|
813-780-0020 City of Zephyrhills Permit'Application Fax-813-780-0021.
<br /> -Building.Depar"ent
<br /> :r
<br /> r^o,
<br /> '.!i "?=:• S[' - __-_ ..v" - tie• - .F. Wk
<br /> :,FJ .t -
<br /> . P.hQne.Corrtaot.for_Parmlttln :i
<br /> i -r.*
<br /> . _
<br /> Ownor'a:Name.+ t'«...,1.; . JJ
<br /> c�5f�t 1 A* ,�; •.:�;:^+4•+�., -�. -O.w ee�,(forta#Ntllt�berr. ,�'_� ,.� .�=-.'.�'��• :�k..:.
<br /> •.:{:I. :yJ•,Yip F. — — '��:;v
<br /> I"
<br /> f
<br /> +4"
<br /> a� '
<br /> ne s'Ad• rasa" � �. {"
<br /> �. t� �t�et��#ion�^t�lrrfber ;, 1`:'; ,• _
<br /> Fee''Slmple'aTitleliofrlet',Nam®
<br /> r pliorie Nsle�rlfe , =:
<br /> - -�;.'i •:' ?:'• , l� rl.:.
<br /> ( a... :.
<br /> , .Y Y• .t.,sq ,,y
<br /> t.
<br /> :Fa®Sirripla:TltleholdW'Atljlh®ss' ;; _; . . . . •�.•:, .. ''� `.r..
<br /> . �. 7
<br /> t = tj�
<br /> JOBrADDItESS
<br /> su DIVISIaN �;,, ",p• cE[ 1�� 5`'i I :',
<br /> "^f•`' -
<br /> r. tgpfi1,NF.a,FRdIN Pit!}P R Y '[�i^�A.f1QT1�E};
<br /> WORK,P OP'OSED • ..,= .'t' ,
<br /> R .. .,,NEWCONSTRr �'.`tt'ADD/AfsT. ».�;`.� +'rSlGl�l�'rK•-:^.` _ :�DE tC1�tSF�°'�
<br /> Sr:" :i:. . INSTALL•:'{.i: j EP-AIEl
<br /> R:s'
<br /> i
<br /> 4.
<br /> =F• fit. .",:..
<br /> PROPOSED.US `= SCR;` s8 : :GOM ; ' -`.'.•A.
<br /> TYPE A�•.CONS7RUC�1'ION: BLOC�C.. f:. .',��AI117B';�� �.," .rh; -�.s'?�i .'�.,. `-:�, ,rr,.;,=...,.ram$ =k, ♦.lv.>F,�
<br /> ,
<br /> ,e
<br /> {
<br /> �i
<br /> Da' .$�i'�il`ORIC`' f.i� t /! �,`�" • ... .� .^-� •7:IZ. ;A
<br /> :s•: -.,s.. ..ri:: - rk::, av,•v,:'. •s:r.: - "c
<br /> � N4
<br /> BUILD.
<br /> :.r
<br /> UL DI 1 E }....00T�
<br /> -l� .,,,... 1, �'4= # 1�+-�!Z','t,t2•:a{`�: _'�?•'`'7i nd'~::..ro '�t„,_;;,r;{,.- ~li,
<br /> -
<br /> $� r
<br /> _ ,'xi.U/4�.UATIO�I:OF3T,Q��1::CfJNSTR'CT,I,ON::.:':.
<br /> . . ._, .. .. , , . . ., � .. . ,•w.., .
<br /> `i :'-;t�},Y• QGR`� . IN
<br /> PLUM$'ING� $,' . . , ,.. . , ,_- -:.;' ii<'i:�•'r.�'`r='' ,
<br /> • ` ._ •tat. t+'==r: ... #: ;; '�„1:
<br /> ��,IiIIEGHANtCAL $; VALUA PION OF`MEGHA-tG�►i:�f Sl #/►TIOf+i;: �
<br /> .�t,' k', i'}t!.•7�' 'r t. �.}t')• •• :' -
<br /> GAS ROOFING IAL?TYi ar1iF.1}2.:!,,,: ,'4:,„' >,r., 1• '
<br /> �' �.
<br /> FINl&tt)pLtdOR:'ELP1%ATi�ON$ 1=LOAD dlVi J1{2 A F:'� '; f:.t 1? S r_•" i°tVO='A'
<br /> BUILDER CO,M0AkYz' ` '` l�i?�1 ': F.•?.j`1� :'+'- .. `=.'r`;., ;r.,. y: ;;.
