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��s-�so-oo2o City of Zephyrhills Permit Appllcation Fax 813-780-OQ21
<br /> . a: Building Department
<br /> Date Recelved � Phane�Gontact for:Pernilttfn —
<br /> Owner's Name � , � I`� �'��'"� � Owner Phone Number ��"b� ""S 0��
<br /> Owner's Acidress � p� T . I�'� �fJ � {� - tswner Phone�Number -�` �
<br /> Fee Slmple TItlsHolder Name � � ` � Owner Phone Number �� �
<br /> Fee Simple Tltleholder,tiddresa
<br /> JOB ADDRESS � C�1 � ���O� � LOT# �
<br /> SUBDIViS10N ( � PARGEL ID# � �`-� � `��j"`C'�C�S� "C�C?(�G�L�^G���'f G
<br /> , , , {OBTAINED FROM PttQPERTYTAX NOTICE)
<br /> WORK PROPC}SEQ �..NEW CONSTR ADDIACT C� SIGN" �[� Q DEMOLISH
<br /> � �e. lNSTALL � ,� REPAIR
<br /> PROPOSED-USE Q SFR Q 'GOMM `� Q -QTHER �
<br /> TYPE OF CONSTRUCTION a [�� ' BLOCK ' �C] FRAME �� Sl'EEC �Q �
<br /> DESCttIPTiON OF WORK'
<br /> '{ .. �(i C.. �en c� � . . . � _
<br /> BUt�D1NG S1ZE �' ��`SQ.FqOTAGE '-2�� : .HEIGiiT�. .C�„�
<br /> QBU!!.Q!!VG , ����"O, OC VALUATiOP1�'OF�TOTAL COIVS'fFtUG'1`ION , -
<br /> QELECTRl6Al �� AMP SERVICE Q PR(?GRESS ENERGY �J W.R.E.C. �
<br /> QPLUMBING �� � l_�;.� j
<br /> �� U �
<br /> [�MECHANICAL $ ' VAI:UATION OF MECHAPIICAL lNSTALWTlON 6 �
<br /> QGAS [� ROOFING .Q SPECIALTY, � OTMER
<br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NO
<br /> BUIl�DER G COMPANY• L G'�'� F" t'7C"'�
<br /> SIGNATURE RHGlSTERED Y! N . FeE GUEtREn '.Y t N
<br /> Address �f-�� � <�9 C../U License#�I � � ��� ,
<br /> ELEGTRlClAN; - � � . Gt?MPAMY - �
<br /> SIC^,NATURE �' REGIS7ERED Y/ N PEE GUR�t+'�� ' ��Y/N
<br /> Addre�s � ,. . , .. �: � . . . License# I ". '_ - �
<br /> PLUMBER ' � COMP,.AMY =
<br /> SIGNA'TURE` ` ` ' ,REGISTERED Y./.-N �eE Cukt�t� Y/N �
<br /> Addreas i.icense# ��.� .^. -� I
<br /> MECHANICAI: � y CQMPAt�IIY � ,
<br /> SiC�NA7URE ` � ' � � REGISTER�D Y/ N , r FEE CURRE� . Y./�°N -
<br /> Addres"s` . ° , � . > � ` - � ' l.icense# �. �� �
<br /> OTHER ' ,.,:, � � � .' '`;COM.PANY ,. • �
<br /> SiGNA7URE �.� '<< 'ri � �`� �� ^ ' ' ` ""REGISTER6D' ` Y/ N,.. � FEE CURRE� ' . Y/N
<br /> Actdress' • ' ,.R- <;:_ ' :t - � . . � L'tcense# (' � � �
<br /> RE:3IDENTIAL�;. Attacti�(2)�PIot�Plan`s;..(2)sets:ofsBuilBing`Fians;(1)'setiof�Energy�Faiit�s;.R=O=W'Peqnitfor new i�nstruckion, � ' ' '
<br /> .. __. _ :,. . ,.n.., ..,_ .. . _ .
<br /> . . .. _. .:.. :, ,
<br /> :• �s;:.� Minimum;ten(•1,0)„working;days:,aftersubrrttttal date:::.Requlrerl onslte,;Constructlon:F1ans;Stormwateh Plans�w/SIIt Fence 9nstalied,
<br /> ' ; SanttaryFaclittles�&;1�dumpster-.8lte=Work,�Permit,forsubitivisionsRarge:propects: ;_:;;.,: . „ �-�``` '
<br /> COMMERCIAL Attach(S)�cnmplste sats''of�Bulliiing'Plans`plus a Ufe S�af�ty Page;{1)set of Energy Forms.R-O-W Permit for new constn�"ction. -
<br /> Minimum ten(10)working days'after submittal date. Requtred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence instalted,
<br /> 8anitary Facitities&'t dumpster.Site Work Permi#for all new;projects:All cammerciai requlrements_must meet compllance + �
<br /> SlGN PERMlT Attact►"(2)sets�of�Eiiginiaer.e'.drPlasis�,,�."�-,- .. �-. -, �
<br /> "'•PROPERTY SURVEY raquired„for all_NEW constructlon..
<br /> alrectlons: �. , , . � . "
<br /> Fill out applicatlon completely.
<br /> Owner 8 Contractor stgn back of applicadon,notarized
<br /> if over$2500,,a Hotice of Commencement[s requFrad. {A/C apgrades over�T500) ,
<br /> '* Agant(for the`contractor}or Power 8f Attomey(fo�ttie owRser)wouid be somaone with notarized letter from awner authorizing same •
<br /> OVER THE COUNTER.PERMI'fTING-- {FronEaf AppifcatEon Oniy} �
<br /> Reraofs If shingles Sewers Service Upgrades A(C Fences(PlotlSurveylFootagej
<br /> drivewaya-Nat over Counter#on pubtic roadways..needs ROW
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