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813-780-0020 City of Zephyrhills Permit Application Fax-873-780-Op21 <br /> ^ ' Bufiding Deperiment <br /> . ,. . -_� <br /> Date Recelved Phone Conlact tor Permittinc 1 <br /> T['T-[-iT'fT -l-r-rs •.'i�Tr`�- ,"i'i-ITt'i"iTT'�'"nT*'}'Ti-rr`� <br /> Owner's Neme C �1\ Owner Phone Number ����^�� � <br /> Ownez"s Address J 1T �rt{�,�(, Ltt���$��v��� Owner Phone Number �, !� <br />� <br /> Fee Slmpla Tllleholder Nama i � Owner Phone Number r_y-� <br /> i <br /> i Fee Slmple Titleholder Addrasa � <br />, JOB AD6RE$S � � .I S � LOT# �� <br /> � _ . ........ <br /> _ _ _ . . ... . . .___.� ... .. <br /> SUBDIYISION � � PARCE�l4$ �!X- (C�' - ."'�(`}.!(�j <br /> {08TAIt1ED FROM PROPEI2TY FA%tiOfilCE) <br /> WORI(PROPOSED NEW CONS7R . ADDlAL.7 � SIGN �� Q DEMOLISH <br /> I (NSTALL e REPAIR <br /> PROPO5ED USE Q SFR .: CdMM � QTNER " _ i <br /> _. .. _ .: '.. <br /> i TYPE OF CONSTRUCTIQN Q BLOCK Q FRAME C] STHEL C] <br /> . <br /> dESCA1P'ilOF7OF WORK I � N /�� .7..%` •, . <br /> , ." . . . " .,. <br /> .. ....._ .... <br /> BUII.OtNG S17E C,...-- � SQ F06TAG�� NEtGHT �� <br /> :. T'1�r"r-r'e-r'rrrT"t'r'''ir+7"'�r"t'rr'r'e-1"r'+=r°r'ri"�-t-f-rrr . - - rTrTT <br /> = r`t'i"r�'r'�'T'rrt'r'r . <br /> QBUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRiCAL �� AMP�SERVIGE Q pROGRESS ENERGY Q W.R.E.C. <br /> QPlUMBiNG �� � { <br /> �MECHANICAI. �6�A�.'}� VALUATION OF AAECNANiC�IiJS7AtLATiON � ���/ � <br /> `�t�' — �33`i � ��' <br /> QGA3 Q ROOFINC, Q SPECIALTY � 07MER � <br /> FINISHE4 Fi.40R Ei�EVATIQtJS �� FLOOII ZO,NE AREA QYES N4 - <br /> .a..{-1-1-F-�-.r-1�-4-1r1-1�-L-1-i�.�:.�:-4.i�f.1-i-1-iW1=f�4a-4.1-E-i.L.{-{-1:-{-4.F-�1-.1..1-4•i-4-{-�:-4-{-f W W-4-I-.4.1-�'.-:-G-'.-+'- <br /> I BUItDER COMPANY . � <br /> SIGNATURE �_ _____--__� REGISTEREp Y/ N FEE CUftFtE� Y!N <br /> . . . . . . ,._ -. . _ . <br /> ALI$�658 . . ..... _ . ._ _ . . UCeR581Y �. .. � <br /> .. ... . ... . . . . . . . . .. . . . . ._ . .. . ' <br /> �.. .._... <br /> E!@GTRICIAN � � �COMPANY ..� <br /> $tGNATUR� RE�}SIERfd Y I N FEE CURREA Y 1 N <br /> Addreas License# � . , � <br /> PLUMBER � � CQMPANY � � <br /> SIGNA'fURE REGISTEftEO .Y/ N ' � FEE CURRE� Y/N. <br /> . <br /> . . . <br /> Address Llcense# � .� <br /> i�r-Tee�, � . _ . . .. . .. ,.... <br /> , MEGIIANIGAL ' CqMPANY �jT SF_,t`iPt P�_S L1T �C1�S °(�3� <br /> S{GNATURE � RE�ISjEREO .Y.I N FfE CU1iREh Y/N <br /> Address , _ �3cense# UzC..I 0 1 S�`t� <br /> OTHER CpMPANY � � <br /> SIGNATURE REGISTERED Y J N� 'FEE CURRE� Y/N <br /> Addrass Llcensa# t � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111 <br /> RESIQENiIAI Attach{2}piot Pians;(2)sets of Buiiding Pta�s;{1j set of Enet�y�orms;i2-Q-W Permli tor new canstruction, <br /> Minimum ien(!0}working days afier submittsl date. Required onsike,ConstrucHon Plans,"Stormwater Pians w/Sitt Fence inetalted, <br /> Sanilary FacHiUes 8 1 dumpsler,Site Work Permil far subdivi5fonsllarge projects <br /> COMMERCIAL AQach(2}complele sels of Bullding Plans plus a Llfe Sstety Page;{7)sel of Energy Forms.R-O-W Permil for naw consWctlon. <br /> Mlalmum ten(14}working days after submitta4 date. Reyulred onsite,C4nstnrction Plans,Stormwater Pians wJ Sitt Fer�ce installed, <br /> Sanitsry FacitiQes 8 T d'umpster Slte Woric Permll for alI new praJects.Aii commerciai requlrements must meel campiiance <br /> SIGN PERMIT Allach(2)sets o(Engineered Plans. <br /> `"'"PROPERTY SURVEY required tor all NEW construcikan. <br /> �M'.�-5-'r4-0-C-'�:+F:i-�-4-4�f•�i-�i..i=Fi-D-C..`�.F� S-i-i=4i-1-F.ht-I-Mi.�'.+-'+-'�:-'•-'•-'•-•-•-•-•-•--•�-•- <br /> plrectlona; <br /> Fill bul applicaqpn completely <br /> Owner&Ganlractor slgn back o!appiication,notarfzed � <br /> If aver 52546,a Notice af Commericement is requlred. {A/C upgrade's over$7500} �, <br /> "" Agenl(tor Ihe canlrector)or,Power af Allomey(for lhe owner)would be someone wilh naterized leller from awner aulharizing same <br /> OVER THE G4UNTER PERMI7TING {copy of contract required) <br /> Reraofs N shingies Sewets Sarvice Upgrades PJC Fenoes(PIoVSurvey/Footage) - <br /> Driveways-Nol aver Counler if on puhlic roadways..needs ROW � <br />