Attaofi(2)se(s of`Engineered Plans.
<br /> `""*PROPERTY SURVEY required for.all.NEW.construction. i
<br /> Directions: �
<br /> Fill out application completely.
<br /> Owner&Confractar sign back of apglication,no#acized i
<br /> If over$2500,a idotice of Commencem�nt is recquir�d. (AIC upgracV�s ov�r$7500)
<br /> *" Agent{for th'e corstiactor)�or Power of Rttomey(for'Uie owner�would be someane with notarized letter from owner authorizing same �
<br /> OVER TfiE COURITER P.,ERV1flIT'PING (copy of contract-required) �
<br /> Reroofs if shingles Sewers_ _ Service Upgrades A/C Fe�ces(PIoUSurvey/Footage) ,rvu}.` , , x' - - ., '
<br /> �< < ,Diriveuvays-Not over Counter if'on.public roadways..needs ROW , . . • -. . ',t I
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