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813-780-0020 City af Zephyrhills Permit Applica#ion Fax-813-78Q-0021
<br /> . Buitding Department `�
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<br /> Date Received Phone Cantact far Pecmittin
<br /> �,�
<br /> 4wn�r's Idame t� L iT Gz`�'� �ra� 7"-Ccs^.�.. Owner Phone Number
<br /> Ovrner's Ac�dress -��� S� � �� Owiner Phone Number
<br /> Fee Simple;Titleholder Name �� � Ouvner Phone Number
<br /> Fee Slmple�Titleholder Address
<br /> � LOT# �
<br /> JOB ADDREBS
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<br /> susoivisiQN � � PARC�L tD# I/ �—�+�--.��.— �0/l�'/�5��=— {�/' .
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> ` WORK PROPOSED e . NEW CONSTR 8 ADD/A�T' � S1GN Q Q DEM4LISH
<br /> } INSTALL REPAIR
<br /> PROP,tJSED USE Q SFR Q COtu1M � QTHEF2 _
<br /> TYPE`'OF CQNSTRlJC710N Q BLOCK � Q FRi4ME � STEEL Q
<br /> � . Z, �`�'m�... -� C.." c�-- �
<br /> DESCRIPTION OF WORK
<br /> 3
<br /> BUII:pING'SIZE' � � SQ FOOTAGE�� HEiGHT � �
<br /> QB�UtLD1N� �� VALUATION'OF T07AL CONSTRUCTION
<br /> . �
<br /> QE�kECTF2(CAL $ AMP SERVICE Q PRUGRESS EIVEF2GY Q W.R.E.G I
<br /> }
<br /> 0
<br /> P,l.11MBING �> � t,� ��
<br /> �MECHANICAL $ VALUA'F10N OF MECtiAN1CAL tNSTALLATION � D
<br /> � �`,,2.d a d,
<br /> QGAS Q ROOFIRtG Q SPECIA�TY 0 4THER
<br /> FINISHED FLOOR ELEVATIONS r�-� FLOOp ZONE AREA QYES NO
<br /> � L
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<br /> BUIL�ER � COMPANY
<br /> SIGNATURE REGISTEREp Y'/ N FEE CURRE� Y/N
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<br /> Addre�� License# � �
<br /> . . �` �
<br /> � :ELECTRi,CI'AN ,., COMPANY
<br /> ...SIGNATURE REGISTERED Y/ N �FEE CURRE� Y/N.
<br /> � Address License# � �
<br /> 1
<br /> PL'iJIVIBER.�, COINPANY
<br /> �SIGNATURE REGISTEREO Y/'N- " FEE CURRE� Y/N
<br /> ; :�,
<br /> , �4ddress - �License# I' .I
<br /> , -�.,..r , ,{�
<br /> „`,MECFI%1NICAL G%��-.,�--� - CONiPANY t�ir�s � ��.,, �
<br /> F� SIGNATURE''' � REGISTERED .' Y/ N - �. .FEE GURRE� ' Y/N
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<br /> Aildtess'=�' �' " License.# r ( c..� ��
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<br /> OTHBRn �=��.�a � _ ' � ' � �GO,Ni,PATdY �
<br /> ��'SIGNATURE:�. 4� :r - ' ' REGISTERED . Y I.N FEE CURRE�' Y/N
<br /> ��-'�;,:;�,�':;- . .. � �
<br /> Address�.,.•F ,�-�_ . . • . _ License#
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<br /> :`RESiDENT1AL�,r:. .Attach;"2,.Ptof;P,laris;'2:sefsof`Building=Plans;(1�}`set'of�Ene`rgy:Fofrris;l3=Q=1N:P,erriiit foc new.constiuction,~`1
<br /> . ,._ t ). � )
<br /> ��:2�.-�,;,c. �-;Minimum:ten,(,1q);woiking;day�.;afterti§u6miltal ilaCe:°'Reqaired�onsite;Construction Plan's;St`o'rmwafer Plans w/Silt Fence installed,
<br /> ��. • .. � .__�. ;.`� � . _.-.,- . .. .. �
<br /> �3.,r. Sanitary;Facilities;z&n1=�dur►�pste�;;,;Site;Wo[kPecrr[�tfor;sulidivisionsilarge`;pr`ojects: - ' ' . _ . - --
<br /> � COMAAERCIAL Attachµ(2)'comp►ete"sets of'Building Plans�pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permit far new construcfion.
<br /> " , Minimum ten(10)working tlays after submittal date. Required onsite,Construction Plans,Starmwater Plans w/Siit Fence installed,
<br /> Sanitary Facilities&9 dumpster.,Site Waltc Permit.for�all-new�projeots.All commercial cequirements must meet compliance
<br /> %';�SIGN°;PERMIT -"AttacFi(2)-sets:.p:f;Engjneered_Rlans:-� � - '
<br /> i't:`:,;' "*"*pRQPERTY SURVEY,rgquired for,all.NEW construction.- .
<br /> Y:� _ '" _
<br /> `�Di�e'`c.k'ions:, r��=�, . :
<br /> ' `Fill=aut;applicaflon completely. �
<br /> - t3wmer&-Contractor sign back of application,notarized
<br /> ;��` 'If over;$2500,a Notice.of�Commencement is required. (14/C upgrades aver$'f5p0)
<br /> �."� .i9geM'{fcir`fi���con#ractor}•orPower of Attomey{for"the owner)woulii tie someane with nota�ized letter from awner authorizing same
<br /> `=:O.V'.ER:THE'COUNTER�PERMIITINU .. (copy_of contract-.required) � ��
<br /> �Rerobfs if shingles Sewers Service Upgrades A!G Fences(Plot/Survey/Faotage)
<br /> � � .,z:. � :... ._ � ,
<br /> _ Drivewiays-NotoverCounterifon publicroadways..needs ROW .� . _ , `� ,�, ,�, .-:��. ,� ,.;�.�;; -�.. , • "
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