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813-780a0020 City of Zephyrhills Permit Application Fax-813-78"021
<br /> Building Department
<br /> Date'Rec`elved' p p OO ?
<br /> Phone,C.ontact;for.Perrnittin �2 _ - [
<br /> _ :,pwner'ssName. 01=1..~: a. >3
<br /> Jl:` 6Ow r`'R6one:Number ::: 2,
<br /> T r:.;,Owner.s ddress Y .6.,, f C, 1
<br /> A Owner Phone: )umlier
<br /> t;'4t)B'%ADDREis: S"Y Y 6 fi S'f✓ ct'�. l."suesirnsloni: :. .1
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<br /> ARCEL ID# C d
<br /> - MPRO(OBlAINED�RQ' PERT�r'TAXIIf>STIC )
<br /> ;WQRK P:,ROPOSEQ. NEW'CONSTR ADD/ALT': SiGN''"`'' �--��D'• _ i'' r DEMOLISH'=
<br /> r . ,. ...
<br /> JN$TALL.: t PAIR
<br /> B t=:9r
<br /> PROPOSED_•U.SE',: Q "' :SFR':., D i , C.OMK%:,". ��; OTHER=:
<br /> TYPE-OF CONSRUOTION' 0 BLOCK FRAME''' -
<br /> (/u�� ::�' Cr^.I
<br /> ,,•DESCRIPTION,b"F-*0RK; .1\2 i Cc e l G u t�: �;2�' ) P'l
<br /> BUILDING•SIZE S4.FOOTAGE•
<br /> ' r
<br /> OSUIL'DING:' $':
<br /> } VALUATION;OF=TOTAL;CONSTRUCTON
<br /> ELECTRICAL $. ::AMP'SERVICE DUKEENERGY�'
<br /> .".
<br /> ,PLUMBING
<br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION'
<br /> =GAS Q" "ROOFING-. ,[�: _ .SPECIALTY:...,' ,.OTHER:--
<br /> 44
<br /> 44
<br /> D,�«',
<br /> fINISHED'FLOOR>ELEVATfONS': : ~'-_aPL=00EZONEAR�A"- '"" AYES ^`"`NO"
<br /> BUILDER COMPANY:
<br /> SIGNATURE ",REGis�ERED - - :?Y'/eN' FEE:CURREterr:': '.t f�Y•%: =�i
<br /> 1Y,,
<br /> Address Uqense'#;
<br /> H:
<br /> ELECTRICIAN COMPANY:
<br /> SIGNATURE REGISTERED' :FEE-CURRE�: - t`Y;'`/.'N:i
<br /> c ;.
<br /> Address Vc�ense•.#,` -
<br /> :
<br /> I?LUMBEit COMPANY' -0r�4 t O'�a3111 AI 2-
<br /> SIGNATURE ReGIST'iiEh " aY=/=`N': :;':EEE',CURRE ?: r! 'Y`%;N��
<br /> MECHANICAL "COMPANY'
<br /> SIGNATURE^• REGISTERED Y°Z''N5 - •`FEe-CURREN'r11; - a rt i
<br /> ?Y,P
<br /> Address,., aacerise>.#
<br /> OTHER::;
<br /> SIGNATURF.
<br /> :Address: Ucense#s;
<br /> A j
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<br /> 11 [
<br /> :'; sR -i a :co s" 'ctio"
<br /> `ise"?o� n" on'ns;R=O-�y e` rn w, ttu �'
<br /> RESIGENTIAC+'± AAttah' .filot=fJens< Y'Sets°tif" IIdi"`i?[ n'ss,;1: t..f:E,eM//�V�/ ��nn "fo A.. .,:';;. H'.
<br /> r�.� - „-,( .,•D"Y:",T!. �i ti'�d ,\.�. •�•7n7�k. _ �;.�.= 'i�1'•:1'�FL...,- ij';4)j r'b':'.L,:t•.,.,f-,. `•t '1Yi�(:'::":i-f:.•:
<br /> riVilnitntirtiten'{1r0)f�Jortiing days:;efterst�tirh`ihalate'#.R$gire(i,ons"te ConstAiotion Plans'S�ormvateEPlarisiltfence;iDstallsd ;
<br /> O '"{�
<br /> Sanitary:Facilities: :cdumpster;Site.Wotk"!?emtitf8r-sutidi�iisibn3/levepriojects " -
<br /> COMMERCIAL Attach,"(2)°compietesets of;6,Uilding;PlBosepfus arLife S,afery�;Pagec('1)'set°of!EnergyForms;,R-OV Peniiit:fo'!new,constructton.,...-
<br /> Mlnlrrigm`ten;(1:0)woiliing da ,afte ks ba fttal;d to Regr red gnsite Construction wlor Stormwatert 'tans w/SIIt;Fence�n'stalled,•::
<br /> Santtaryfaclllees&1 ilunfps .Sle�lllork Permit for all new;projects:Alt oommercial requirements must meet compliance
<br /> SIGN PERMIT' ' AttacFi(2)�sets,of,Engineeied.;Plans
<br /> ••"PROPER;TY,SIjRVEIf`regutred fgr'airNtW.cbristruotion>
<br /> Directions:
<br /> Fill out application'completely.
<br /> Ownb'�'&-Con..uya._ctorsign;pactc:of application,.notarizel
<br /> F .1.r. I -
<br /> -if over;2Sa0.a:.Notl6,e of do'mmenc®msht.is r®quUed. .(A/C.upgrsdea.over$7500)
<br /> •• Agent_(for:thezcontracto►)"or.'Power..:of>Attomey;(forthe oWner):would`tie:someone.vWth notat.ized-letter from:bWhdr,,authoiitlhg same:
<br /> OVER:TF)E:000NTER:PERMITTING,., ,,..(ca�y;;Ofcontrac(,required);.
<br /> Reroofs if sliingtes Sewers Senrioe Upgrades ;4%C Fenbes`(Plot/Survey/Footage)
<br /> Driveways-Not over Counter if-on"public roadways..needs ROW
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