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s�s-�saoozo City of Zephyrhills Permit Applic.�►#ion Fax-813-7eo-oo2� <br /> 8utiding beparfinent <br /> tiate Etecaived ` Photte CaM��t for PermltNn � � t� <br /> Owner's 4�ame L'l.1 1� � •C,.� Owner Phone A1nmiser <br /> t- �Owner"s Address � � ���� �� Owmer Phane Numb�r <br /> Fee 51mp1�Tl�l�holdee Name �nmer Phone Rlumber � � <br /> Fee Simple Titleholder Address <br /> JO�ADDRESS 6 I 1 LOY# �_i„� <br /> SUBDIYtS10N �t ��,_L...V�� � PARCEL ID# r C.X�' i" � '-� �-t,.�.s� <br /> (OBTdINED FROM PROP6RTYTAX NOTICE) <br /> WORK PROt�OSED NEW C4NSSR AL7DIAI.T' � SlGN- Q � pEMOUSH <br /> INSTALL 8 R�PI�IR <br /> �ROPOSEQ USE Q SFR Q Ct?MM � UTE�lEi2 ' <br /> TYPE OF CONSTRUCTIOM Q BLOCK " [� FRAME �] STEEL Q <br /> _ <br /> DESCRIPT10A1�F WORK �Y�� ` � } <br /> BUI�DING sl�E �Q FOOTAGE E�� HEIGliT [�� <br /> QSUIl.DIf�G � � VALUATtOR1�taF'i`flTALCORlS'!'ftUC'fiON <br /> [�ELECTRICAt: �� AMP$ERVICE Q P�tt}GRESS Eh(EFtGY Q W.R.E.C. <br /> OPLUMB!{VG $ 1. �� � ( „�. <br /> �� `�LJ�' <br /> �]MECHANtCAL $ � VALU�ATlOiU OF MECHAt+IiCAL tttifSTALLATi��i � <br /> OGAS [� ROOFltVG :[,� SPECl�U.'t'Y . QTHER 7°' �� <br /> � �` <br /> FINISHED FLOOR ELEVATIQNS FL,OOD 20NE AREA �YES NO J <br /> BUIL�ER � �AAt�AMt <br /> $tGNATURE , REGISTERED Y/ N FEE culRRa Y/N <br /> Actdress L4cense# �y � <br /> �LEGTt31�lAflt- CO�V3PA1�11t - <br /> SIGPIAYURE w'` REGISTERED Y/ N FEE CURREA Y/P,� <br /> Adt9P�S8 LIC6nSB# i � <br /> �"Lt#MBER COMPAI�IY L C�V ` <br /> S(GNA'TttF3� rtEQis'tEREo Y/.M h-�CURRE� Y/ <br /> A�dc�ss � 1 ���`�Y!���t ��'�jY} Lic�nse# 1,��.) �—V�1� ,� <br /> �tl�CtQAF}tGAL COMPIWY ` <br /> SIGAtATili�� ttE�tST�o Y.! (d . _ F�CURREn . Y/_M <br /> Addrsss License# � � <br /> OTl�El2 � CO�VIPAAtY <br /> ������'��E REGIS7ERED Y/ iV... FEE CUFtRE� Y/N <br /> �ddress ClcBnse#�1 � � <br /> RESIDEPI'i!A!: •Attach(2}Ptbt�Pfans;:{2)'sets ofBuiiding�P.lans;(1)sef of Eaergy Forms;Pt=O-W Per�rsit ior new coitstrar,�tion, <br /> -Minimum.ten{90):waricing d�ys atter,submittai date.=Requtred onsite,Gons#ruc8an Pians;Stormwater Pians w/Sitt Fence instailed, <br /> Sanitary' FaciliUes.&:1_,dumpste.r,-81tcWorlr:Perrnitforsubdivisions/large:proJects ' <br /> COtlR�l�RCiAi. Attach(3)comgleta sets of Btiildfaig F[ans plus a!!fe Safety Fage;{1}se#of Energy Fomts.R-tT W Pesmit far neuv constructton. <br /> Minimum ten{10)worhing days after submlktai date. Required onsite,Canstructlan Plans,Stormwater Plans w!Silt Fence installed, <br /> San(tary Facllides&1 dumpster.S(te Work Permit fur all new proJeofs..All commercial requirements must meet compliance <br /> SlG�!PERMlT AthacFi(2}siats af E�igiaeered Flans. <br /> `•"'PROPERTY SURVEY requlred for ati P1EW construcUon. <br /> Diresttqns: - � <br /> �ill out applicaUon compiekeiy. <br /> Owner&Cpntrac�or slgn back of appitcatlon,notarized • <br /> tf av�r$2500,�Nofiee af Cammencercz�nt Is r�quiced. {A!C upgrades avee�T�00} <br /> "` Agent(for#he contractor)or Power of Attamey(for the owner)would be someone with notarized letter from owne�autha�izing same <br /> OVEit TNE CG}UAITER.PERMi7'TiAlG .-{Fron#of Appllcation Oniy} <br /> Reroofs tf shingles Sewers Senrice Upgrades A/C Fences(€�Iot/Survey/Footage) � <br /> Drlvewa (�tot over Counter tf on ub1Ec tr�adwra - �� <br /> Y�• P YS..eeeds ROW ` <br /> _ - ,:. � <br /> . � <br />