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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ,
<br /> Building Department 4 P.
<br /> to Received
<br /> :4 .g Phone,Contact.for-.Permitting
<br /> `
<br /> Owner's-Name IY� f� ��US .��G ' it' _ N 'Owner`Phone'•Number;
<br /> Owner's'Address -I �(}Y11,. i lj e, " Ownef;Phone�NumbeF ':S� ° •tl.: r� `•
<br /> Fee'Simple Titleholder Name � 0 Y I q.0 Owner Phone NumSer> Y
<br /> Fee Simple Titleholder Addr F-31
<br /> ess50 .0 HUI
<br /> JOB ADDRESS 5525 0.I r l S C �\. .{ �- ...: LO.T,#':,.. I .
<br /> SUBDIVISION �� 1 PARCEL ID#-
<br /> (OBTAINED-FROM PROPERTYJAX;NOTICE):.:.. .
<br /> WORK,PROP,,OSED NEW CONSTR ' ADD/ALTO. SIGN :: Q Q: . ' :DEMOLISH
<br /> INSTALL:.;:e': •REPAIR
<br /> PROPOSED USEpi COMM;..': ,'OTHER:;; `
<br /> TYPE OF CONSTRUCTION BLOCK %FRAME`. STEEL .''' Pr1e l h(a
<br /> DESCRIFTIONOFIIIIQRK ,.. 0'en kq `1�rGt'1 p' C1�C1.. WOOC'
<br /> BUILDING SIZE SQ,FOO,TAGE. ,,. HEIGHT` U
<br /> BUILDING. $
<br /> VALUA'PION-OFST,OTAL_CONSTRUCTION:
<br /> �00
<br /> =ELECTRICAL $ AMI?.SERVICEs " '0,':: ROGRESS ENERG . ;;Q;• W:R:E,C:
<br /> =PLUMBING $ i`7.G— A0 -
<br /> , . T-
<br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (�
<br /> =GAS = - ROOFING Q' :=•-SPECIALTY!,�.:.:':,.OTHER:, µ. ,
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZO r, EA =YES :'NO
<br /> %a
<br /> BUILDER COMPANY::, . Q
<br /> SIGNATURE >, :` REGIM .R `:"., ;N:': FEECURREP•; Y:/; :+
<br /> Address ' - License#t .= : 1..
<br /> ELECTRICIAN :COMPANY 4:�
<br /> SIGNATURE' ".REGISTERED Y'/r''N 1 •::=F.EE'CURREn;, N
<br /> Address License
<br /> PLUMBER COMPANY a:
<br /> SIGNATURE' g`REGISTERED'
<br /> Address... License.#Ca. ..
<br /> MECHANICAL': :_ COMPANY:
<br /> -SIGNATURE;, .'; REGISTERED,. _Y'/ N FEE
<br /> Address -'License
<br /> OTHER COMPANYh.yCa
<br /> SIGNATURE l '-'FEE
<br /> -Add as; 2 ll 7D5'1C� '0 ,(�if" .'I�1lYY1 . :� ' ICj;I� License#='C C ` I '
<br /> - - - ".1' _ .ads,• —
<br /> 1 i IY _ _- _ _
<br /> _ RESIDENTIAL AttacFi':(2)Plot P,lans;�(2)�sets of.-Building<Flans,.(1')`set`•.of Energy,FormS`R=O=W-'Permit fob new,constnuction;
<br /> -'-�MiniriiunF.ts7'(10)workin3 days aft-r'submittal-date..-RenUir�-nsite,-Construction P_Mms.Stormwater Plans_yiLilt Fence�installed;
<br /> Sanitary Facilities 81 dumpster,Site Work Permit for subdivisions/large projects
<br /> COMMERCIAL Attach-(2).complete,setsof.Building;Plans`plus.a'LifeSafetyPage;(1)set of EnergyForms::R-O-W.Permit.for:new-.construction:" "
<br /> Minimum ten(10)'working days after submittal date Required"onsite;ConstructiorrPlans;st0ITTr!:Oi Pla ie.''Silt�Fence',ins61I' ;
<br /> Sanitary Facilities-&&d' pstec,Site.Wo&Permit.for all new-projects.All commercial requirements must meet=compliance -
<br /> SIGN PERMIT Attach(2)-."6;of�Engineered Plans.
<br /> "'"PROPERTY SURVEY'required-for aif NEW-constmction.
<br /> `Dlrectlons:
<br /> Fill out-application completely.
<br /> Owner&.Contractor sign.ba&-of application,notarized
<br /> If over$2500,a.Notice,of Commencement_is required.',(AlC.upgrades:over$7500)
<br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner.authorizing same
<br /> OVER THE COUNTER PERMITTING (copy'.of co ntrabt;required)'
<br /> Reroofs if shingles Sewer,ra�;;fF� OXviglJpgsades�VG`'.;'';. .Fences(Plot/Survey/Footage) 3;
<br /> - "`1�nF' '%� ,ii•'J spav: ,•:,:�,:,~ ,:''y •
<br /> Driveways-Not over CountbrAf,on;publid roadways.need; IJOW
<br /> e4i":be7;),�?:i}1 ry�t.I nG ';i1fi} �'�.� '.'gar'Y. r•.., ,'.
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