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<br /> 813-780-0020 City of Zephyrhills Permit�.Applicatio., /►/ Fax-813-780-0021'
<br /> < Building Department I/V V, � b
<br /> •
<br /> Date Received
<br /> " Phone Contact for Permitting
<br /> Owner's Name U1/p 1'i: t Owner.Pltone NurnVe�=;°iI `
<br /> Owners Address :° ;f 5� Wt n U e r t 1 Ve 4h �. ;>,.,Owner Phone Numbpr
<br /> Fee Simple•Titleholder''Name .� �' Owner:PhorSe:Number
<br /> Fee Simple Titleholder Address �7�//� 7 I n n
<br /> JOB ADDRESS �V�r t V (, ! r V G- I. LOT
<br /> SUBDIVISION A I Prh a V f aq g E"S PARCEL;IDI.
<br /> {OBT/UNE,D�FROM:PItOPERTY T%1X•NOTiCE},
<br /> WORK.PROPOSED ' •NEW:CONSTR ,:,Y.: .:ADD/ACT - =, SIGN :; " DEMOLISH.
<br /> INSTALL. , ..REPAIR
<br /> PROPOSED USE `'SFR, 0 " COMM- l: _�Js_ :OTHER:• ..
<br /> TYPE OF CONSTRUCTION'. 0' BLOCK: ' .Q FRAME' `' : STEEL
<br /> DESCRIPTION;QF WORK l�r `c l" '`" S
<br /> BUILDING:SIZE,•. SQ F007AGE HEIGHT. ..
<br /> BUILDING
<br /> 0 600 VALUATION"OF..TOTAL":CONSTRUCTION
<br /> ELECTRICAL $ AMP:SERUICE `- .;PROGRESS:ENERGY 0..
<br /> =PLUMBING $
<br /> =MECHANICAL $ VALUATION OF,MECHANICAL INSTAUA710N
<br /> !�_.—. 71
<br /> =GAS „Q ROOFING Q::,,, SP.:ECIALTY<: ;:OTHER
<br /> FINISHED FLOOR ELEVATIONS ��.....- FL'CJ'OD ZONE'ARE;9 :DYES ;"NO.-
<br /> i
<br /> 14+1
<br /> BUILDER pgw,, "G � COMPANY
<br /> SIGNATURE VV lilt ,•'REGISTERED :Y%'N <FEE GURitEt+ Y/=N."_
<br /> Address" ! r. :license#;a,(� ,.„ _,,,_„ .j
<br /> ELECTRICIAN '.COMPANY
<br /> SIGNATURE!
<br /> =:REGISTERED' Y/,N :.FEECURREn YPN.
<br /> AddressT77 License if
<br /> PLUMBER COMPANY, ,, I
<br /> 4IGNATURE Y l.;N:.,: FEE CURREa REGISTFRE1i.
<br /> Address
<br /> MECHANICAL; COMPANY::
<br /> SIGNATURE= ,. REGlST REb Y.TN . FEEdU,RREt+`
<br /> Address, ,. License"#
<br /> OTHER• COMPANY;;..f•. : i. ,...
<br /> SIGNATURE RECIsik�R o' Y:/>,N. . FEEcuRriEn.•..
<br /> Address. ,.. .. :,,.. :. ...,.< .• :;License'# .� "
<br /> 44
<br /> RESIDENTIAL Attach' 2-Plot'Plans;.2'sets=:of Btiildlii 7Rlahs;,•-1�:aee"ot'Frier FormsSRsQ=111rPrmit=fi3rnewacoristniction;. "
<br /> Minimum ten(10)working,days aftersubrriittal date. RequUed onsite;.Construcd6n Plans,Stormwatee Plans.w/Slit Fence�tnstalled;`;
<br /> Sanitary Facilities&9-duinpster,.:Site.Work Permit!'or subdiyislonsllarge•projects
<br /> COMMERCIAL Attach.''(2)complete sets of-Building Plans+plus_a.;Lite Safety Page;(1•).set"of'.Energy.Forms.,R-O-W.P..ermit for new.construcUon.r,: :.
<br /> Minimum ten.(10)working daSW#fter sutirhIttat date."Requl6d. n ite,.Construction Plans;"Std'rin'lsi?at€rPlans�*/-SlltFencesinstalled z
<br /> ' Sanitary'Fadlities&:`,1 dumpster.Site:Work-Perish for:all,new�prajects:All commerelai-regairements mustineet.compliance
<br /> SIGN PERMIT Attach(2)sets;of,.Engineered"Plans.
<br /> ***.*PROPERTY SURVEY required for all NE ,oonstructlon.
<br /> Directions:
<br /> Fill out'appiication completely.
<br /> Owner&"Contractor sign,back of application,notarised
<br /> If over$2500.-a Notice.of.Commencement Is required.•..•(A/C upgrades over.$7500)
<br /> '* Agent(for the contractor)•or Power of Att'rhey(for the owner)would be someone with notarized letter from owner authorizing same
<br /> OVER-THE COUNTER PERMITTING .(cdpygf,contfact"required)'.
<br /> Reroofs If shingles Sealers,,,-,...Ser d-�eUpgrad!p$,.Atq..... Fences(Plol/Survey/Footage)
<br /> 4:. ;..:.
<br /> Driveways-Not over Counter•tf on,public roadways:.needs•ROW
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