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� 813-7�80-0020 . City af Zephyrhills Pe mit Application Fax-813-780-0021 �
<br /> , Building Depa menf f��L�
<br /> "f
<br /> Date Received phone Contact for ermitting --
<br /> 6� A u
<br /> er's Name ��`�S � �� �s , .� Owner Phone Number n j . �'�� - �jG�,2.
<br /> dwner's Address f��}c `��3 te S �1.. . � Owner Phane tdumber �
<br /> Fee Simple Titlehalder Name Owner Phone Number �i� �
<br /> Fes Simp{e Titteholder Address �
<br /> JOB ADDRESS �c� �l� LOT# �� L
<br /> SUBDIVISION � � PARCE ID# � -2,{u- -lk� ,� . � i �- " „�
<br /> {OSTAiNED Pft4M PROPERTY TAX fSOTtCEj
<br /> WORK PROPOSED e NEW CC}NSTR �� AL}DiAL Q SiGN � MOVE � QEMOLISH
<br /> INSTAL.L REPAIR
<br /> PROFpSED USE � SFR 0 CQMM �� OTHEFt �„-Q,
<br /> TYPE OF GO�fSTRUGTION � BLOCK O FRAME � STEEL � OTHER
<br /> DESCf31PT10lJ QF WORK � �!' : c�1� _'S.� � � � �G.� �
<br /> BUILDING SIZE C�___� SQ FOOTAGE �� HEtGHT �_�
<br /> ,�IIPMp�V7B�N09CHPCiI10BOflQ�B� �
<br /> �~ BtSILDiNG � VALUATION OF TOTAL CONSTRUCTIQN
<br /> C� �
<br /> � ELECTRICAL ($ �� AMP SERVi E � PROGRESS ENERGY � W.R.E.0
<br /> �
<br /> �J PLUM[3(NG �� �
<br /> 0 MECHANICAL �r� VAWATIO tJF MECHAMCAL IiVSTALkATION
<br /> 0 GAS �� RQOF(NG � SPECI LTY Q OTNER
<br /> FINISHED FLOOR ELEVATIONS ��� FLOd ZONE AREA DYES �NO
<br /> II��Ofl4aG�PVNN11811d7��19II�I a n , � y�a E� " �
<br /> BUtLDER � C MPANY ��1,� V�c� ! 1�t}t�s.iiC1 •._��1c. _.
<br /> SIGNATURE �,, R GISTERED �/ N FEE CUR� Y N �
<br /> Address ��l, {..(� �) ,�Q C.i �� 3�� �icense# �,C,,,t_. (�Z4��`��
<br /> , E�.ECTRICtAt� C MPANY
<br /> StGNATUl�E R GlSTERED Y/ N FEH CURRENT Y/N
<br /> Address License# � �
<br /> PL.UMBER MPANY
<br /> .SIGA1ATUk2E R GISTERED Y! I�l ; FEE CURRENT Y/N
<br /> Address License# �� �
<br /> ftn�CNANiCAL OMPANY
<br /> �NATURE GlST�RED Y G N FEE GURftENT Y(N
<br /> Address License# � � �
<br /> 07HER OMPANY
<br /> SlGivii i t7R� EGtSTER�:, � Y 1 r� i Fc�GURRLNT Y/I�
<br /> Address License# ��� �
<br /> daum��y��u��auuu9u�uu9UllL� i i ii�9�GUS�NO�6snao�p�99P9u�VVI19�u0u�C�iV9ai��"�1
<br /> RESiDENTiAL Aftach(2}Plot Plans;(2)sets of Building Plans;(1)set of neryy Forms
<br /> A.�inimurn ten(14}working days after subm3ttal date. Req :red�nsit�,Canstruction Plans,Sanitary�acilitiss&1 t�::^;rs!°�
<br /> CON1NlERGIAL Atkach{3)sets of Building Plans;(1)set of Energy Forms.
<br /> Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Sanitary Facilities&1 diunpster
<br /> Ali commercial requirements must meet compliance. =' �
<br /> SIGN PERNIIT Attach{2}sets of Engineered P{ans.
<br /> **"*PROPERTY SURVEY required for all NEW constructi n.
<br /> '°°�:I'u`a"'�dV�VVVCV0V�V9V9uBVyPk" �"uV�n�omiu�B�y;i���p�p a;rr. , � � �„ ;V����mqmmR�mm���.a�m„�pm�cu�ar�a WV9V�01i49HNJ9VV�V'�ll�VNi�6Vfl�26'�'�COG9110NV9VOVVBVVB��VIiNN�9��II
<br /> recfiions:
<br /> �il!out application completely.
<br /> Owner&Contractor sign back of application,notarized
<br /> If over$2500,a Notic�of.Gommencement is required. (AIC upgrades over$50U0j ,, , ,
<br /> � ,.";,s � f.�-!'fi_°
<br /> " Agent(for the.contractor.),or Fower of Attorney(for the owner}would be s meone with nofarized leffer,from_o'wner autfiarizsng same .
<br /> �,i�,;.• ' ',: t�.;, ;ii;��;'; .;:,�,i',
<br /> OVE�iTHECOUNTER�.P,�ERMITTiNG�:�-; (FcontofA�plicafion On(y} ;_�:,: , ;;.,�,. ;;�y, . ., ;.•; ; ,,,,
<br /> Reroofs ,;;SQw rs�_� �;Service Upgrades A/C Fen es(PiotlSurvey/Foatage} ' ""'' '`E' ' `
<br /> , �_.. u�.� .,._ , , .
<br /> Driveways-Not over Counter if on public roadways..needs ROW
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