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8��-�a�Q�a City of Zephyrhills Permit Application Fax 813-78p-Q021
<br /> ;. , :. ..� 8uilding Department
<br /> Date Received phane-Contact for Perni[ttin � t3 t � �() � – a�'3� ��s
<br /> Owner's Name v��vc.f� Lild�6 �"'� Owner Pbone Number ��� ��e7" �/
<br /> Owner's Address � � G'J'7"Y) J�, dwner Phone Number � �-
<br /> Fee Simple Tltleholder Name � �� Owiner Phone Number � �
<br /> Fee 3lmple Tltlehalder Addresa
<br /> J08 ADDitES3 � J�-/ �li(r 1�PY7 L�C..� LOT# ��
<br /> 9UBD1ViS10N � � PAf2CEL tD# �-�T �f� �1 �f� ��� 1�j�'��
<br /> , , (OBTAINED F,ROM PROPERTY TAX HOTICE)
<br /> WQRK FROPOSEO NEW CONStR ADDlA�T � StGN C]. �0 DEM�LISH
<br /> �e, INSTALL ;� REPAIR ~ . '
<br /> PROP03ED,tt$E Q S�R Q COMM • � OTNER - ` ' '
<br /> TYPE OF CONSTRUCTION -, Q- BLOCK " Q FRAME L� STEEC 'Q
<br /> DESCRiPTION dF WORK � �� �/� E" D�7.L ' �G�.o'7"» G►/�eiL! �7' / O/�
<br /> StlI�DING SIZE �— �"$Q�FOOTAGE ' , � ,.HEIGHT -���
<br /> QSUILDiNCa , �� VA�.tJATlOAI:"OF�TGl1'AL`C�i�STRlJCT10T�t ry '
<br /> QE�EGTRIGAC • � —� AMP SERViCE Q =PRtOGRESB EhtERGY [� V1t.R.E:C. .� .
<br /> QPLUMBlNG~ � � `
<br /> �ECHANIGAL• r$ �^�i 6�, V,41_UATION QFa MECHANICAI lNSTALLATlOIY
<br /> L��� � �' ' � _
<br /> Q�$ [� ROOPtNG [[�] SPECIAITY C� OTHER -
<br /> FINISHED FLOOR ELEVATIQNS �� FLOOD ZONE AREA QYES .NO �
<br /> BUI�DER COMPJINY� � , '
<br /> SIGNATURE REGISTEREp Y/ PV FEE CURRE� Y/'N
<br /> ���$� - . �License'# � �
<br /> ELEGTRtClAN; ' CCIMPANY • . _ .� .
<br /> SIGNATURE �' REGISTERED Y/ N FEE.CURRE�;� '-Y/N -
<br /> Addrass . . 4 , .License�#:� �
<br /> PLUMBER ' COMP,ANY . � �. � �
<br /> StGNATURE' '�` � , .REGISTERED- Y,/•..N,� :; -,.;FEECURREA '" Y.:/N.,° - ��
<br /> Address .., Liaense#'�`� •. . :���. .
<br /> MECMANICAL` •' . . � ' ~ `� 'p'
<br /> SIGNATUi2E ,, fi��/l�ZL. COMFANY '�%'�I��� AJ,v�' �- G ��
<br /> , REGISTERED , _ Y./ N . , , .FEE CURRE� . Y/N ' ,
<br /> Address',"' 'G f"G�.'`�l`f� t �-�tll5 ,�. ���� ` ` .Ucense#���� �'c3�',��� �
<br /> . . . ,. - ~ r-
<br /> OTNER � � . , �; � , . , , ,
<br /> StGNATURE .. _- , . , , , ,�COMPANY -
<br /> .;,, .,. , .. �, ., ,, ,. . �
<br /> , . .
<br /> " '`REGISTERED�" ' Y/'N,..- �'FEE CURFtE� Y/N.
<br /> Addre�s, , . . ' license# �� - � ��.
<br /> '.�.y .» �_ .. .n .. ...�.4- .
<br /> .-.s.:-� .. • �'� ":
<br /> _ .\,�� F' .. � �. ,r.. '
<br /> �.. *::..a::.r.��s ��
<br /> REStD8NT1AL.,? _ ;Attach�(2j.,Plot:-P,lans;.(2)sets=of:Bultding`Ptans;{.1}sef af=EnargyrfFarrrts;:R-0=W`Peiin,it f6r new constcuctton,:, ``
<br /> ,� ,;>Minimum�tten;(1,0);waricing;days:atter;submlttal dete:?R`equtred onsife;:Constrtictlon�PlansrStormwater'Plansw/Stlt'Fence'iristalleiJ,
<br /> ��.'�, Sanifary Facilttl,es;8�;1�;dumpster-SIte�Wor„ic,Permitfor subilfVi5lonsAarge'�projects,., ._:.:�:, .� ' �� .. ' � " _
<br /> GOMMERC6At. Rttach{3)LLcompi'ete sets'of 8u1td#og Plans ptus a life'Safety Page;{1}set of Energy Forms.R-O-W Permtt for new caostructlon.•
<br /> Minimum ten(10)working days'after submittal date. Requlred ansite,Canstruction�Plans,Stomrwater Plans w/Silt Fenc:e installed,
<br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new;proJects:.All cemmercial requlrements.must meet compllance
<br /> SlGN PERMlT Attach{2)sets cfEiig3neeied;Plans:;�.:.,.,::-- _ , ;� F _ _ .
<br /> "*'PROPERTY SURVEY required,for all,NE4v canstrucdon. .
<br /> Dlrecttons: ° _ .. _ � �.
<br /> �iil out applicatlon completely.
<br /> Owner&Contractar sign back of appl(catlon,nata�ized
<br /> If over�2500,a No#ice of Cammencement is requlrad. {AtC upgrades aver�'t500)
<br /> '" Agent(for the aintractor)or"Power'of Atkomey'(fa�#Fie owner)would be�someone with�notarized letter from owner autho�izing same
<br /> OVE{2 TtiE COUNTER.P.ERMFfI'1��`'_�"-j�_{Frontof Appllcation flnty}. �. ' � �r�_., _�.. . _.�, . ... .. . _.�...,._, ,.
<br /> Reroofs If shingles Sewers � ;Servlce,Upgrades;A/C �` Fences"(PlodSurvey/Footage) � ' .� , . "
<br /> . .- ; � . . � , . _ , ... , . ., ,. , - . . ..
<br /> Drlveways-Not over Counter�f on publtc�roaduiays;.nsed's ROW;`' , � , �� ,,., _ , , �
<br /> �r�, r �'Y ,., , .,. _ .._ �.1 ,.� .- .. V ' .. -_. ,. -� •i�
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