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= 0.73-780-0a2a . ,,
<br /> City of Zephyrhills Permit Application Fax s13-7s0-0021
<br /> - Building Department .
<br /> Date,.Received
<br /> Phone tdritattfor,Penmittin
<br /> Owner's Name Owner Phone Number
<br /> t� �j p -
<br /> Owner's Ajtdress
<br /> Owner Phone Number
<br /> Fee Simp'a Titleholder Name,
<br /> � Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS L LOT#
<br /> SUBDIvIS!oN- -
<br /> PARCEI:11?#. 1' 000cn) .. &�OC7- 1?&o
<br /> + (OBTAINED,FROM PROPERTY:TM:NOTICE)
<br /> WORK Pi OPOSED NEWZONSTR' ADD`/ALT SIGN Q Q DEMOLISH
<br /> {` e INSTALL. -REPAIR
<br /> PROPOSEM,USE: `' SFR Q `COMM OTHER
<br /> TYPE'OF CONSTRUCTION:. [ 'BLOCK 0 FRAME. �, STEEL Q;
<br /> DESCRI[?1ION OF WORK i C') N"� c!l�
<br /> BUILDING SiZE SQ`FOOTAGE /S'•7 f HEIGHT:]r Z
<br /> Ql3U1LDING $ VALUATION'OF TOTAL CONSTRUCTION "Mr
<br /> ELECTRICAL $ . t9 At41P SERVICE PROGRESS ENERGY Q" W.R.E.C:
<br /> ?LUMBiNG $ ' tJ.
<br /> �JMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION - / /
<br /> i"
<br /> Q;GAS Q ROOFING �—] SPECIALTY. OTHER'
<br /> s
<br /> FINISHED;FLOOR ELEVATIONS FLOOD ZONE AREA =Y.ES NO
<br /> :BUILDER!" COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE-CURREN
<br /> Address
<br /> `��j t
<br /> `? `ELECTRtGlAN. J?l COMPANY . : ' Ct �i
<br /> NATURE' REGISTERED Y/ N FEE CURRE(� ,` Y/N
<br /> Address License#: i
<br /> "'�PI:UMBER GO PANY .. l� {:J ��'' /`�•:
<br /> REGISTERED Y/>N. :..FEE-CURREN
<br /> t> Address Ucerise'.
<br /> MECHIINICAk:": COMPANY
<br /> ;.'SIGNATURE'"- REIsreRE o Y/.N FEE:cuw:En".
<br /> Addree"st.y:'. " Ilcens,e.#, � .. .
<br /> ,.;OTHER`•'s�;., `G04flPANY.
<br /> REGISTERED FEE CURRE�' Y/N
<br /> Address
<br /> License#
<br /> ,:'rya. __i» •F..1.x. x,.: -
<br /> '.RESIDgN : ;,;,(Atta.-._,2;'�'Pld'p ' G'.; ,'tiTllt,, c! {.}, ot..�Iais,{2}xsets;o Buiidltig Flails;:{1}setof Ever i=or`ins;R.O PefmTt_for i�evy:doistiic#ori;,,
<br /> ate:"Re/lgited�-onsite Construction''Plan`s,Sformwater'Plarws�i/SIIt.Fence.installed, .
<br /> t;.:'• -v.?J,..JS:icSad:,..j...:.r.�✓.'r.�'>::bS:r�r.:r�i-J+.��.�SIfY..yY � Y � e-LY,•w _ ..
<br /> $anl F,aci!lties&r�1 um to>,St Works Permit for'66bdWl`'`:
<br /> lb tary,t.. po:..mps= �; ,i.., s/I,t9.-.p..l..
<br /> .f-' " t 'u'Y-9'<<�•'t°T..i.�. '1. ,- -�.l.Q :.-:i. ...:4•.t..,tr:
<br /> :F;.,GpMMERClAL Attacia�2)campiete sets'ofBuitding Plirtis-pl is a Life`Safety Page;(1}set of Energy Farms.R O W Permit for'new construction.
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence.installed,.:
<br /> Sanitary_Facilities&:1 dumpster,Site Wgtk Permit for aA new'projects''All-tommerciai requlrements must meet:c omDlii3rice `•.,-
<br /> s-'SIGN PERMIT 'Attach. )sets Q#Eng hggrecltPlans
<br /> """PROPERTY' 11RVEY requlr d,�or II,NEW
<br /> S ,. e .a construction....
<br /> F.hfflut:application.completely.
<br /> `Owner,&Contractor slgrs back of appiica6on,"notarized
<br /> r.'$2500;.a Notice,ofCommencemenf is required. (A/C upgrades over$7500)
<br /> Rgept'(#br the contractor:)or Pow6r.-,of•Aftomey`(forthe'owner)would`tie someone with notarized letter from owner authorizing same
<br /> :OVER'THE COUNTER PER1fY0 ftl...,`,,-,.-- „(,copy of egntract<required)
<br /> .iZegbfs'ifaFiin"gies S®wars. 'Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> iDriveways-Not over Counter if on publioi�ddways:needs ROVV
<br />
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