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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> Building Department
<br /> Date Received I* Phono..C.a.o..n.t._f.ct#or Pernzittin ..`[%$ " 1
<br /> Owner'. Rd e z. Owner Phone Number
<br /> Owner's A(ldress . �-7/" Owner Phone Number '
<br /> Fee Simple Titleholder Name Owner"'Phone Number' `I
<br /> I} "
<br /> Fee Simple Titleholder'Address
<br /> is
<br /> JOB ADDRESS LOT#
<br /> SUBDIVISION:. PARCEL!D#:
<br /> (Ot3TAINED.FROM PRORERTY.TAX NOTICE)
<br /> WORK PROPOSED _ NEW.CONSTR ..• .- ADDIALT - `� SIGN Q = DEMOLISH
<br /> ' e INSTALL 8 "REPAIR
<br /> PROPOSED:,USE" SFR :-COMM OTHER
<br /> TYPE:OF CON$TRl1CTION. BLOCK Q, FRAME 0. . ITEEL
<br /> v �
<br /> DESCRIPTION'OF WORK ,x- � FjLI*fA
<br /> 13U3l:DING SIZE 'S4'F166TAGE= . .'.HEIGHT .[7
<br /> '.;.�.
<br /> =BUILDING'' $ - VALUATION'OF TOTAL CONSTRUCTION
<br /> ;,
<br /> i�
<br /> =1ELECTRICAL $ v AfiliP SERVICE �00 Q' PROGRESS ENERGY [� W.R.E.C:
<br /> QPLUMBING $
<br /> =MECHANICAL $ " VALUATION OF MECHANICAL INSTALLATION
<br /> =GAS Q_ ROOFING_. 0 . SPECIALTY. OTHER,
<br /> FINISHED,'FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
<br /> :BUILDER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE.CURREA
<br /> Address
<br /> 'License;# I
<br /> i =;:ELEC.TRIGt !'. E- i
<br /> COMPANY 0-4�71
<br /> -,:SIGNATURE REGISTERED I Y/ N FEWCURREh-
<br /> . 1 t Z �-1
<br /> :.�• Adiiress ; tN � d.�;�.' 33 cense#'�'f ' �io,. �i:;i : L:: ��3 l�- 6
<br /> $IGNi4URE'_ REGISTERED Y./•N•.'` . .FEE GUR�REK"'
<br /> Addre.'ss
<br /> Y_JSiIECHANtGAl:`'' COMPANY
<br /> SIGNATURE:' - REGISTERI D Y/•N FEE;CURF2EN'.`
<br /> Add ress>,> License.#' I•....
<br /> {:,,•. _ ' -'COMPANY
<br /> 4; IGNATUR -,, „ `REGISTERED Y/,N EEE CURREK Y/N
<br /> J{ .Address. ., ,a:i,B�L .SL:.::.„�• - : License'#
<br /> RESIDl=NT1AI. , AttaCl a(2)Ptot Plans;(2 Ysets.oi;Duildln i?laiis 9=°set o€Ener Fgrm`s R 4=.' Perml! 0jb ` nsttuCIan;~
<br /> Ften`i1: � O� (�' a` '7., er1....R. .}�"F,c.t,' ..a,:t ...t ',.`2::.
<br /> . ,(,,,,.)W fic ��.�1„y ,aft_,subm'ittal;clate:..:Regaieetl°onsite;=Con§tniw±tlon Plans;Stomtwater.`Plans w/Silt.Fence,iristalled,
<br /> SanitA.,;°Facilities '1 Opie ,:SI ;Vi/Qrk<Pem=it=for, subitivisiori':a 'e oesyr`F,;os.RAa meesoBP n;i,1i.COMMERGIAL npua oE m -O-W:... .
<br /> Permit for new construction.'
<br /> }' Minimum ten(10)woddng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed,,.
<br /> Sancta Facilities&:1 dum ter.Site Work Pemtlt fcjPN;nery ro acts.All Commercial requirements.must.meetcom Hance
<br /> '
<br /> sc`-SIGIV'PERi1T "Attac�i"(2)"sets,4Engtiaeredt?lansa,
<br /> i'•:" ''' PROPERTY'SURVEY requlred,tor:all,NEW,constblc. /
<br /> r,D�reC„tlorfs:'
<br /> FlllFoutapplication.completely.
<br /> ,,..
<br /> Contractor-slgfq:back of':appifeation,notarized
<br /> af:over:$2500;_a Notice':of':Comm®ncament'Is required. (A/C upgrades over$7500)
<br /> Su; Agent`(for°ttre coritractcrj::or t?owerrnf Attomey`(fartfie dWiier)'would`tie someone with notarized letter from owner authoiizing'same
<br /> 1=01i,ER EiCOUNERPE ITTiNG' ;(copy_ofcontraet:regwired)
<br /> «?Rergofs-If. ingies Sewers• Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> :Driveways-Not over Counter if on public`�oadways ra"eeds'ROW
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