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I a�s-�eo-aazo' . ,,Ci�y�of Zephyrhills Permit Application Fax-813-7$b-oo2�
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<br /> Qate Received ` ' , ; r�-:;,;';,` �
<br /> ° Y;r.�, ,,&�ha�e'Cotstactfor mrmlttin
<br /> Ownsr's Name tA�''.SCt.V1 Y�.2..s:."z;;:;���'t:+;.`��� ! QWne;<P,#�onetNumber;�=��('J�YJ=`�`4�J'°"'�'�+ra��
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<br /> Owner's,'Ad'dcess.�ta4a�g�,:�1�v2V:��' Uwner�*hone Nu ber:�^ t:, a � ���
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<br /> Fee Simpl���Itl9holtl�r'�Nawiiia �''�!:' ;':�°"�;�;��;�, , Owner.Phone`Number � ° ". �"
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<br /> FeB��tiripi'e`I�iieho�de�Address �
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<br /> JOBADDRESS lY�^IoZq '�J11VLY dQ,�GS �ilV�l ►1 ��1I15_ �'L �„'� LQl'# ��
<br />� SUBbiVISiON �t�V��" t�0.1�S � PaRC�t,i # d3 f a.t� --�.t— pl�—l��—tt�^su
<br /> (OBtpINED FROM PROPERTY TA?C NOTICE)
<br /> WBRK PROPOSED NEw CONSTR AUD/A�.T �� SIGR! [� Q DEMOLISH
<br /> INSTA4L 8 REPAIR �.Q,R�O�'
<br /> PROPOSED USE Q SF12 Q GOMM � OTHER _
<br /> TYPE OF CONSTRUCTION Q � BLOCK Q FRAME � STEEL Q
<br /> DESCRtPTION OF WORK ��.nU'r� '�Yl l �.
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<br /> BUII.DING SIZE � � $Q FOQTAGE I'1�� HEiGHT �� �
<br /> Q��«����`' �� VALUATION OF TOTAL CONSTRUCTION
<br /> QELECTRICA� r$ AMP SERVICE Q PFtOGRESS EtVERGY Q W. .E.C. ,
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<br /> QPLUMBING $ , _ , . .. ��n tJ� �
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<br /> MEGHANICA� _ $.•`.��, , �„' ,� x`�'�VALUATtON O MECHAt�tICA�INSTAtlAT10N
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<br /> QGAS � ROOFlNt�'r�`=�'� SPECIAL � OTHER
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<br /> FINISHED FLOOR ELEVATIONS �, ., ;;;;;:,;y ,•,`; ;. FLOOD ZO E AREA QYES NO
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<br /> CQMP1�'' � Yt ��}(}� ,
<br /> SIGNATURE REGISTERED Y/ N FEE GURRE Y/N
<br /> Address S i2� ( I.icense# CCC 1,32�50� �
<br /> ElECTRtCtAN CQMP�►tSY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Addrass ( License# � �
<br /> P�UMBER ' CCtMF�NY
<br /> SIGNATURE RECaISTERED Y/ N FEE CURRE� Y/N
<br /> Address � License# � ��
<br /> MECt1ANICAL � CUMPA1NY
<br /> SIGNATURE RE(31STERED Y/ N FEE CURREA Y/N
<br /> Address ' � L.icense# � —�
<br /> OTl1ER COMP Y 1MLUi't Rt}!�i't•
<br /> SIGNATURE REGISTEREQ Y/ N -=- FEE CURRE� Y/N
<br /> Address /Z _.£t��.., �111 Ai�� 3 l License# tr�� ��'� �
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<br /> RESiDENT1Al. Attach(2)Rlot P1ans,-(2}�sets:of'Bu11d1iig�Plans;(1}set af E� etgy�Forms;R-O W Petmit far new constructiost,
<br /> Mlnimum ten(10)working days aker submittal�date. Requi�ed onsite,ConsVuction Plans,Starmwater Plans w/Silt Fence installed,
<br /> Sanitary Faciiities.&1 dumpster.:Site Work�Permit for subdivisionsAarge proJects
<br /> GQMMERCIAL Attach(3}complete sets of Buildirig Plans_plus a Eife Safeijf Page;_{1}set af Energy Foems.R•O-W Perm9t-Eor-r�ew:corist�uckian. -
<br /> — -- �`Miniriium ten(10)worlting days`after'submittal date. Requf�ed ansite,Construotlon Plans,Stortnwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities&1 dumpster..S�te„Work.Permit for all n�w projects.All commercial requirements must meet compUance `
<br /> SIGN PERMI'E Attach{2}sets of Englneered�Plans.
<br /> ««..PRQPERTY SURVEY required:for.all fVEW construction.
<br /> DFreatlons:
<br /> FIII auk applicaUon completely.
<br /> Qwner&Contractor sign baok of applicatton,notadzed
<br /> tf aver 52500,a Nottce of Cammencement is raquired. (A/C upgrede over$7500)
<br /> '" Agent(for the cantractor)or Power of Attomey(for the owner)would be someone with notarized letker from owner authorizing same
<br /> DVER TNE COUF1tER PERMiT7lNG (Frant of ApplEca6on Oniy}
<br /> Reraofs if shingles Sewers Service Upgrades A/C Fences(Piot/Survey/Faotage)
<br /> Driveway�-Not over Counter if on public roadways..needs ROW
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