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�,�-�nu-c�ozu , City of Zephyrhills Permit Application Fax-B13-780-0021
<br /> Building Deparfinent _ ;
<br /> Date Recelved .: Phone�Contact for�Permiltin -
<br /> f;
<br /> Owner's Name � S \�I��� Owner Phone Number / SC� ��Z 5d�� ` ;
<br /> Owner's Address �� �� � �� ��� � . �� Owner Phone Number �.
<br /> Fee Simple Tltleholder.Name �Owner Phone Number ;.
<br /> Fee Simple Titleholder Address '
<br /> JOBADDRESS � , S A��o-t�-e- LOT# � '
<br /> SUBDIVISION PARCEL.ID�R �
<br /> s (OBTpINEO FROM PROPERTY.TAX NOTICE)
<br /> WORK PROPOSED _�EW CONSTR ADD/AL'f 0` SIGN' `0 -� 0 DEMOLISH i
<br /> �B. INSTALL ,B REPAIR -
<br /> PROPOSED�USE Q SFR• C7 COMM • � OTHER � `
<br /> TYPE OF CONSTRUCTION �Q � BLOCK " Q FRAME �Q STEEL Q
<br /> �^� _l�- ti
<br /> DESCRIPTION OF WORK V n '�Y'UC�"[� V.X.�.T�+,�(0 �M ./j Q ���l�jl IZO IUL/2.C� '
<br /> BUILDING SIZE� � � 'SQ FOOTAGE� .,HEIGHT�, � '
<br /> 3:
<br /> QBUILDING $ '� 3
<br /> ���-- � VALUATION OF i'OTAL-CONSTRfiCl'ION ��i� �y D(�
<br /> QELECTRICAL $ - AMP SERVICE �
<br /> 'Q PROGRESS ENERGY [� W.R.E.C, j
<br /> QPLOMBING ,$ ' l T�b�(� �
<br /> � /� �
<br /> QPAECHANICAL $ VALUATION OF MECHANICAL•INSTALLATION � " �V '
<br /> ����� �
<br /> QGAS Q ROOFING Q SPECIALTY [� OTHER �� i
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO ./ ,,,J„ �
<br /> _ _ ��-�J(�"�
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<br /> BUILDER I,Q , COMPANY', � I ilile- 6 l�l �'e�
<br /> SIGNATURE l\,�/L�- � REGISTERED Y/ fd . -FEE CURRE� ' Y/N
<br /> Address � - License#' !
<br /> . .ibU ;
<br /> HLE�TRICIAN � � COMPANY � nL°�� !
<br /> SIGIdATURE � REGISTERED Y/ N FEE CURRE►:�' �Y/N'
<br /> �, , I
<br /> Address , . Ucense=# ` • - � !
<br /> PLUMBER _ r ' � ` COMP..ANY � ��—
<br /> SIGNATURE" °7�,�'zG�-✓�'�`�� ; :REGIS.TERED. � Yl:N. : ;-_�FEE CURREP Y/N � �
<br /> Address ,License.# �. -
<br /> MECHANICAL` COMPANY ' �
<br /> SIGNATURE - ' � � REGISTERED. Y./ N FEE�CURRE� _ Y./N
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<br /> Addre�s�`• � . ' . -- ' License# �
<br /> OTHER ; � - - ,;COMPANY � �
<br /> $IONATURE =`�'" �- �;�'' ' � • ' REGISTERED` '. Y/'N:.; � FEE CURRE� Y/N I
<br /> Addres� _ - ' •. - • ' License#�' ' '
<br /> RESIDEN7IAL;.- �:Attaofi"(2)„PIot�Plans;.(2)sefs�.:of�Bufltllrig�Plan's;'(1)setof=Enerijy'Foirns;R=a1N Per`rrilf for_new c6nsbvoUon, ` "
<br /> �Minim . `'' � '
<br /> �:_;,�:r_ ,Y_ ,um4ten;(,1:0);uvo,rking.;days;afte�`.subm.ittal'date.?=Required onsite;:Co'n§Uuctlon�Plansr'Storinweter Plans�w/Sllt'Fence installed,
<br /> SanitaryFaclllUes;&�;1;dumpster_�3ite•�M1forlo;P�erml.ttor4sutidfylslonsAarge}pruJects:;,, _;�:_;;� � • .,
<br /> COMMERCIAI. Attech(3)�complete s`et's'of'Bullding'Pla s plus a Life Safety Page;�(1)set of Energy Forms.R-O-W Permitfor new constructlon.
<br /> Minimum ten(10)working days after submittal date. Requtrad onsite,Constructlon Pians,Stortnwater Plans w/Siit Fence instelled,
<br /> Sanitary Facllides 81 dumpster.Site Work Permit for all new:proJect's:.All commerGal requltements.must meet compllance �
<br /> 31GN PERMIT Attacfi'(2)sets ofEng,i'nee_r:ed:Plaiis:;, -:� • .� .- -
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<br /> •'••PROPERTY SURVEY reyuired for_all NEW constructlon..
<br /> Directions: �• . , '
<br /> Fill out epplica8on completely.
<br /> Owner 8 Contractor sign back of appltcaUon,noharized �
<br /> If over 52500,a Notice of Commencemetet Is requlred. (A!C upgrades over 57500) _
<br /> �'idr"'�q:�?d::S?
<br /> '" ent far the�contractor 'ot Power of�Attome� fo�the owner woul`d be someone with notarized letter from owner authorizfn same
<br /> A9 � ) Y� _ _�._ ) 9
<br /> �VER THE COUN.T,ER�PERMITTING� - (Front of-Appflcation Only)-� - �
<br /> Reroofs If shingles Sewers Servlce Upgrades A/C Fences(PlodSurvey/Footage)
<br /> Drivewaya-Not over Counter if an pubifc roadways..needs ROW , ., ._ _, ..
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