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813aa;►-ooao + City af Zephyrhills Permit Applica#ion Fax 813-780-0021
<br /> Bullding Qegartmen#
<br /> Date Recetved •= Ri�one Gonfact for�Pe�nittin ��J ���
<br /> Ov�rner's Name ��-��aa'X�- ��'1G�f"rY1� Ownar Phone Number
<br /> Owner"s Address r�'1� � GP�n-ivM 1 ._I 1. -Owner Phone Number � �
<br /> Fee Simple Tltleholder Name �� - � Owner Phane Number � �
<br /> 1 � i
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<br /> Fee Simple 7ltleholder Addresa � I'
<br /> �os Ac,aRess �J`$5►-1�1 `�� �c�nUe.� �P�.�cin;tl� �t-+.. 33��-t a-.. �or# �_^�
<br /> sueaivisioN � � ` PARCEL ID# I� �a�• a.i•a01�� ��3�o• 00$'O
<br /> (OBTAINED FROM PROPERTY,TAX NOTICE) '
<br /> WORK PRQPOSED NEW CONSTR ' ADD/ALT � SIGN "Q CJ DEMOL,ISH
<br /> ;e: INSTALL 8 .�� REPAIR �
<br /> PRQPf3SEQ:�tISE Q SFR [� COMM �,] OTFIEF2
<br /> TYPE OF CONSTRUCTION Q� ' �I.00K " [,� FRAME � STEEL Q
<br /> DESGIZIP110N OF WORK-` '�� q.,`� �G4 � G ' � Y"
<br /> �UtLDtNG'StZE � � ' �' SQ FOOTAGE ' HEIGHT $C„_^,� �
<br /> �. �
<br /> QSUII.DING $ � ___.. . . ,
<br /> A.. ,...Y_
<br /> �. VALUATION:�'fF TOTAI�CONSTRUCTION
<br /> QEL"ECTRICAI - $ t ��l�Q,fl(� AMPSERVICE � Q W.R.E.C.
<br /> � l7�+�5�
<br /> QPLt?MS�t�G � �
<br /> �:� �. ,
<br /> [�MECHAi+11CA1. $ YALl3ATtON OF MECNANICA�.INSi'AE.�+4TION
<br /> ��,.
<br /> QGAS Q ROOFING Q SPECIALTY [� OTHER - �
<br /> FINISH�D FLOOR ELEVATIONS ��� FI.00D ZONE AREA QYES. NO
<br /> -- -�������a - - - - - _ _ _ _ __ - coM���- _ _ _ -_-- -- _ __.._.�__ . _.� .- -- - -__. _)
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y"/N
<br /> Address , � .. -License# � � �
<br /> E�EGTRICIAN : ;GOMRANYI' ' ` , . - ", ��.c�^l1CS.� �c_..
<br /> SIGNATURE � REGISTERED N ��cow�en ' ` °• /N -
<br /> Addee`ss C� �j�Q}� Z {Jt �S �t.�j � . � ..License#: ���-'�1?��,�• ��
<br /> , - , . , , ._ � • . � �
<br /> F�UMBER � C��IIP.ANY , � , _, .
<br /> SIGNATURE` ,Re��STertE�. Y./..N; �:. • FEE.CURRE� • Y�/N. -_ _
<br /> Addr6S8 ` _Lit�nSe,#�� �-
<br /> MECHANICAL' � , COMP._ANY
<br /> SIGNATUiZE ' � ' � � „ REGIS7ERED Y,/_-N . ,FEE�CURREA., X/�N ,
<br /> Address ' � _ �' . - ' • , , � license# �. .. _�, �
<br /> : �. . � -
<br /> OTNER �'' „ , � ';GOMPANY '
<br /> SIGNATURE � ' ' � REGISTEREDt Y/ N._- FEE CURRE� Y/N
<br /> Addre� ' ' . - � , Llcerise# �- �
<br /> ,`�{� ' � �
<br /> RES@ENTIAi::;<�Attacti'(2},RtofrPlasis;�(2)`s_ets=ofBiiil_dliig�Ptans;.{i_}'setofEneigy�Eoims;R�O�I►1t�:Perinlf#ar;newc�nstruof�ori, --- ___�
<br /> —�- �""`-- , .;tulinimum.ten;(5.0),working;days:afte�;submlttafdate.:Requlred onslte;�.C.nnstructlon Plans;Stormwater"Plans w/Sllt Fence installed,
<br /> "� Sanitery FaciltUes„&:7<,,dumpsterSite Work�,.P.ermitfor subdiVislonsAarge;projec;s �` �- ' � � � �
<br /> COMNIERCIAt. At#ach{3)°cbmptete se#�ofBuilding'P1ans pius a Ufe Safety Page;{1}set af Energy Fotms.E2 t}-W Permi##or new canstructlon.
<br /> --__._.. ,_ � Minimum ten(10)working days afker submittal dake. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
<br /> � -Sanlfary Fa�litlss:&-1_dumpsteG Site Work Permit for all new projects..All commercial requlrements.must mesk campliance
<br /> SFGN PERMIT Attaclt'{2)set�cf Engineered�Plans.�.'=;.;'_ , ;..__. ___ - '
<br /> """PROPERTY SURbEY r �
<br /> equirec!for all NEW construcUon. _
<br /> Dlrectlons: - ,` ,_ , _
<br /> FIII out applicatlon completely.
<br /> Owner 8 Contractor sign back of appllcation.notarized
<br /> If aver�2500,a Notice oE Cammencement Is required. (A!C upgrades over.$T50d)
<br /> '" Agent(for the contractor)'or`Power of Attomey(fa�tlie owner)would be someone with notarized letter from owner autharizing same
<br /> dVER THE Cf�liACfER PERM137iNG- -- -{Front of Appilca#ian Only}- f�
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foatage) �--^
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<br /> Drlveways-Nat over Counter if an publfc roadways,need's•ROW4'�T'"''"� r'"
<br /> ::orn�oMu4Y.t'.;'P.y...54f�✓K.•n \ ,
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