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8��-780-0020 City of Zephyrhills Permit Appiica#ion Fax-813-780-Oq21
<br /> ° " Bullding Department
<br /> Date Received , � ' �•f/`� � Phone�Contact�for Percn[ttia � � — ��
<br /> Owner's Name 4 " Ownar Phoae Nnm6er � �..��
<br /> Owner's Address ' ' /G �,t,. f Ownar Phone Number � �
<br /> Fee Slmple Titleholder Name � "Owner Phone Number � T �
<br /> Fee Slmple Titleholdar Address
<br /> JOB ACIDRE88 � /�/ /L Gcr LOT# ��
<br /> SUBDiVIS10N , *��� �,��zv �� PARCEL ID# �� � - (/ �� ��d�� c�7 �
<br /> � ' . (OBTAINED FROM PROPERTY,TAX NOTICE) -
<br /> WORK PROPOSED �.-NEW fi0N5TR ADDlAi.T � StGN Q ' Q pEMOLISH
<br /> iNSTALL REPAIR •• �
<br /> Pt20P05ED:USE . • � SFR� Q 'COIVIM' - � � OTFtER
<br /> TYPE OF CONSTRUCTION � Q�- ��BL.00K " C] FRNNE ["�� "STEEL Q -
<br /> pE3GR1PTION OF WORK � � � � ` �` �' G{� _
<br /> Btl1lDING"SIZE''� ��'Sq FOOTAGE[� . . :�HEIGH7'� -.
<br /> ��u��'���� L , � VALUATION`OF�TOTAL"CONSTRUCTION � � ` `
<br /> QELECTRiCAL , .�� AMP SERVICE Q -PRQGRESS E�tERGY Q W.R.E.C:
<br /> [�Pi:UMB1NG �� .
<br /> MECNANIGAL $�r a VALUATtOi�t OF:MECHANtCAI.IP�I3TAL�ATION
<br /> �-- [��.��.
<br /> Oc,�s [� ROOFING .Q sPeci,�.rr; � t}TNER .
<br /> FINISHED FLOOR ELEVATIQNS ��� FLOOD zONE AREA QYES. ,NO
<br /> --BtJF�.E?EEt__.__._ _ __�____ =--__ - -- --
<br /> __ _ _____— . _ _ _�__ ._C43Mi'i+�4iY� ___. . ._ __ =_- -- - —.�- - ------
<br /> SIGNATURE REGISTERED _ Y/ N FEE CURRE� Y/N'
<br /> Address ' � Gcense# � �
<br /> EtECTRiC1AN- , .�COMPANY - � �
<br /> SIGNA7URE � REGIS7ERED Y/ N F�cuRRen 1' �'Y/N'
<br /> ��, . .. (�� ,. -
<br /> Addra`ss y ` ' . � - ' , License-#�(� ' ; �
<br /> E��UMBER ' .. ' . ,� �COMPANY , . - , ,
<br /> S(GNA7URE� " K �REGIS.TERED - Y_/.N ',;FEE CURREA Y/N �-
<br /> Address , ; ;LicenSe:# r _ - �.� •
<br /> MECHANICAt:' ' � ' . COMPANY � .. . �� �
<br /> SIGNATURE - ' REGIS7ERED.� . N , � FEECURRE� � •%N
<br /> Addre�s'' G� : (f•' --1�'� �` ' , ' Ucense# �� �J o �,,,����
<br /> 05HER '- . - -" � w. _ �� .� ., ,. _ '4'GOM�ANY ; ,
<br /> SIGNA7URE ;�..�.. . ,,. �y..,,�,.;,:. ,w :<. ;„ ., ,�; ;�: ...•',.RE pc,r .. �
<br /> �� � GI$7ERE Y/ N ., ' FEE CURF2E� Y/N
<br /> Ad+dress s ,,: ,� . - �` y r , � Licen e , .
<br /> , . .-.. . . - • s # I ' , _ �
<br /> "y'<-�.i,,�„ " �'";1,a�.,'er.�.. ..7. .
<br /> REStDEN�,::,; AttaeFr(2)„Plot%Rlaiisr;(2}sets=oF'Bulli11ng3 Plan's�(1}se#af'Energy=Faims;'R=Q=1+ff�Paririlt fbr new construction, . ,
<br /> - : ;�;:Minimum:ten°(•10):woricing?days�aiter;subtnittal tlate.°_Requlred onsite;C�n§tructlon Flans;'Stormwater°Plans�w/Sflt Fence Installed,
<br /> ���Sanitary Faclllties;&;1e,dumpste_r,ASite`Wor1c:�Permit,for:subdivislonsllarge:;proJects.',,::=�.r_ ' n � '� °
<br /> COMMERCiAI. At#ach{3)coinplete sets-of�B'uitdliig Plans plus a.l:lfe�3af��tjr`Rage;�{'1}set af Eaergy Fomts.R-O-W Permit far.new consttucfion.
<br /> Minimum ten(10)working days�ai#er submittal date. Requlred onsite,Construction Plans,Stormwater Plans wr/Silt Fence installed,
<br /> Sanitary Faoilitles&1 dumpster.Site Work Permit for all new.proJecfs:All commercial requlrements.mus!meet compllance '
<br /> SIGN PERMlT AttaciF"(2}sefs-of Englneet;et,irPlaii's:;��;;:t� ':��, ,. �.,�.�:.- ,. - . ..
<br /> "•"PROPERTY SURVEY reyuired ier all NEW cons.tructlon.. _ . .
<br /> Dlrecttons: . ... � .. .. . �
<br /> � Fill out applicatlon completely.
<br /> Owner 8 ContracMr slgn back of appllcaBon,nobrized �
<br /> If cver�2a00,a Platice af'Commencement t�raquirad. (A/C tspgrades over$7500j ,
<br /> ,_..:.r,::�;�-•;,:..- .
<br /> ,... , . _ ., . _� _. �.
<br /> `" qgent(for the contraotor)'or'Powe'r'of Attoiney(fo`r tFie owner)would be someone with notarized letter from owner autho�izing same
<br /> OVERTHECt1U[�i'�ER.PERMIT1iNG-�- -=--,{Front-of-Appfilcatton'Only)- °•- - �"
<br /> Reroofs if shingles Sewers Service llpgrades'�A/C. .Fence§(PIoUSurvey/Footage)
<br /> - -. _. .�_. _. .._..___ .,_ . .�.�:_ , _ . - ' � � - ..f-_.
<br /> Drivewaya-Not aver Counter if on public roaduvays::rteeds ROW;`, ,�
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