<br /> 'SIGNATURE :i b?=f <xyt/: t,, t
<br /> i - GSTE �._' „` , `N;• ;,'.f'_9FEEJCY.IRgEh+,'�,.
<br /> ,
<br /> EL166TRICCAN" `Li -:s:.CQM�! ri r_ }: :'v;;'`i t >�. !s r •�1
<br /> SIGNATURE ,; �: .v.;; _ ,;REG1STt:i�Ec ':;': ::YF;rN ,�
<br /> �.£.. ,:•}'i': `� ;a- .. < �� -' i, •'i';t' ;�P t Jd Z ..i +may
<br /> 71 .. ,,..
<br /> =Address
<br /> o }Y;a'. ri vd•,•i;5 in '7b"- .. :,+1•i: -'y. .;rtiva�'r•.e S�t7f:'. ;i�- :,..r.w'
<br /> PLUMBER: :.COMP`. 1: Y<;;r'='
<br /> �: ... o .:LUNY s xi t._.�:: J;1, .YrJ:, ;.
<br /> 1 Rt 11; ZY'''rN'
<br /> GNA?i`URE ' :' t. „-;fttEIS7e.,. .+? n :.
<br /> Y Y':
<br /> rC.T-
<br /> i'� 4 S�
<br /> +i
<br /> Add re
<br /> �1.+.
<br /> I,
<br /> MEG ANI AL: : .<' , . . , : a :cOiuIPANxx;
<br /> SIGNA REj: lY:
<br /> Address, 'tin, fit
<br /> QTHRR• IIIIP is�'
<br /> .;..
<br /> =. -i.
<br /> $IGNATURB i2EG�S�r�2EiiFEE'CI1RitE�`' , .,ti 3Yi/..IJr±4
<br /> s; :�.
<br /> oerf_ .t-+.- .•:=r�:r, . ..t :�:' ''x;,,��:':
<br /> .EX:.P a,a,...:i:.,�„1'i",i. aa�.', i 44•'?"7�'"t":•+`'< i`,'t_'e';'' ;'C' K,, i i'" 't• .16'i'i- .
<br /> •' 3ir=.r µµje• ,r„ :�. - "I: s:i v".�:� :M,}•.� Jn .•1...
<br /> RESIDENTIAL Atta ` ';i?Iplans 2; eofB�rd �{ (�s
<br /> Minimum•ten(10):worklhg,days;aftersubmittal;data.-Required.orisite.Cbnstiuction Plans:i6 liiniater:Pt /Sift nce'inst Veit;,„:
<br /> Sanitary Facilities S 1'durripster,Site:Work'Perrilitf�on Aubdiv�l�s,l�i sj arge,ppOects
<br /> COMMERCIAL '°Attacfr;(2);com tetosets:of:-Buitili g�t?tans Ttrs a;tite;Sfisty,PO 8;(1:)set ofrterg}r;6orms:tR �-W i�ermit for,gery iistrui�tiohr'
<br /> 4f Y " tl' ) r r �� p' •�,t •y+.x'•- ,•, .1 v ,_ ,� a. {..:,c.:t:'
<br /> Minimum'ten' 0)wo iin days'dit rs n IfCaTj to "R tiYFe ' nsite;,ConstnrctiorS fsfrs S frgiw'stew,i?larisS4it/a i >s15ce+nsla�I�ed;,_t;:'.
<br /> Sariltary-F,gdhffes:&A-clumpstar; It6,,,WbrtrFertiitE:far_ali:inewllzbjecfs Alpo mtt►erclaliegt)te'a tar ustirieeticomptigti e :
<br /> SIGN PERMIT Attach(2)G�setsof EnglneeredtFlaiSs: -
<br /> •"TROPER'fYSURVEY'tiequirod-fbr•bll'NEW-'onsttucdon.
<br /> Ill out<application'completely,
<br /> If over 52500 a;Notice of Commencement Is,required,:,(A/C:ripgt�idesimvac S.7500)l
<br /> Owner&:Coniiaotor-,sigri,back-of a--.lica86n,-notart�ed
<br /> Agent(for the-contractor) Power of Attomey(forthe owner)wauld bwsomeone with.notarized letter froirr owrid;authorWng."me
<br /> OVER',THB COUNTER PERMITTING r(copjr of cwrt�aet�rj[ilil):z .t•.. ' :s,rr , >,;..-
<br /> Reroofs'lf shingles Sdwers Service Upgrades A/CI 'Fences'(Oiot/Survey/Footage)
<br /> DrIveways-Not over.Counter If on pubtlo;roadways.:neods ROW
<br />
|