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<br />� a��-�80-0020 Ci#y of Zephyrhills Permit Application F�-813-780-0021
<br /> � Building Department
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<br /> Date Reca3vad . . . •.Phanei Contaa't�for`Rernitttin" � _ .
<br /> Ownar•s Name ',�C.�«Q��.� 1�1�?r �. �U.l ��I � Owner Phoae Numbar . ' ,� `
<br /> Owner's Address � � � � � `��" � ' Qwne'r-Phone�Number � � ��
<br /> Fee 5lmple TltleholderName=� � - �'.1����_�� ' Owner-Pfione Number .� �
<br /> ., , .� .f , ,.. , . . . .. "�-
<br /> , ..0 � Sir .... .. . � .. .. .
<br /> Fee Simpl�Titleholder��pddress � ��'" - ' � �
<br /> JOB ADDRESS . �v�+ � 1't - "�,- v . _ LOT# ��,
<br /> su�aovis�aN I�� : , :. � _ . �������j —t�c�-1� -7 0�:�.
<br /> P14RCEL ID#
<br /> , , . ' � - � � ��(08TAINED'Ft2QMPROPERTYT/IX'N07lCE}. -
<br /> WORK PROAOSEA �, NEW CONSTR ���: ' ADD/ALT Q °SIGN `Q � i'�Q�_� DEMOIiSH '
<br /> � IN8]'AkL � • -.REPAIR � 5'� �
<br /> _ e�9j=. �8"'
<br /> PROPOSED;tfSE. .. � Q. ` •SFR. F '� �COMNI�� C� OTFiEFt`:. " _ ,. , - -
<br /> TYPE OF CON3TRUCTION_. �s 'Q', ''BLOCK"'•,�`:Q'': 'FRAME � , STEEL, �]- .:.- -
<br /> DESCRIPTIQPI`OF WORK = r¢� '�J�V�UI�.h2... .Q< � cl 'Q.--- �r;aY.�TM-! .
<br />, , , . � , _ - _ ,
<br /> BUIt,DING SIZE'='�- � ��3.�.�,OC1TAtiE�____� � - :;HEIGHT�` . � :, ..
<br /> 5 - '
<br /> - . Q����{a���i �i '�vrs";rs�ix.,.y r.. ;o,,.;.-na'. . . . ..,,. . `. • , ,
<br /> , , VAL:UATION OF'�'fOfiAL`CONSTRtJCTION , .
<br /> ��-- � . , .- . . � ,
<br /> �ECTf2{CAL $ � ' Uz� ' �'° �AMP SEFittICE l��-'C� �i " 1 r"FtOGFtESS ENEl2GY Q Y W.R.E.C. '
<br /> �gc�0 .
<br /> li ���;ur����� . :$ . �
<br />' � � . � �.:' � , � � . : � .. , . � �?��r
<br /> QMEGHANtG;0.l $ ,; ..VALt1i4TIClN OF_MECFIANICA�INSTAt.EAT10iV , f�
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<br /> Q�as �]_ ;- �oa��r��:�,-,;[Q sg�ci,�.�rn.[Q, ;o�HE� . .
<br /> . C�g��� �
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA C]YES. NO�
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<br /> BUti.DER COMPANY` : . - � . .
<br /> 31GNATUFtE REi31STERED Y/ N. FEECURRE�",. YJN.. ., ,, : , „ ,
<br /> Addre�s . : :`�;; ' . �� .4; 'License'#'�� " .
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<br /> EtEC7RICiAPl-�, , , - , ,�� ),�� . "„+- u CCIMPANY ' � ,�- �,Cl�-
<br /> SIGNATURE � �� /I�.'��`'`� � REGISTERED Y/ N FEE 6U `Y.`/N `' �
<br /> a►ddress ` a Il , � .. .- . .ucense#��i%�'��l-2 rv �' ' " I
<br /> Pt#IMBER ,_ ,.y. .:. , ., , . � ._ GOMP.ANY�. :�`:;� �,:. . ` -, : ', ,. ' -: ,y - •
<br /> SIGNATURE .: ., ,,. =t .- �.: �REGIS.TEREP =- - .;-.Y.'/.N=-: , ,�e cu�trtEn .. .� `yy N;' : ,
<br /> Address �. ,�� : _� . . � . .Ucense#.�' . ..: . ; � . �
<br /> MECHAt11CNE;:'' . . ._ _ , - - , - , '',., . -.Ct7MP1�t�iY�, :;,. _ '.. �...::.: - ',�z= -
<br /> 81GNATURE -- .�' . . ., „ REi313TERE0!'� ::Yr/�'N` `�,FEE:CURREN . y���F,.,-�, �
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<br /> Addresss`:'.. ,•,� .. ', ..{�.;, .- °:, '.,.�. . � ' . , . _ . � �,.:l;icense,#:-�... r ;:�;
<br /> . � -
<br /> OTHER ,-.,� ,....,, _'� .x� .. . . . - :�.. .. , .-,CUMPAi!tY�: f • ,. � � , . . i ._ , ,
<br /> SIGNATURE, - °-' . , "_'� - --REGIs7Ett�o_ .Y/� Ns.. ��F.E�CURREM„ � Y:I�N:.`
<br /> _ , _ �: .._ � : 'i. A,... �}t F - .<>7.;�,�.=z_ � • ' . . _UC,��S9#'� �
<br /> Addr�ss ..,: ;�.,, �x.�:��;:�" „ :;; .
