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a�saao-oo2o City of Zephyrhills Permit Application Fax 813-780-0021
<br /> Building Departmen#
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<br /> Date Receivecl:- _ k. .-. ,.�.._._-, .�t _; . ....„ Phone`Contact for•Permittin - .�:��:^>�.��:�:'.,_,�:, �o'7`'T �
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<br /> 4wners'Narrie {. r, ., ,:OwnerPtione,Number:°'
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<br /> , ..,,..,, "J�` L-= ' �f R^N-u.�-s' �� �f z--Owner Phone Number
<br /> Qwner's Adclress �F� � _ _ _ --
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<br /> Fee Simp e TItleFiolder.Name? h �s Owner Phone Numbe�
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<br /> Fee Sim'ple Titleholder Address
<br /> J88 ADDRESS �5 `��1�� "�r z� l L-�' �L-• 3 LOT# E�
<br /> SUBDtVIS10N �— '_� PARCEI.tD# �/-°�a •cZl~�IG -/I,�jCQ � D l�r�
<br /> ' (OBTAINEO FROM PROPERTY•TAX NQTICE}
<br /> WbRK PROPOSEC} ' e NEw CONSTR 8 �'�ADDlALT � 5lGN [� m DEMOLlSH
<br /> INBTALL X �REPAIR
<br /> PROPOSED USE Q SFR `Q COMM C� OTHER
<br /> TYPE OF CONSTRUCTION -Q BLOCK Q FRi4ME �, STEEL Q.
<br /> DESCRIPTION�OF•WORK .�NS"�!�t.L S�� J� �C J Z '
<br /> BtlILDlNG SIZE ��( }t !�-� �_,SQ FOQTAGE . '��� � HEIGHT ��� -
<br /> Q BUILDING � ��� �}� VAl:UATIO{V OF TOTA�CONSTRlJCT10Af�
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<br /> QELECTRICAI, $ AMP SERVICE ` Q PI20GRESS ENERGY. �[� W.R.E.C.
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<br /> OPLUMBING �y� , �t �l� _ Y
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<br /> QMECHANICAL ' $ VALUATION.O�.MECHANICAI.�INSTALLATION-
<br /> QGAS Q ROOFING Q SPECIALTY [� OTHER
<br /> FINISHED FLOOR ELEVATIONS �y� FLOOD ZONE AREA QYES NO
<br /> BUILDER ' � '-�°'1,�,,,��,�� COMPANY �JdcJ`,�A- D`f�-�
<br /> SIGNATURE �'""" REGISTERED Y/ N 'FEE CURRE� Y/N
<br /> Address f:icense# � �
<br /> ELECTRICIAN GOMpANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N " ' `
<br /> Address Licefise# �— " �
<br /> PLUMBER . COMPANY `
<br /> SIGNATURE , .REGISTERED. Y l�N FEE CURBE�'., Y/N
<br /> Actdress " � .t3cense# � �
<br /> MECHANIGAL ' COMPANY
<br /> SiGNATURE ' REGisTEREO �. Y/ N . . ,.„F�e cu�en, Y/N
<br /> Address � ' � i.icense.# � `—...—.�
<br /> OTHER � � COMPANY
<br /> SIGNIATURE � � ' �" ' REGISTEREp " Y/ N ' FEE CURRE� Y/N
<br /> Address /, . . '�l:icense#'� �
<br /> RESIDENTIAL: , Attaoh(2),Plot:Plans;{2)"•sets�.of.'Building'`Plans;(1)set of EneigyForms;R=0-Nl�Permit for new construetion, ' `
<br /> � . Minimum ten,_(10},working days•after.submittal;date:;Reguired'onsite,��Construotion Flans;Stormwater Plans w/811t Fence installed,
<br /> Sanitary Facitl�es�&i.1•dumpster�Site;VYarli�Permit:for.subdivisEons/targe proJects �:�,t> _.-
<br /> COMMERCIAL , Attaoh(3�complete sets bfBuilding Plans p!u`s'a Llfe'Safety Page;(1)set of Enercrc�y Forms.R-O-W Permlt for new construct3on.
<br /> Minimum ten(10}working days�after submittal date. Required onsite,ConsWcUon Plans,Stortnwater Plans w/Silt Fence installed; --
<br /> ' SanlNary Fac3lifies&1 dumpstar.Site Wark Permlt far a!1 new projects:°All�cammerciai requirements must meet compfiance
<br /> SIGN PERMIT Attach(2)sets�af Engineered,Plans..•:'- ' , � _ � '
<br /> ""•PROPERTY SURVEY required for`aII�NEW construction: _
<br /> �irections: ; , '
<br /> Fill ouk application completely.
<br /> Qwner&Contractor sign back of appl3caUan,notarized ;
<br /> If aver 32504,a Notice of Car�mencement#s required. {AtC`upgrades over�7540)
<br /> '" Agent(for the cbntractorj or Powerof Attamey(forthe owner)wauld�be sortieone with notarized letter from awner autho�izing same
<br /> aVER THE COUNTER PEt2M11'TING_. {Front ofApplication_4nly}. " �
<br /> 2eraofs if shingles Sewers 5ervice Upgrades A(C Fences(Plot/Suroey/Footage�
<br /> Drivaways-Not ove�Counter if on pubt3o roadwaqs::needs ROW
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