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s��-�so-ooza City of Zephyrhills Permi i�_,.._,,,,_ 3-�so-oo2�
<br /> Building Department �"~�-�,.� �'
<br /> ,Date Re�eived ' �� �'' Phone Contact for Fermi f � – �� v
<br /> Owner's Name �� c Owner Phone Number � ' �(/ '�o�'?�
<br /> Owner's Address ,/ Owner Phone Number �r �
<br /> a
<br /> Fee Simple Titleholder Name � � Owner Phone Number � �
<br /> Fee Slrnple Titleholder Address
<br /> JOB ALIDRESS o2 { � � P�iG j � LOT# [^]
<br /> ;;; SUBDIVISIOiV � � PARCEL ID#
<br /> � (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> f..� I
<br /> {; WOEZK FRQPflSEd e NEW CONSTR 8 ADD/ALT �� SIGN Q Q DEMOLISN
<br /> �� � INSTALL REPAIR '
<br /> �' PROFOSED USE Q� SFF2 _ Q COMM �� t?THER ..1` 1
<br /> #� 7YPE OF CONSTRUCTIQN Q BLOCK Q FRAME � STEEL Q
<br /> �$ { ..
<br /> jj DESCRIPTION QF WORK 1�V' 4! I ,/V�G�! 1 J,��/G .„ r
<br /> I� j .
<br /> ?; BUtLDING StZE SQ FOOTAGE�� HEIGHT
<br /> � '
<br /> •� �',�BUtIDlNG � �}/� p"� %"' VALUA710N OF 70TAL CONS7RUCTION
<br /> � O�lJ V
<br /> f!
<br /> � QELECTR(CAE. � � AMP SE}2VICE Q PROGRESS ENERGY [� W.R.E.C:
<br /> � ; ....., /
<br /> � D��un�si�� � ��c�3 ' � ,�iGN�"�l'!�G�i C1.� �J�l`�
<br /> � . �
<br /> �� QMECNANIGAZ ��� VALUATIQN QF MECNANIGA�1NSTAi.CATtON {���I �
<br /> A
<br /> ; QGAS Q ROOFING Q SPECIA�TY � QTHER � o�t ��-�, �
<br /> a �
<br /> � FINISHED FLOOR ELEVATIONB � FLOOD ZONE AREA C]YES NO � �J
<br /> � � [�
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<br /> � SUiLDER ��� COMPANY � e. vlGL'.- rr�S�t vG�lG+�
<br /> V SIGNATURE REGISTERED / N FEE CURRE� Y/N �
<br /> � Adilress � k�Ul C�.a' ���1 �.. � License# ��(�• �a�'�5���I
<br /> � :
<br /> � Et,ECTR1CIl�N1 COMPANY
<br /> SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/N
<br /> i ,
<br /> Address License# � �
<br /> � Pi.UMBER , � GOMPANY ,
<br /> � SIGNATURE REGISTERED Y'/' N .. FEE CURRE� -�� Y�7-N' ,
<br /> � _
<br /> � Address , I:icense# �� —1
<br /> j MECHANtCAL _ ' COiNPANY -
<br /> SIGNATURE REGIS7ERED Y/ N_ - FEE cU�tE� :,X/•N •, -
<br /> Address _ � License# I . �
<br /> OTHER. CQMPANY
<br /> ` SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> (
<br /> �"` Address
<br /> _. License# �— �
<br /> � � ;,-.;- , �. , . � , . , . � �
<br /> ,,. .:-_- • . •-,. .; .
<br /> ;; RESIDEWTiAL� Attacti(2)Ptot,Plans;'(2}sefs of Building P(ans;.(1)set of Energy,Forms;;R=a=1NPermit'for new construction, .
<br /> '` Minimum teri :1.0'workin da s after submittal date. Re uired onsite;�Construction-Plans,Stormwater Plans w/Silt Fence`installed,
<br /> �': � ) 9 Y q �
<br /> - !; 8an�tary Fac�lities&-1 dumpster,Sife Work P it for subd'svtsionsllarge projecfs "
<br /> CpMMERGIAL Attach(2)compiete sets of Building Plans "us a Life 8afety P,age;(1)set of Energy Forms.F2-O-W Permit for new construcUon.
<br /> Minimum ten(10)working,days after submittal•date. Requi�ed`onsite,Construction.Plans,Stormwater Plans w!Silt.Fence installed,
<br /> Sani#ary_Facilr�es&9'diampsfer.Site Work Permit for a!I new projecfs.All commercial requiremenfs musf ineet compl�ance
<br /> - SIGN PERMIT Attach(2),setsof Engineered Plans.' . � '
<br /> � ***"PROPER7Y.SURVEY required for aU NEW construction.
<br /> `Directions:
<br /> Fill out applicatian completely. �
<br /> Owrier&Gontraatar s'tgn back of application,notarized
<br /> If over$2500,a Notice of Cammencement is required. (A/C upgrades over$7500)
<br /> " Agent(for#he contractor-},or Power of Attomey{for the owner)would`be sor»eane wtth notarized letter from owner autharizing same
<br /> ••OVER THE COUNTER PERMITTING (copy af c6ntract required)
<br /> Reroofs-if shingles Sewers �'Service�Upgrades'�A!C Ferices(FloUSurveylFaotage}
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<br /> Driveways-Not over Counter if onpublic roadways..needs ROW ;r •
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