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<br /> " :f-• �rq:.. ��x: - -.;'y. ..�^"=Y,.Y^<.x', ' '.ri'.: �`1�'.V..S :'�,' .i't'i'v`--'=i`.-': r , ....s. . (
<br /> ESIDENTIl0.t:t. -�'Attactti'<2':;Plot; ��$
<br /> R ,- {,} �P..lans,:(2);sets-of�B�itd�n�Plans;<(1}setiaf,.'Erietgy>Foriirs.R:O'wW.,Permiffor;,newconsbtic�on;:,- � , _
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<br /> ,.=:_Mlnimum,tenw(?IQ);workiqg day,s,;after,submittsl"ilafe:Y Required onsite;�Consfruction Plans SMrmwater:Plans w/�Stlt Fence tnstalled,. , ,
<br /> � � ,. :$antlaiy�Fad118es,;�� u� ter��Slte�Wortc-Per,nilt.fqr,..;,'suti'di`v_Isioiisllarge` io ects�';;-� °a� � _ •`: -..__... . ...: . _,_, , . - (
<br /> . '!�� t�.s.. . �.� . P'..:7�u .._ :��s`.;. :, ,, �.: .� ;.- :, .,- : - .� .,
<br /> . ..s�r; c,;,xa�r".;,a j,,.r,..4�y.�.,�`aa...-..."`> 7: ..:;r.
<br /> COMMERCiAL at�a�,�s)wc�om'plete'sets`of Buiiding Plans plus a Lifa�8afety Page;(1)set af Energy Forms.R-0 W Permit far new oonstnsctlori.
<br /> Minimum ten(10j workins days after submittal date. Requfred_q�site,.ConsWotlon Plans,Stormwater Plans w/Silt Fence Installed;,,, .
<br /> Santm►yrFadlides&,1.dumpster..Site,Work•FemslGfor,�ii,new�p'ro]ects:Alt'commerciai.tequifementsmust meet campltance ,
<br /> SIGN.PERMIT Attacti'(2)sets of'�n"gi�nii�ered:P._.ta�s �,� .�-�- :, � �, � , ` • .-� ' = ,
<br /> ..$ �.r.�a;:.::;-
<br /> ••"•PROP.ERTI:,.SURVEY-regulred for,all�NE1N.,construcdon; , - _ ...._ . : ( - - ,
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<br /> Directtons: �"���.�=�a�:; . _ = , ._._..... ._. ._. .. . ,
<br /> . �.FIII out applicadon wmpletely.
<br /> Owner&Contrar.�or sign.back.af.appllcatEon,notarized
<br /> If over 5�500,a Notice'of CorFrmenc�amont Is requlred., (A/C upgrades over t7S00) _, �� � -
<br /> �� '"''C:3:'�.i`-pa+s�ir'.�t • ...�_-»�.---,..___.-.,.:':'i' ._''.".,:�-'�. _ , ....... _ - �
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<br /> Agent(for the contractor)�r:Pawa_r.of Attoin�y{tor the:owner)wculd'be someone,virikh notarized letter fram owner autho�izing same
<br /> _ . .. � . ..,__ : ,.�.�.-a.;.,��; _ . ;-
<br /> 'D,VER`THE GOUNT.E�t.PERMiTT1NCi�==-= °.=(Frontcf�ApPltcation�Qnlyj_`�,;�" " -�
<br /> Reraafs lf shingles Sewers ; Servlce Upgrad�ds�;'Al�. ':'Fences;,(Plot/Survey/Foatage) ._ - -- _ _ -• ^ - ,
<br /> _..,. . .,..:.,_.__._._..._,.;..,. ...:�:....:t;� _.�.._�,.....- . . ._ - �
<br /> <;�•:- .;� '• -- ;, .
<br /> Drlveways-Not over Gaunter tf on publlc roadways.:needs ROW
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