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613-780-QL120 City of�Zephyrhills Permit Application Fayc-813-780-0021 <br /> Bufkding Depattment <br /> Da�e i�sceived Ptzane Cantact for Perm�ttln 13 -• � <br /> Owner's�fame � Owner Phone f�umber �� — <br /> Ownsr's Address � �� � S �� Q�wner Phone Number <br /> � � <br /> Fee�imple Titlehoider Name Owner Phone Plumber � � <br /> Fee 5imple 7itiehalder Addrass <br /> J08 i4�DRESS -`°� � 1�111 l """ .�.s L0`I'# �� <br /> suBdivisioru ,�,,,�y�l�,� PARCEL ID# �.S - f C�O p (�� <br /> (OBTAINED FROM PROP6RTY TAX NOTIGE} <br /> WORK PRt?PflSED � NEW CONSTR� ADD/A1.T � SIGPS Q Q DEMpL4SH <br /> IiVSTAI.L REPAIR <br /> FROPt}SED t3SE Q SFR Q CON1M � OTHER <br /> TYP�OF CONSTFZUCTION � BLOCK � FRAME � STEEL Q <br /> DESCRIPTlC1N OF WORK �� _ <br /> BUII.DING�12E � � SQ FOQ7AGE��^'�� HEIGHT ��� <br /> �BUILDiNG $� /�O y-�,� VALUATION OF TOTAL CONSTRUCTION <br /> ��-'.� � <br /> QELEGTt21Gf�L �p � AMP SEi4ViCE [� PRQGRES�€N�RGY Q W.R.E.C. <br /> �P�UMBtNG �� <br /> QM�CHA�flCAL � f'�, � VAWATfON OF MECHANICAL i�18'fALtATlO�i <br /> [��as C'] �c�o��t�� � sp�c�a�.-rv [� a���R <br /> �ItdiSNED FLDnR EL.EVATI�idS ��� FLDOD ZaNE P�REA �YES iV� <br /> . . . . . . . . . .. . . . . . � . . ._._._. . ._. . . . . . . � . . . . . <br /> — • • i i � i�i i� �a�•s" <br /> BU1LDfR --�j--,� �� CONiPANY r . � � . �� <br /> SIGNATURE � �y..l_ _ REGISTERED N PEE CUR Et� /(� �), <br /> ... ��l <br /> Address � �Z, License# ,S <br /> ELECTf2iClAiV CQiUiPAP1Y <br /> SIGNATUR� REGfSTERED Y! N FEE ClJRRE� Y!M <br /> �Addres� License# �� � <br /> PLU�diBER COMPANY <br /> SIGPI14TURE REGISTERED Y/ N FEE GURRE� Y(N <br /> �4ddress Licensa# { � <br /> MECHAt�tCA�. CQMPANY <br /> SIGfdATUi2E REGISTEREp Y/ N FEE CURRE� Y!I�d <br /> Address License# �� �� <br /> �TN�� coMParav <br /> SIGNATURE REOI5TEREp Y/ N FEE CURRE� Y/N <br /> Acidress License# ���` � <br /> lO � itllllllYlllol ! ! 11l111o11lIMfGitltttl4ltllilidilll ! lt111lIiE1 ! ! 1 <br /> itESlDfitdTiAL Attsch{2}Piot Pians;{2)se#s af Building Plans;(?}set af Energy Forms;R-O-W Pe�rnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Starmwater Pians w/Siit Fe�ce installed, <br /> Sanitary Facifities&1 dumpster;Site W4rk Permli far subdlvislonsllarge prajeots <br /> CC�N�M��Gi,AL Attach{2}complete sets of Building Plans pius a Life Safety Page;(1)sat of Energy Farms.R-q-W Permit for new constructian. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence Installed, <br /> Sanitary Facitities&9 dumpster.SiEe Work PermEt for atl new projects.Afi cammeroial requiremen#s must meet c�mpliance <br /> SIGid PERiWi'f s4ttach{�)setstaffngineered Plarts. <br /> `"`"*PROP�RTY SURVEY required for all NEW canstruction. <br /> �-' , . . . . . <br /> Directtons:+ <br /> Fill out appi)catian compietely. <br /> E flwnes&Confractor sign back of application,notacized <br /> � if ov�r$2500,a IUotice of Cornmencement is required. (A/C upgrades over$7500) <br /> ' " Agent{for fhe contraator)ar Power of Attorney(for the own�r}wauld be sameone w�th natarized tettsr from owrter authodzing same <br /> OVER THE GOUNTER PERMITTING (copy of contract required) <br /> ' Reroofs if shingtes Sewers Servioa Upgrades A/C �en�s{P1oU5u�v�ylFa�tage) <br /> Drivowaye-Not over GourNor;S on pubtio roatlwaye..nc�:r,ia 4i0�6 <br /> � <br /> t <br />