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813-78MO20 City of Zephyrhills Permit Application Fa4.813-780.0021
<br /> : . --Building Departtnent� .
<br /> Date Received ✓ R• j ��
<br /> •:PhoneC.ontactfar Pe .t
<br /> 15
<br /> Ownerrs Na`riie`' D %OWAer,Phahe,:Number' *• 4 9
<br /> Owriei's:Address I�2_ /`" lRt°8il jJ y.Owner;Rta6n'e Number:
<br /> [� es b' Owne�.Ptioni�NLmtier_ ..
<br /> f _.
<br /> JOB?ApDRESS {,. . .. O,/../: �. •./✓ =$//«c� /T, �/7�'�S LOT'#'
<br /> ;;SUBDIVISION' ` 'PARCEL iD#Y . .,
<br /> '{QBTAINEVF WMXPROAERYY TiUC MOTIG'E}.
<br /> WORWPROPOSED " ''=`NEvi►CON57R`''' _ AbD/ALT~ ' "SIGN ;,DEMOLISH
<br /> e- '•INSTALL+•: 8~ REMR
<br /> : .:. ....
<br /> PROPOSED USE= SFR=: ,.Colo QTIiER=`'.•
<br /> 0 0 .
<br /> TYPE'OF CONSTRIiCTION BLOCK FRAME ,.STEEL,;,, 77
<br /> Q :
<br /> DESCRIP,i1QiV,CF"NfORK
<br /> BUILDING SIZE:,;L. .c�C v x y I..SQ1FO.O,TAGE I . . HEIGH'Ct
<br /> t1tI.DING..• 5 ���� VAL'UATION'OF TOTAC-CONSTRUCTTION
<br /> :.QEL••ECT•RICAi:i. {$ ' "ANiP'SERVICE- %' r. O.tJIC ENERGY . . {NR:EC.•
<br /> =MECHANICAL $ •VALUATION.OF..MECHANICAi!sIST1 Lt t71OW t
<br /> =GAS 0 ROOFING ` wSPECiALITY
<br /> FINISWELI'FL'OOR ELEVATIONS-." FLOOD•ZONE'AREA- =YES NO
<br /> • i,, •rye '
<br /> BUILDER / � (� COMPANY "��'7�C/IXG+it/ f�S!/t'LI✓�✓�,rt14C
<br /> r YL NSIGNATURE REGISTRb:: N C "
<br /> :;Address i;• �.�'/OZi' 8�.�. .� 1 _ ,;License'#,i.t:-,-,PS�..'jo��,( dd tJ
<br /> ELEG'TRICIAN. <. COMPANY
<br /> SIGNATURE `REGisfEREo-. `rtY/WN,,' FEE WRAEN r Y'122N
<br /> Address
<br /> PLUMBER COMPANY
<br /> SIGNATURE... ;;REGISTEREb. =Y:/s•N '.�. fFaE;cuw�E"F" ��Ys�'N'��' ''''`�'��
<br /> Address, :,Licerise:#^i':. '��. .- C.'•;.
<br /> MECHANibk-
<br /> SIGNATURE-' REGISTERED.' `.•:Y%N''_ FEEiCURRE� . ^i .YLN;"'
<br /> Address 4tcepse•#,`I` :I
<br /> OTHER CdMPA4Y,"...
<br /> SIGNATURE- REGISTEREI}' Y M' •°WtCURR6k •'Y/_ `
<br /> Address>- J •.�;�- _ n`se..#.
<br /> RESIDENTIAL Attach:Z•:RtotrFCa `�:{2}"gfs aft3.tiiLltltgii'tans'k(:1)setofE�nergy FOrfis:R:0=1N=iseiiil=lo/naw corisUuctto»,::.:.
<br /> Mlnimuni teh(f0jtrvorkIng days ai.rsfitsrtiittat d8te:"Req6
<br /> ired orisife,Construc8on Plans,St'ormwater Plari§.w!$itt Fence installed, '.
<br /> Santtery Facllidas 81 dumpster;Site Work Permit;forsubdivlsionsAargeprojects
<br /> COMMERCIAL AttaClt..{2)_comptete.sets•of.Buitdtng,Ptans pSus a-t:ife%Safetyt=Rage;.{1)set of Enerm F.,orms:,R W'Pdmlt:for.:new•'constiructton.: _
<br /> Minlmum-teri(1:Uj,lNoFking daysYafier submittal date. Required'on§its,ConsWction Pre'ns;'Sto»nwate 0 ahwwl Sllt''Fdriewinstall'ed
<br /> Sanitary-Facilldes=S:1•dumpster:Site_Work-PerMit<for:alLnew.-projects.All comlWgr.dial.raqulydnidtits`hust<meet,compiiance••
<br /> SIGN PERMIT Attach(2}:setsof Etigtneerei!"Pians:
<br /> ••••PROPERTY'SURVEYrequired•for.all NEW.construction.
<br /> Directions:
<br /> Fill out applicatton;completely.
<br /> Owner'&&ntractoitsigmback-ofapplicbtion,:notarized
<br /> N over$2500,a Notice of Commencement is required. (A/C upgrades aver;,$7500)
<br /> Agent(for the oontractor}or Power of Attomey(for•the owner)would be someone with notarized letter from'owner authorizing same
<br /> OVER THE-COUNTER-PERMITTING ' (copyoftontract'regylreed)':' "
<br /> Reroofs if shingles Sewers Service 6j�6des-:NC ' Feti'des, (Plot/Survey/Footage)
<br /> `a,'JJ:an1:6a...iu...•'•t...:�uJes•`..-".•`:.•.-......'.:.u�.Y.^,w...__..:.a' •r• •__—a.tr. ...-�w..,.9...[�r.......t. --�.a+e.wx.�l'.T2e..%ti.:..e '
<br /> Driveways-Not over Counter If orb public roadways„needs ROW'', <,
<br />
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