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`t313-780-0020 City of Zephyrhills Permit Application,�WV4 a o) j Fax-813-780-0021
<br /> Building Department
<br /> ?:Date Received Phone.Contact.for.Permltting
<br /> 'rTTj- -
<br /> Owner's-Name :�'Cha� Owner`Phone,Numb er^'` �,.3-^ �.
<br /> owner's`i4ddress: 3.7 3`� �rl ��e,�iMoc� Q/)✓ Owrier:Phone-Number
<br /> Fee'Stmple.Titleholder Name Owner Phone:Number!
<br /> Fee Simple.Titleholder Andress
<br /> ADD a $S 7, ( c mac' � wuwuv r� :LOT:#.
<br /> •
<br /> JOB RE �� C-..
<br /> SUBDIVISION FN f UVL, ;PARCEL iD# :..
<br /> (OBTAINED'FROM•PROPERTY.TAX,NOTICE):
<br /> ... . .. . .. , �� : �,'� e - ADD/ALT'. :Q� SIGN< ::'�Q...�,.,, , _-0' :'`-;DEMOLISH.WORK•PROP.,OSED NEW CONSTR; - ,
<br /> INSTALL REPAIR.
<br /> PROPOSED USE '/"SOR`:'.:. °0;. . COMM=;.
<br /> TYPE OF CONSTRUCTION BLOCK, FI1ME'. STEEL`
<br /> DESCRIPTION OE)11VORK r. Fig
<br /> c-C VC �' fi �j'� �- . `�• �' „S�=
<br /> BUILDING SIZE HEIGHT
<br /> BUILDING.. O VALUATION OF,,:T:OTAL';CONSTRUCTION
<br /> -. $ -
<br /> =ECECTRICAL,' ' $ '. .AMP-SERVICE Q "i: >;PROG.RESS'ENERGY. =:,Q,, VUiR:E:C,
<br /> =PLUMBING. $.
<br /> =MECHANICAL $. .VALUATION OF MECHANICAL INSTALLATION',
<br /> =GAS = ROOFING . -SPECIALTY 0: .'a OTHER:
<br /> FINISHED'F100R ELEVATIONS 'FLOOD ZON =YES NO'
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<br /> BUILDER COMPANY`' j f�/ 2`U�j`vi+"; ; ..-
<br /> SIGNATURE I REGISTERED.,` Y'/
<br /> Address; icense'#' 77
<br /> ELECTRICIAN` COMPANY
<br /> SIGNATURE -''REGISTERED: Y'/.'.N "T..EE'CURREK-,
<br /> Address 4 se
<br /> PLUMBER
<br /> SIGNATURE: ;REGISTEREb Y:/,:N•: ;';FEE:cuRREn:. ::Y-:/.N
<br /> .Address: .: ; License..#
<br /> MECHANICAL.:. '- COMPANY
<br /> SIGNAT,,URE.• REGISTERED . Y'/ N.-. FEE,CURRED :Y/N
<br /> Address. License#; '
<br /> OTHER COMP,.ANY ''
<br /> y
<br /> SIGNATURE REGISTEREb``+ ''Y`!N'-"' "FEE CURREN'` Y'/'N
<br /> se#,'
<br /> Address , .. � ._ Licen .
<br /> Attic'h =PIoCP,lans=2 sets ofBiiildfri Plans�`•1 se't''of:Erie'' Porms'R=O=VUFerrmt for new constructi8n;:
<br /> RESIDENTIALO .O . g (..) r9y. :.
<br /> Minimum ten(10)•working days after submittal date. Required.orisite,.Construction Plans,Storm water Plans w/.'Silt Fehc�installed;.
<br /> Sanitary Facilities&1 dumpster,Site Work Permit for sub'divisi-oris/large projects
<br /> COMMERCIAL Attach(2)•Complete sets of.Building Plans plus a:Life.Safety Page;(1)set of Energy.Forms.R-O-W-Permit for,new:construoUon:'
<br /> Minimum ten i10)'working`days after subm:I6l,d6ti Required'onsite,Construction.Flans,'Stormwater'Rlans`uv/S�It Fencesinstalled
<br /> SanitarffaciIltles&-` ,.dI mpster:Site Work;Permitfor:ali,new:projects:All.commercial requirements;rrlust'Meet=compliance '
<br /> -' ,..... ._
<br /> $IGN PERMIT Attach(2)setsof Engineered Plans.
<br /> ""PROPERTY SUkVEY'requlred for 611'NEW'constructlon.
<br /> Directions:.
<br /> Fill outapplication completely...
<br /> Owner&:Contractor,sign.baek of application,notarized
<br /> If over$2500;a.Notice,of Commencement,is required. ,(AIC.dpgrAdes over$7500)
<br /> Agent(for the contractor)or Power of Aftomey"(for the owner)would be someone with notarized letter from owner authorizing same,
<br /> OVER THE COUNTER PERMITTING (copyof coritractirequired)
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences.(Plot/Survey/Footage)<-
<br /> Driveways-Not over Counter if o'n'public'roa'W1Ws;hee_ds ROW
<br /> it�';leis!.Jl�i)i...... al!1'.�,,.J i8 ..iyr ,. .:d".. ; .....,.. �'lt'.�'. .._.„ i., :I:::.`.:.... ••.f;.;':•'�'
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