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s�saso-oo2o Cifiy of Zephyrhills Permit,4pplication Fax813-780-0021
<br /> Building Department
<br /> Date Received �— ��—1 1 Phone ConQacg for Permi4Qing �� �� � --(OU� /
<br /> Owner's Name � I��CP.��`I�T I l��l � Owner Phone Rfumber ��- �� - y a�g
<br /> (� 2Sya
<br /> Owner's Address � l. r�Ss �� � � ��� �I 5 `� Owner Phone ftlumber
<br /> Fee Simple Titleholder iVame OwneP Phone R9umbec
<br /> Fee Simple Titleholder Addcess
<br /> JOBi4DDRESS � -I l� feSS �S � h ( h� 1� 5 �� 3�J�� LOT# V�
<br /> SUBDIVISIOPJ Co1 c�� l"x-+ ��5 P�4RCEL ID# la-a�- 6a c�o " �� 1�� � ���(1
<br /> ` (OBTAIfdED FROIN PROPERTY TAX PIOTICE)
<br /> WORK PROPOSED NEW CONSTR ADD/ALT S� SIGN Q 0 DEMOLISH
<br /> e INSTALL B �REPAIR (Z}�!-+i G�
<br /> PROFOSED USE Q SFR Q COfVIM 0 `� OTHER
<br /> TYPE'OF CONSTRUCTIORI Q BLOCK - Q FRAME � STEEL 0 `
<br /> DESCRIPTIOfitOF.NIlORF( r���co� �5 V��t� � 'm�(li�.p � �-�- Vhl (� ,� (,U�� Q �`wIP.TlL
<br /> (.�Vl � mul
<br /> �UILDIPIG SIZE SQ FOOTAGE ��G� HEIGHT G�1� Ct, 3 ,a SI �
<br /> �
<br /> QBUILDING $���� d D VALUATION'OF TOTAL CONSTRUCTION
<br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBIiVG $
<br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> �GAS Q ROOFING � SPECIALTY 0 OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
<br /> BUILDER COMPAMY
<br /> SIGN,4TURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# �
<br /> ELEC.7'RI.CIAA1 COMP,4PlY
<br /> SIGf�i4TURE, REGISTERED Y/ N FEE CURRE� Y/N
<br /> �4ddress License# �
<br /> PLUM�ER. COfYr P�4PlY=
<br /> SIGidATU92E REGISTERED Y�/ N FEE CURRE� Y'/N
<br /> Address License#
<br /> MECHi4idICAL � CORIiP,�VUY
<br /> SIGW�4TURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License.#
<br /> OTHE.R• C COi1flPAfUY � Uv'"� ���
<br /> SIGNA�TUIZE.� .. REGISTERED / N FE RRE� /N
<br /> Address �13 SQ S� f—V.1���S +'� �3 5� License# CcC�3 as S�s
<br /> RESIDEiVTIAL;,. i4ttach�(2)PIof=Rlans;(2)=sets�ofBuilding Plans;�(1)'set of Energy Fo�ms,R-0-V1I.Permit.for new.construction,
<br /> , ,Minimum:,ten�(;10)wo�king?:days�after submittal•date. Required on§ite,Con'strUction Plans,S'tormduater Plans w/Silt Fence installed,
<br /> � Sanitary.;Facilities,&�1�_dumpsterSite: .W.or;k'Rermitforsutidivisions/Iarge.projects� '
<br /> COIIHMERCIAL Attach�(2)complete`sets of Building�Plans plus�a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians wl Silt Fence installed,
<br /> Sanitary Facilities&1 dumpster.Site,Work Permit fo��all new projects.All commercial requirements must meet compliance
<br /> °SIGiN PERNiIY i4ttaofi'(2)sets of'Engineered Rlans.
<br /> '""`PROPERTY SURVEY required foc.all.NEW construction.
<br /> Directions:
<br /> Fill out application completely.
<br /> Owner&Contractor sign back of application,notarized �
<br /> If over$2500,a Wotice of Commencement is required. (A!C upgrades over$7500)
<br /> .a ' =-� .� . u�,.:a::r:�x..;;�:
<br /> Agent(fo'r 41i"e cont�actor)orPower of Attomey(for'the owner)would be someone with notarized letter from ownec,autho{i�i�g;$ame-•=.-2�:- '
<br /> ,-�:_..._.a•�:�.... `�
<br /> OVER THE COUfdTER P,ERMI;PTING•,r�,'f� �5'" �ofcont�act�re�uired � � , , . .`'� 'p����. . -- •,, d
<br /> � PY,' , 9 )`_, .,�., � '�r�.�,'. ¢:
<br /> Reroofs if shingles Sewers'� ' � `Serv'ice Upg�ades A/C- '; Fences(Plot/Survey/Footage) � -•� "'''���' "' ,,
<br /> . '�' � • t. , , . , ..-,�.: ,. , .
<br /> Driveways-Not over Counter if on public roadways..needs�ROW - ''�'�' �` ' �� � , , ^
<br /> .. , ''i ,. : .. � „�,r•''''`�7' .,,... n�� �, u= ..
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