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813-�eo-ooxo City af Zephyrhills Permit Application Fax-813-780-0021
<br /> Building Department
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<br /> Date Receivad . Phane Cantact for Rermtttin
<br /> i Qwner's Name �� N ��.�� 1L� � Owner Phone Numbar
<br /> Owner's Address 1 � FP �-- � Owner Phone Number -•
<br /> Fee Simple TIlleholder Name �� � Owner Rhone Number � �
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<br /> Fee Simple Tltleholder Address
<br /> JOB ADDRESS /l7� �p P��� ,T� LOT# C„_�
<br /> SUBDIVIS�ON ��7/}" lOjl��'/'�� PARCELID# ��'�-�"'.�-!"�P1.�a,....�OG�N10— G��`L!�
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED NEW tdNSTR ADDIALT � S1GN � [� DEMOf.ISH
<br /> e INSTALL. 8 REPAIR
<br /> PROP4SED:USE , Q SFR [� GC?MM � � OTHER
<br /> TYPE OF CONSTRUCTION � CL.]� BLOCK "'+Q FRAME [-] STEEI, Q,
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<br /> pE3GRIPTION OF WQRK �� ��p�"" �l� 3 q /�-S�/���1
<br /> BUI�DING StZE �� � SQ FOOTAGE HEtGHT [��
<br /> �Bll«����'" � � VALUAT101V OF TOTAL CONSTRUCTiON
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<br />� QEI.ECTRtCA� $ AMP SEFt1/iCE Q PRO�RESS EhlERGY Q W.R.E.C.
<br />, oP������� $ . �;
<br /> � � � � � {��,5 �
<br /> QMECHRNIGA� $ VAl.UAT14N C3F MECHANICA�ENSTALLATIQN
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<br /> I QGAS Q'� ROQFING ..Q SPEGlAI.TY Q OTHER
<br /> �� FINISHED FLCIOR ELEVATIONS � � FLOOD 20NE AREA QYES NO
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<br /> , BUlLDE1t COMPANY
<br /> SIGNATURE REGISTERED Y/ N FeE cu�n Y/N
<br /> ' Addrsss i License# � �
<br /> EIECTRICFAN COMPANY
<br /> SIGNATURE " REGISTERED Y/ N �e cUR�n �Y/N
<br /> Addre$� License# � �
<br /> PWMBER � � COMP.AN1f
<br /> SIGNATURE REGISTERED Y l N FEE CURRE� Y/N
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<br /> Address Lice�se# � �
<br /> MECHRNiCAL. . GOMP I Y
<br /> SIGNATURE � REOISTERED Y/ N FEE CURREP Y/�N
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<br /> Address� ` ' �icense# �! �
<br /> OTHER � COMP� G�"�1� ��r/�p
<br /> SIGNATURE� ' � REGISTERED Y/ N FEE CURRE� Y/N.
<br /> � ,
<br /> I Addre�s � b�X 3�0� � '�"'�'/� License# 1 �.-���E���� �
<br /> RESlDENTIAR Attactt(2}.PlotiPlans;.{2)se#s of=Bultding"Plans,°(1)set of Energ'yrFarrrss;R=0-V!l Permlt for new canstrui:tion,
<br /> , Minimum;kem(4.0)�working.,days_after,."submittal�date::Requlred:onslte;Constiuctlon Plans;Stormwater Plans w/Si1t Fence installed,
<br /> Sanitery FacillUes�8�r1�;dumpster 51te Work�.Pertnit.for subdfy(;sion's1la.rge,proJects• '
<br /> COMMERGIAL Attach(3}coinpiete sets of Sultdiing Pians ptus a'U€e Safe#y Page;{1}set oE Energy Farms.R-O W Perm1#(or new canstruc�on.
<br /> Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans,Stormwater Plans w/Sllt Fence installed,
<br /> Sanitary Facilidas&1 dumpster.Site Wark Permit for all new`proJeots.-Al1 commercial requirements must meet compllanca
<br /> SIGN PERMIT Attacti{2}se�;of Englneered�Plans...,• `-�, � '
<br /> •""*PROPERTY SURVEY requireci for all„NEW construcdon. �
<br /> Dlreatlons: . .
<br /> Ffll out appi(ca8an completely. ,
<br /> Owner&Contractor sign back of applfcaUan,notarized
<br /> i if over y2500,a Notice of ComrnencemeM fis requieed. {/UC up�rades over i7500) ..
<br /> � " Agent(for the contractor)'or Power ofAttomey(fiir the owner)would be som�eone with notarized letter from owner authorizing same
<br /> aVER TFFE COUHTER PERMi7TiNG ; .f{Front af:Appll�ation Ority)-,�;��_�°>,...;�� �
<br /> Reroofs If shingles Sewer.s ;,Servlce.UP9rades.A/G.,'.,`°Fences'(Rlof/Survey/Foakage) , ` . "' -° - �- : , _ .,.
<br /> ; ,, ,n .,, �,.,..:..:.;. ;%�, _� � �.;,;;<. ',,,� . << � "- ;
<br /> Drivewaya-Nnt over Caunter if on pubtic madways..needs`RQW'7'��'`' - ` ;;.`' ' ''� ,� � ' � `
<br /> :r_ n .. . . ..�.� ..�,. , >. . ...�. �' , , ,.' . . .: , , .'� ,7' .,
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