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`+S � <br /> � 813-7H0-0020 City of Zephyrhills Permit Application Fax-873-78D-0021 <br /> t � Buiiding Department <br /> Date Recelved Phona Cantact tor Permtriln -- <br /> -�- -nr-rr-r--rrrrrr <br /> Owner's Name J� 'Tr _.�- Owttsr phone Number <br /> � t <br /> Owner•s Address�p� ��p�`.�r�- ��i L��}�. 3�� Owner Phone Number �� � <br />� <br /> Fee Simple Tllleholder Naine � � Owner Phone Number <br /> , <br />' . I <br /> Fee SEmpia Tltleholder Address <br /> J48 ADDRESS �`S'�'�k.'-'�' Z. � ( 3 LOT# �� <br /> SIlBDlYtSIQN � � PARCEt ip# [�- tY`" j" 1 - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) I <br /> WORK PROPOSED e NEW caro57R 8 AdDlALT [� SiGN [� C] DEMOLISH � <br /> IN9TALL F7EPAIR <br /> PROPQSEp USE Q SFR Q COMM Q OTHER ' ' <br /> iYPE OP CONSTRUCTtOH Q BLOCK �J FRAME � STEEL Q � <br /> DESGRIPTION OF WORK �TU I�C. � I <br /> �� .��- � i <br /> ' BUILDING SIZE SQ F00'i'AGE HEICitiT � <br /> , .. <br /> _ -r-rTTIT�-tT"1�-'frr'i+'r't`� � - -. " . ": M"r'r`i-i"'It�'t- . . , e'Tr`rrI"*'r^rT�-r"Irr'r'rT!r- <br /> QBUILDING �_� VALUATIQN QF TOTAL CONSTRUCTION <br /> I QELECTRICAI �� AMP SERVtCE Q PRQGftESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� ''�} i <br /> ` �+ �� 1� i <br /> '� �MECHANIGAL $� ��`jy� ' VALUATION OF MEG}{ANICAL INSTAL,kATlON �' <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FIPIiSNED FIOOR EIEVATIQNS ��� FLOOD ZONE AREA QYES NO <br /> .-�'.-:-�F-I-1-i.i.L-4•{-1-�1-a-.S�-0-O-�-L-1-i-C-i-F-:-'.f-�-i:bi..f-L-1-{-�4-f.-4*�5.�'-'.,�-4-�.�-1-E-1-1-�-{-1.-{�.I.i..1..4-6-'r.C-�;- <br /> I BUILDER � � COMPANY � <br /> StGNATURE REOISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN �! � �COMPANY �] <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> I <br /> � Addrass Lice�se# � �� � <br /> PLUMBER COMPANY i <br /> � SiGNATURE REG(6TERED Y/N Fee cuaaen Y i N j <br /> Address .Licenselt � _ � i � <br /> MECHANIGAL , COMPANY �T /�G'•�t ��'!" 1Ci'_S. GrT �r�I.SLCJ � <br /> SiGNATURE AEG{STERED Y/N FE6 CURRE� � Y I N � I <br /> �'f�C:��'/.S�/�i�� i <br /> Address r� �'. C License# I <br /> OTHER COMPANY � � <br /> � SIGNATURE REGISTERED Y J N FEE CURftE� Y/N i <br /> Address License# � � � <br /> I11lIIIiIIIIltlliit [ IIIiiIIIiIIIit1IItIItltllillitlt { IitIltlltitlli <br /> RESIDEN7IAL Altach{2)PIo4 Plans;(2)sets of Building Plansi(1)saS ot Energy Fortns;R-O•W Permit tor new constructian, � <br /> Minimum ten(10}working days after submiiiai date. Required onsile,Construction Plans,'Stormwater Plans w/Sill Fence installed, � <br /> 5eNtery FacUitles 81 dumpsler;Site Work Petmft for su4divislflnsflarge praJects � <br /> _ COMMERCIAI. AUach(2}complete sets oi Building Plans plus a Llfe Safety Page;(1)se�of Energy Forms.R-O-W Permfl tor new construcUon. <br /> M(nlmum ten(14)working daya after submittef dale. Requ4red onsite,Canstrucllon Plans,Storcnwater Plans wt Sitt Fence Instaited, � <br /> SaNtary Facilitles&1 dumpsler.Site Work Permit for all new projecls.All commercial raqulrements musl meet compllanca j <br /> StGN PERMtt Attech(2)sets of Engineeted Pians: i <br /> """pROPERTY SURVEY requlred for all NEW conSlrucUon. <br /> +�-�1.�-�F.F-{.��-a-i- ..+-�..-�4.,4-i-F�i�.i-i-�i.•i�d.i-i.i-F.�.i�i.�i-{-i-.i-5-r.i-�-t-i-.i-I-.i-L-i-I-d.�-C.T.-:-.7:. � <br /> pirectlons: <br /> Fitl out appticatian compietely � <br /> Owner 8 Conlractor sign back ot appllcation,notarized <br /> if over 82584,a Natise of Gammencement Is requtrsd. (AtC upgcades ovar 57500} <br /> " Agenl((ar lhe coNractor)or Power ot Atlomey(tor tha pwner)would be someons wlth noter4zed letter from owner authorizing same <br /> OVER THE COUNTER PERMITrING (copy of conlrecl required) <br /> Reroats!i shingies Sewers Service Upgrades AtC fences(PIoUSurveplFoatagej - <br /> Qriveways-Not over Counter tt on pubtic roadways..needs ROW <br /> � <br />