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<br /> •V,813-780,0020 - 'Fax-813-780-0021 /
<br /> ''City of Zephyrhills Permit.Application
<br /> Building Department
<br /> ` Phone Cotltatifor-Permitting }, _
<br /> - - .-.. <. _ •.. .-, aa�a�aiE - s,rs:es.�ss.:�
<br /> -Owtlersuame BAILEY`PATRIGIAA-. o�m?ri�tion.Ndmf)ar' 765c427-Od99' - '
<br /> Owners Address 6514'BRENTWOOD DR.: Owner Phone Number'
<br /> ''r' "' =`,FeeSiinple•TPgeholHerNams, - - Owner Phone Number - -
<br /> -
<br /> ,`iosJ>opliEss,'-;__;6514`BRENTWOOD DR ZEPHRYHILLS,.FL33542 LOT# .�.
<br /> suBDMs1ON PARCEL ID#P4-26-21-0040-00000=0030.
<br /> .. _-'- `'�. "",•.:::... : - : .'` (OBTAINED FROM PROPERTY TAX NOTICE) - ..
<br /> .WORK PROPOSED_.' NEIVCONSTR ADD/ALT Q SIGN Q Q DEMOLISH
<br /> e INSTALL 8 REPAIR
<br /> PROPOSED USE• Q SFR :Q COMM Q OTHER REPuce.IEW - -
<br /> - - TYP,EOFCONSTRtJCTK)N•, -Q•' BLOCK -Q�. 'FRAME Q STEEL
<br /> DEsciiiPrtotiOFWORic -3
<br /> , GAL ELECTRIC WATER HEATER REPLACEMENT "SOPOOTAGE�. '�- HEIGHT -
<br /> QBUILO)NG S VALUATION OFTOTALCONSTRUCTION _
<br /> QELECTRICAL $ AMP SERVICE 0 PROGRESSENERGY Q' W.R.EC.
<br /> MECRANICAL-:>' :..5; VALUATION OF MECHANICAL INSTALLATION
<br /> '• QGAS'^..": ::' :Q `ROOFING 0 SPECIALTY 0 OTHER - - . .
<br /> FINISHED FLOOR ELEVATIO S FLOOD ZONE AREA AYES NO
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<br /> _ - /
<br /> - ._."BUILDER' _ -- COh1PANY _ �'--
<br /> -.SIGNATURE REGISTERED I Y/N FEECURREN.
<br /> :Address., - - - License# - - -
<br /> ELECTRICIAN ..' •- -COPdPANY
<br /> 'SIGNATURE` - - REGISTERED I YIN FEE CURREN YIN
<br /> •Address' - License#F7 '- . . .. .. .
<br /> COMPANY
<br /> SIGNATURE -' - - REGISTERED I YIN FEE CURREN -
<br /> Address' F License#
<br /> -•MECHANICAL' F7
<br /> - .. COtdPANY
<br /> ;SIGNATURE REGISTERED 1. Y/N FEE CURREN I YIN - -
<br /> Address - - - License# .
<br /> -. -
<br /> COMPANY
<br /> • .. SIGNATURE_ - - ... _
<br /> REG ERED YIN
<br /> N,-. - IST •' . FEE W RREN Y IN _
<br /> Address. Licensa t
<br /> - - ,•4&V 23'.L-E:.*.12�-*. 41;tZirJUV-E.W.41.3.6:L1:T a 2:[3 Z i'.2:9.YAAA,L.Y.E.i:A.RZ-AL9A-Z-S-1 17241Z Z:W-4,zTWZ i•a:'W%
<br /> RESIDENTIAL -Attooh(2)Plot Plano;"(2),mtc of Building Plans;(1).otof 6norgy Form,R-O-W Permit for new Iw eonetructien,
<br /> _Minimum tan(10) ddng days after submittal date.Required onsite,Conshvction Plans,Stormwater Plans vd sift Fence installed,
<br /> Sanitary FaeiI ties&1 rlumpster,Sita NJork Permit for mubdi r-ionmAarge Project.
<br /> COMMERCIM'_-Altach-(2)complsts sets of Bulding Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permitfor new consnuction.
<br /> . :-Minimum d (16),vmrkimg days after.submittal date.Required bnste,Construetan Plans,Stonnwater Plans tW Sih'Fence installed, ,
<br /> •:SaiittaryFa:itities8-1,dlunpster:SiteWodrPennit for aLnsty.protects.'All cammarcialrequrrementsmustmeeiconip`anee -
<br /> SIGN PERNi1T D3tacti(2)sas of ErgiRosrxi Plans..' - -
<br /> «•PROPERTI',3URVE1'requiredforallNEWconstrucloa
<br /> - - Directions:- ._.:_ ': - -- : ,.
<br /> ,Fill out am*ci lion c'omDletely.
<br /> Ovmer&Coabadtoesignb-,ackofapplication,notarized
<br /> .Ifover,5250e;a il(otice of,Commeneement is required.(AC upgiades over 57500).
<br /> Agent(for,the ceantrec'lor)Gr'Powar of Attorney(for the owner)would ba someone with notarized letter from owner authorizing same _ - -
<br /> '.'.6VERTt1E C&u"PERMIIITING- (copy of contract required) -
<br /> Reraofs if shingles--"-Se%wrs Service Upgrades AIC Fences(PloVSur ey/Footage) -
<br /> Drivewayi-Notovat Ccunterifon putli:mad�)s-needs ROW - -
<br /> ,f Y
<br /> _ _ _ .. 7` :��.t'.1�,•y,y,'P1,5�,4E°gF.Sf!�r *' ;T,�C� �..;I _ - ,
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