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813-780-Ob20 City of Zephyrhills Permit Application Fax 813-780-Q021
<br /> . � Buiiding Qepa�trnent `�
<br /> Date Recgived �' f/•f� , -= phone=ConCact for�Percntttin S�oZ �
<br /> Owner's Name Owner Phone Number 7Q �"�i/ ��/�`
<br /> Owner's Addrass ,� //D/" Owner Phone Number � �
<br /> Fee Simple�Tltleholder Name `�- � Owner Phone Number �- �
<br /> Fee 3lmple,Tltleholder Address �
<br /> JOBAdDRESS ,� �� �U�"T"� LOT# C__�
<br /> su�o�v�sEors �,f 2� �a�✓�t� - p,a�c��.ia� .�} � � 1� a (� 6 C�
<br /> , - (OBTAINED F.ROM.PROPERTYTAX NOTICE) `
<br /> WOEtK PROPOSED ,NEw COt35TR ADDIA�T �] StGN Q .Q DEMO�ISH
<br /> f e. INSTAI.L � REPAIR .
<br /> Pi20POSEDtUSE Q SFR. Q CQMM � OTHER
<br /> TYPE OF CONSTRUCTION Q � BLOCK ' [� FRAME ` [� STEEL C]
<br /> DESCRIPTIt3N OF WORK' �' Lr` � r �v w �' C/ ,�i'
<br /> �
<br /> BUI�DING S1ZE �� �1 SQ�FOOTAGE��: , ,HEf,GHT' � ��� �
<br /> QBUtl.DlNG � VALUATION�tOF�TOTAL CONSTRUCTION ' �
<br /> QELECTRIGAL $ ' AMP SERVtCE [� PRt)GRESS ENERGY Q W.R.E:C.
<br /> r
<br /> QPLUMBtNG3- $ � - .
<br /> � '�,„ �
<br /> MECHANIGAL ��U ' J�,� VA�UATiON OF.MECHANlCAL INSTALIATICIN, �G7�'
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<br /> QGAS Q ROOFING Q SFECIALTY � OTHER
<br /> FINISHED FLOOR EI.EVATIONS (��� F1.00D ZONE AREA QYE$ „NO
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<br /> F
<br /> su�«��-� -- , _ - �����r� - -_ - . - _. _ �
<br /> SIGNATURE REGISTERED Y/ N 'FEE CURRE� Y/N
<br /> Addreas • ' L"Icense# �� �
<br /> � , .. .
<br /> EtECSRtC1AN: � . COMPANY .
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRE��• "-Y/N
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<br /> �, , .
<br /> Address -' Licanse#. �
<br /> PLUMBER � :, COMPANY , � � '
<br /> S(GNAYilRE � , ,REGIS7ERED., Y./'N� ; .,I.,;FEE CURRE� ' Y/N - :;�
<br /> Addre�s .. . , .license.#, �- _ -�
<br /> ,, r.. . . .. .
<br /> MECMANIGAl:` COM,P..ANY, . ;1' . ;/jl�.. p rvt ,d�u'
<br /> .�'°q`
<br /> SiGNATURE " '�ylP=' � • REGIS7ERED r � N, . :_..:FEE CURRE� -. �N
<br /> Acldre�s` ' �.�f �C� ��` ��5� � License# l `/.��OS�i ����
<br /> � .4�'..:". . a " _ . � ,
<br /> QTNER ` � � ,.COMPANY,� :' , . �
<br /> SIGPtATURE . � 'i � `° � � ' ' " `REGISTERED"'' '�'Y/ N' FEE CURRE� Y/�V
<br /> Address ' _ _ . , , . , ' License# � � �
<br /> y,,.-, :. .
<br /> EtE31QENT1Atr.�� :Att�tch(2},PlofsP;lans;:,{2}seis�of,'Baliiling�t'ian"s;°{1}.set''af-Eriergy�Fo'r4r�s;�AF2=0=V1t'Pemiitfor new consWctE,on,:_ '
<br /> , .. , - . . . � . ,. ... :.. , , . . .,
<br /> �.:.�;�Minimum;tenr(:1Q)�woricingydays.'�after_subini[tal�date��;R'equired onsite;CanstrucNon-Plans;Stoimwater-Plans w/3ilt�Fence tnstalled,
<br /> `"�� Senitery Facilftles-&;1z,dumpster�Site Work,:Permit torfsutidtVislonsAarge�projects,� .,=.:�;� � " � � � � � ' '
<br /> GOMMERGiAL Attach{S)completa sefs of�8ultilingPlaiis'Pius a'�Ufe Safety Page,�(1}set af Energy Farms.R O-W Permittor�ew constnsc�tion..
<br /> Minimum ten(10)working days after submittal date. Requl�ed onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary FaoiliUes&1 dumpster.$ite Work Permit for all new�projects.All commercial requlrements must meet campfiance �
<br /> SlGh PERM17 Attact�(2}'se#s of'Eiig,l`�ieetod=Pians:, = � � � -
<br /> '•""PROPERTY SURVEY reGuired for all NEW construcdon.
<br /> Directions: � ,_ ,
<br /> FIII out applicatlon completely. ,
<br /> Owner&Contractar sign back of appltcatlo�,notar�zad
<br /> If aver�2500.a Notice af Commencem�nt[s required. (AtG apgrades over 57500)
<br /> �r.�<.,;;,_.
<br /> '* Agent(for the cantrabtor)o�'Power of Attomey(far tFie owner)would beysomeone with notarized letter fram owner autha�izing same
<br /> OVER THE CqUNTER PERMITitNti : {�rant of-APPIlcaBoa Only}_-.� ,
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plat/Survey/Fookage)
<br /> ! Drlvaways-hEat aver Counter tf on public roadways:.neads ROW
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