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813-780-0020 City of Zephyrhills Permit Application 'Fax-813-780-0021
<br /> Building Department
<br /> Date Received Phone Co`r tact'•for',parmittin
<br /> Owner's Name GA V 0 6ri Z- Owner Phone Number
<br /> Owner's Address Owner•Phon6-N6mtier
<br /> Fee Simple TitleholderNa me": Owner Phone"Number,
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS Gc?U / Tim ✓` LOT#
<br /> SUBDIVISION �Y PARCEL'IDA , "'v2�✓aZ� Cl CS . GI' Op�DU':- d���
<br /> � -(OSTAINED FROM PROPERTY TAX NOTICE};
<br /> WORK PROPOSED NEW CONSTR', -" ADDiALT L= S1GN 0 :C]'.. DEMOLISH• . .
<br /> •INS.'� ;:_:;...REPAIR .
<br /> PROPOSED USE,. ;'SFR Comk.° OTHER''
<br /> TYPE OF CONSTRUCTION. ." `BLOCK- 0•. FRAME STEEL:
<br /> DESCRIPTION OF WORK �' 1i'✓ /T�' l� d �!!"' �`-
<br /> BUILDING°SIZE, '� � SQ:FQOTAGE= . :HEIGHT,.: ! 54
<br /> BUILDING $ - ;{ ... ,;:..- 1�ff
<br /> ® Z 660 O'd •: •VALUATION` RTOTAG`GONSTRUCTION -
<br /> =ELECTRICAL $ . AMP SERVICE.: 0`, PROGRESS ENERGY [�. . W.R.E.C.
<br /> =PLUMBING , ��• - .
<br /> QMEGHANlCAI: $ VALUATION:OF MECHANICAL,INSTALLATION .
<br /> 11
<br /> =GAS Q .,.,ROOFING;�;,O SPECIALTY'S= OTHER
<br /> FINISHED FLOOR ELEVATIONS r FLOOD ZONE AREA =YES. __.NO
<br /> BUILDER j COMPANY f s✓ �lV eV,-C ci . //�,C.
<br /> SIGNATURE REGISTERED Y N. FEE CURRB' Y
<br /> Address License#'
<br /> ELECTRICIAN:< . ;, COMPANY
<br /> =77
<br /> SIGNATURE �' REGISTERED Y/ N I FEE CUR�RE"A 'Y•/N
<br /> Address . . .:License:#
<br /> PLUMBER, COMPANY;
<br /> SIGNATURE rtEGislEREp•; ;,;Y V.N.. FEE cuR�REn"'
<br /> Address License#,•
<br /> MECHANICAL`
<br /> SIGNATURE " ttE015TEREDi Y:/ N': ::FEE,CURREA Y.I N :; ;
<br /> : .
<br /> Address: - License# :-
<br /> OTHER COMt?ANY
<br /> SIGNATURE. "` ,.REGISTERED =.Y,/ N.: F..t;t:`CURREn Y:L N:.'•.; .
<br /> d. -
<br /> Address fit: License#`
<br /> REStDENTIA_L-;:"�:`AttachN,2);t?tot;""•Paans;�:(2),:sets.of�BuiCdingPtans;'_{1):set of°Energ}r�F6inis:R=t'1=W��Permit.fcr�naw„ccrlstructton,.. ,
<br /> Minimumrtene s1t1. workin``da 's after ubmitteil`date T R""ulred ansite`=Constru'dtlon Plansr Stormwaker"Plans•wl Slit Fence installed,,
<br /> s , .(,..), . . ..9., y# . eq
<br /> Sanitary Fad4ltles&=.51.,dutnpter_Sft®,Vltork_;Permr.„lY:fgr.:;sutidfvislgns/_large`pioJects
<br /> COMMERCIAL Attach(3)ooi rpie}o'sets'af Branding Plans plus a life 5ef®ty Page;('1)set of Energy Forms.R-OW Permit for new constructlon:
<br /> Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, .
<br /> Sanitary Facilities .1_dumpster...Site. F:p!M t.for.all-,nowipidigm�All,tbmmerdal.requirements must meet compilance
<br /> StGN:PERMIT Attach'(2yibis of`Engineered I?latis •.
<br /> ""PROPERTY.SURVEYrequlred-foraJI,NEW oonstruction:,....:':,
<br /> -----------------
<br /> Fill.out application completely.
<br /> Owner&Contractor sign back'-of application,notarized
<br /> If over$2500,allotice of Commencement is required. (AIC upgrades over S75t10)__ <
<br /> Agent(for ttie Conti ictdr)drftl'uaer'of Attoihiig(for the owner)would be someone with notarized letter from owner authorizing same
<br /> OVER THE COUNTER.PERMlTTiNG -=:-(Front ofiA pllcatlon',niyf,
<br /> Reroofs-if shingles Sewers Service Upgrddes A/C Fences(Plot/Suryey(Footage)
<br /> Driveways-Not over Gaunter if on public roadways.-.haads ROW
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