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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0027
<br /> • Building Department
<br /> Date Recelved 2���— 3 '�"_ �r� � �
<br /> Phone Contact for Permittin � l ,�
<br /> Owner's Name °� �a� Owner Phone Number �1.3! /'�- '�f,�,;�
<br /> OwnePB Address "< � �/' ! '{ /"e Ownef Phone NUmber �— �
<br /> Fee Slmple Tltleholder Name Owner Phone(Vumber ���%�� -�%%/_? 7
<br /> Fee Simple Titleholder Addreas
<br /> ,t-� �
<br /> JOB ADDRESS / 5 /��� r� i�'�{ ,�;'�'i S � V L. LOT� v���
<br /> SUBDMSION � ` ��-•'� � , �' ?'�,'I PARCEL ID/ � ��"M1�.: "',�.1- Cl/'7�� " :��/<_,C'._ �/�C;
<br /> �oeran►eo Faow�to�rtry rnx Norce�
<br /> WORK PROPOSED NEW C�NSTR ADD/ALT � SIGN Q � DEMOLISH
<br /> f�,;��INSTALL 8 REPAIR
<br /> PROPOSED USE � SFR � COMM � OTHER
<br /> TYPE OF CONSTRUCTfON � BLOCK � FRAME C� STEEL � �
<br /> �
<br /> DESCRIP710N OF WORK `' +� �,�.� �J,�' �=' �,.� ,'`;t, > N�GCJ
<br /> BUILDING SIZE ���� � Q� S4 F04TAGE�� ✓ HEFGFiT
<br /> �BUILDING $ � DO,y � VA�UATION OF TOTAL CONSTRUCTION
<br /> (J �
<br /> �ELECTRfCAL S AMP SERVICE Q PROGRE$S ENERGY Q W.R.E.C.
<br /> �PLUMBING S � (/l��l�"� �''"'L���'Ll/6'<���
<br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �j�� �
<br /> QGAS Q ROOFING Q SPECIA�TY � OTHER
<br /> FINISHED FLOOR EIEVATIONS �� FLOOD ZONE AREA �YES NO
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<br /> BUILDER �• + � , �� . , _„_ �. - � ��-ra �n`'�u+
<br /> �s�y� C� COMPANY , i"1,_ � >a l-'. ,v.�_;�':.c/�/.,c_�,1 ,J,r� � il
<br /> SIGNATURE �� <'� �'f-i�� ,��J�- REGISTERED Y/ N FEE CURREN Y/N
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<br /> Address � rr � 7!' 2_<-�r .�- , �
<br /> �;����� �..c �'�'r � �,. �� �.J � License� .L�/�'l.�: �11?
<br /> SICiNpTUR� �'�-�z- !/����t-�-- COMPANY �r�..)j"r 1/Z �/'�/_R ��_r_ ✓
<br /> REGISTERED Y/ N FEE CURREN Y/N
<br /> Address ,r/.�B �5,3 �l,��� License* �/�'����•����
<br /> SIG ATURE �..".'!,' t'�-,�'��_�./��`�,- ' COM�ANY !Y N S ��I C/i�EN.Lh Y/ri���-�i Gry/l
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<br /> Addro:s ,� '��i .% � �6e,/�j ticer�se s :��'�,�v1 >z%"�
<br /> MECHANICAL � �' COMPANY �/'� S �`�
<br /> `��TUR� � � L�` REGISTERED Y! M FEE CURREN Y/N
<br /> ,�d� � �yi /� �'�h �. ��,/,�s �,ce►,�� ��eo y-����� —I
<br /> OTtFER CpMpa,�y
<br /> SlGNATURE REGISTERED Y/ N FEE CURREN Y/N
<br /> Addt�ess License� �
<br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111
<br /> RESIDENIIAL Attach(2)Pbt Plans;(2)sets of Building Plans;(1)set of Energy Forms:R-O-W Permit for new Construction,
<br /> Minimum ten(10)working days after submittal date. R�uired onsite,Conshuction Plans,Stormwater Plans w!Silt Fence installed,
<br /> Sanitary Fadlities&1 dumpster,Site Wo�lc Permit for subdivisions/large projeds
<br /> COMMERCIAL Attach(3)canptete sets pf Bwlding Plans plus a Life Safeiy Page;(1}set of Energy Fortns.R-4W Permit fa new e�nstn�ction.
<br /> Minimum ten(10)warking days atter submittal date. Required onsite,Conshuction Plans,Stortnwater Plans w!SiR Fence installed,
<br /> Sanitary Faalities&1 dumpster.Site Work Pertnit for all new projects.AII commeraal requiremerrts must meet compliance
<br /> SIGN PERMIT Attach(2)sets of EnQineered Plans.
<br /> ""PROPERTY SURVEY required for all NEW construcbon.
<br /> .� 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
<br /> Dlrections.
<br /> Fill out application completely
<br /> Owner$Contrador sign back of application,notarized
<br /> M over;2500,a Notice of Commancement is rvquired. (A/C upgradea over�1800)
<br /> "' Agent(for the contractor)or Power of Attomey(for fhe owneh woufd be someone with notari2ed letter from owner authorizing same
<br /> OVER THE COUNTER PERMIT7ING (Front of Application Only)
<br /> Reroofs if shingles Sewers Servioe Upgrades q/C Fences(Plot/SurveylFootage)
<br /> Drlveways-Not over Counter if on public roadways..needs ROW
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