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�. .�.� <br /> �' 81�780�0°�0 City af Zephyrhills Permit Application Fax-813-780-q021 <br /> � , � 8uilding Deparhnent <br /> . • .-�_, . <br /> Date�tecelved �Phons Contact for PermJtti Q� �� <br /> Owner's Nama 'L,� Owner Fhone Number <br /> Owner's Address I'"l. Owrner Phane Number �� � <br /> Fee Simple 7ltleholder Name Owner P+hone Wurnber �` �� <br /> Fee 3lmple Titleholder Address <br /> JOB AD�RE�S � 1 l.� � � LOT# � <br /> s�g��v�s�a� c�.. � ��1 t� �,e,s�cE�in# ���' � -t� — �i C� --talJ1C.�IJ� �O1�0 <br /> - (OBTAINED FROM PROPERTYTAX NOTICE! <br /> WORK P�OF'tZSED , e NE'V�t tOPtS�t 8 ADDIALT � StG(V' � Q DEMOLISH <br /> INSTAL� REPAIR <br /> PROPCISED:USE Q SF}2 Q CQMI� C� t)TFIER <br /> TYP�OF COP9STi2UCT10N Q BI.00K ' Q FRAME C] STEEL [J <br /> . , �^� j <br /> DESCI�IP'P{C1P1 OF WORiL �1 � tA 1� ,� "�( <br /> ��. L�� I <br /> �tl1Lt�ING 31ZE SQ FOOTAGE HEit3HT <br /> QBUf[.DElUG � � VALUATIO{V"OF TOTAL COWSI'RUG'TION ' <br /> QEi.ECTRtCAR. l.— � AMP SERVtCE [� PfiGiGRESS EAtER{3Y [� W.R.E.C. I <br /> OPLUMBtN� g I���, �� _ <br /> QAAECHANtGAL $ VAlUt�1Ti0�!OF MECHAi1SiCAL INS7ALLA'!'fO1V <br /> � �'. <br /> �GAS Q ROOFIfVG -0 SPEClAt.TY C� OTHEFt <br /> FIfVISHED FLQOR ELEVATIQNS ��� FLOOD ZONE AREA QYE� PIO <br /> � <br /> B!ll��lER CQMP'At�tY I� <br /> SIGWATURE REGISTERED Y/ N �Cuit�n YYN <br /> Ae9dees� License# � � � <br /> I�I.ECTl�IC1,�! CflMPANIt - <br /> StGtda#TURE �' REGIS'TERED Y/ N FEE CURReh ' Y/PI <br /> Addr�ss License# { � <br /> PLUMSER ..� CO�JIPAP+IY <br /> SiGNATURE , � REGl57ERED Y./ N r�cu�n Y/N <br /> Rddr�s� � ticense# � � <br /> fl{�ECF!/�POlCAE. CO�YIPAHY <br /> SIGNAY�RE ttE�iS'tEREn Y./ Pl. FEE cuR�t�. . . Y/-Id <br /> Piddre�s License# � � <br /> Q'�FES� COARPANY T`1� -I� i t Y Y 1 \� <br /> SIGWA?'URE REGIS7ERED Y/ IV . FEE CURREP iV <br /> Addeess Lic�nse#• .J" ��,�, ! <br /> �tE�tDEt�'17At;' Attach{2}Ptbt_Plans;(2}se�of8uil�ing•F.laits;{1)sef of�nerg}r�Pa�ms�R-O-VY Pemtlt for new cunstructtan, <br /> Minimum:ten•(10)woricing'days after,s�ibriiitfal date. Requtreii onstfe,Co'nsUudion`Plans;Stortnwater Plans w7 Silt Pence tnstalled, <br /> � Sanitary Eacilides.&;1..dumpster Slte Worir Permit for subdivislonsAarge:projects, ' <br /> - �OAAM�R�1A1. Attach{3}complete sefs of Bn3tdlrig Plans ptus a Life Safe#y Rage:(1}set of Eaetgy Fomts.R Gt-W Pemtit for a�w constructlaa. <br /> Minimum ten{10)working days after submittai date. Required onsite,Canstruc�an Plans,Stormwater Plans w/Sift Fence tostalled, <br /> Sanitary FacitlBes 81 dumpster.Stte Wark Permit for all new projects:All commerclal requlrements,must meet compliance <br /> St�PD�EI�Rf1lT Attach{2}sets of Engineered Ptarss. � <br /> "'"PROPERTY SURVEY requir�cl for all NEW construcUan. • <br /> Dlreetions: <br /> Fill out applicatlan completely. <br /> 4wner&CantracMr slgn badc of applicattan,natarized � <br /> i£over�2500,a Natice of C�mmenc�ment is r�qui�d. {�C upgrade�ov�r 57500j <br /> " Agent(for the contractor)ar Power of Attcmey(fqr ttie awner)would ba someone with natadzed letter from owner suthorizing same <br /> OVEii THE COUAI'FER.PERM1'iTtNG �{Front of Rpplk�tton Onty) . <br /> Reraofs if shingles Sewers Service Upgrades A/C Fences(plat/Survey/Foatage) <br /> Gtrivaw�ya-Nat over Counter tf an public roadways..neads ROW <br />