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<br /> 813-780-0020 City of Zephyrhills Permit Application Fax-913-780-002�
<br /> r Ballding Department
<br /> Date ltecetved �?�—' phoee-Gontact far Permtttin ' �13 ��� _ ��r�}
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<br /> Owner's'Name; =�:��'S"��.'�;��`;, �xJ� �-�. :Qw�ec Pti6ne'Nur»bef '•. ��-��°'� �"�- �
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<br /> Ovirner'sAd�ire'ss', '��� '�C� ����.�...��'� '„ ` ner.Phane�Nymbe�: ''.'�
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<br /> Fee Simple?ItIe6oldar Name r� � �Owner Phone Number
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<br /> Fee Simple Tltleholder Address
<br /> . � L�JOB ADDRE$3 � Q �1� "� ' - LOT#
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<br /> SUBDIVISION �� � PARCEL ID# �`3�. '26 'Zi ^pDi p ° p ,,"�'�p0– O 0 ►7't}
<br /> I (OBTAINED FROM PROPERTYTAX NOTICE)
<br /> W�RK PROP'OSED NfW CONSTR ADDlA�T I '� S1GN [� Q DEMOLISH
<br /> e INSTALL � REPAIR I
<br /> PROP05ED-USE O SFR Q CQMM i OTHER
<br /> TYPE OF CONSTRUCTION Q BLOCK A Q FRAME � STEEL. Q
<br /> DESCRIPTION OF WORK �t����h�. -4�� � 2.�J C��''s
<br /> BUILOING S}ZE ���� � SQ FOOTAGE�i� HEIGHT � �
<br /> O��E�'���fi'' � '��--__t� VALUATiON QF TOTAL CONSTRUCTION
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<br /> OE�.��SR�CAt- $ , AN1P SERVlCE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QP�t1MB�NG $�'�—�� � + t_��?�
<br /> � ��U
<br /> OMECHAPlICAL $ VALUATlQN OF MECNAt�ICAC lNSTALLATI{?N
<br /> C]GAS Q RC?QFiI+lG Q SPECIAl.TY [� C}THER
<br /> FINISHED FLOOR ELEVATIQNS � FLOOD ZONE�AREA QYES NO
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<br /> su��a��t ��... �---a. "���M�at�Y � C��1��.��i�
<br /> SIGNATURE � - REGISTERED Y/ N FEE CURRE� Y/.N
<br /> Address License# r— �
<br /> E�ECTRICIAN COMPANY
<br /> SIGNATURE � REGIS7ERED Y/ N FEE CURRE� Y/N
<br /> Addresa Ltcense# � �
<br /> P�UMBER � COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# � ��
<br /> MECMAI�EICAL COMPANY
<br /> SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N
<br /> Address License# �' �
<br /> OTHER CBMPANY `
<br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
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<br /> Address License# �� �
<br /> RESlQENTIAL Attach(2}Riot Pians;.(2}sets of 8uElding Plans;{1)se#af Energy�Farms;Ft-O-W.Pecmit for new cons#ruction,
<br /> Minimum.ten(10)working;days aftec.submittal date. Required�onslte,Constructlan Plans;Stormwater Plans w/5ilt Fence installed,
<br /> Sanitary Factlides&1 dumpster$ite Work<Permit for subdivlslonsAarge projects
<br /> CQMMERCIAi. At#ach{3)complete sets of Bcilldirig Plans ptus a(.tfe Safe#y Page;(1}set af Ene[gy Forms.R-O-W Petmi#for new cons#ruc�on.
<br /> Minimum ten(10)working days'after submittal date. Requiredl onsite,ConstrucUan Plane,Stormwater Plans w/3ilt Fence installed,
<br /> Sanitary Faoilitles&1 dumpster.Site Work Permtt for all new proJects.All commercia!requirements must meet compllance
<br /> S16N PERMIT Attach{2)sets of Englneered Plans.. �
<br /> ""PROPERTY SURVEY required for all NEW canstrucGon.
<br /> Dlrsctions: (
<br /> Fill out application completely.
<br /> Owner 8�Contractor sign back of applicaUon,notarized
<br /> tf aver�2500,a Motice of Commencement is required. (A!C upgrades over�760d)
<br /> '" Agent(for the contractor)or Power of Attamey(for the ow�er)would be someone with nata�ized letter ftam owner autho�izing same
<br /> OVER THE COUNTER PERMITTING {Front of Appitcatian Only}
<br /> Reroofs if shingles Sewers Servlce Upgrades A/C Fences(PIodS�urvey/Fookage)
<br /> DrEveways-Nat over Counter tf on public roadways..needs ROW �
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