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" 813-780-aozo Ci#y of Zephyrhills Permit Application '�l! �� l Fax-813-780-0021
<br /> • � � Bullding Department
<br /> Date Reaeived - � - ' -pho�e Corita�t'=fbr'Perrriittie a`" Y "' � �
<br /> OwrnaPs Name C_'1 , . .�c'rr n C�Y�n�t� C3wner Phoee Ftumber ' t�
<br /> Owner'sAddreas � -� . � On+rn�rPhone�Number �� �
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<br /> Fee Simple Titleholder'N�me�� �'� ' � ' � " � �'� Owner Phone Rumbe`r '��. �
<br /> � . . , =';'xa7.— ._ _ _ , .. , . . . . -'�� -
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<br /> Fee 81mp1�TltlehotderAddresa - - e�' �r�,-, . - -
<br /> JOB ADDRESS Q�i��-t i�� S\ �C. ..�15�'�' S�" � 7 �' �f"� LOT# �� -
<br /> SUBDIVISION �, : . .. ,' �" 'PARCEL ID# ' . - � - -
<br /> - � - �• �� �'.�(OBTAINED FROM�PR4PERTYTAX NOTICE) �
<br /> WCIRKPROPOSER NEWCONSTR ��` :; ADD/ALT ��' �.SIGN� [� ��Q, DEMOL`ISH �
<br /> �`r} � INS.TALL 8:%��-,:.REPAIR • .� � " `.
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<br /> PROPOSED-USE . Q: SFR. ' '� ,`COMM�" '� OTH�R'; " =
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<br /> TYPE OF CQNSTRUCTION:: .'[�`' "'BtOCK •,�'�Q��, �'.FRAME � � STEEL Q, .,� -
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<br /> DESCRIPTIONOF WORK '. � � f �`^1` '�r� J`��'` Cfn4t:+� tiJ1k'-t'+cs�`Ce. �lS''otrnt�. ,1��. �.'(��Ui'` Qp`"�
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<br />' BUiLDING S�iZE '� . � ��SQ;FppTAGE��� .- ;HEIGHT ,., ` ° �,c� '�
<br />� QBUiLDING $ �z�;�:�:�.°.,... ,.. .,;«s��,._,_ '` - -
<br /> , r ' VAL.UATION OF�TOTAL CONSTRUCTION ,
<br /> QE�ECTRlCAE. $ � � AMP SfRC/iCE " ��` F''ROGFtESS ENERGY [�. W.R.E.C. ,
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<br /> QPLUMBtNG � $' �
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<br /> QMECHPiP!lGAI $ . .. VAt.{1i4T10PJ OF MECHANlCAC 11�lSTALl.ATtON - :_-'
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<br /> QGAS �.,. : ROOFING,,.,°Q - SPECtALTY-���. :OTHER�E-'.��. ; -
<br /> FINISHED FLOOR ELEVATIONS L� � FLOODXZONE AREA �YES. NO ,. .-
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<br /> BUII.DER ,- ..� COMPANY ` " � �� t..."�d.�.. - I
<br /> SIGNATURE REGISTERED Y/ N.. " �E Cu�n'";; -:Y!:N . t , ., ,
<br /> �►ddreas ��-� � C. �Ll—� J d'.�,�c� - . - . ' , _._ . •Wcense# � . _ �
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<br /> ELECTRtClAN�;; . F • .,; � ' � COMPANY", . � • , �" - -,
<br /> SIGNATURE � REf31STERED Y/ N FEE CURRE� '_Y'/N , �
<br /> Addreas . , - ,4 , ;. ,. ..`.L•Icense�#�-1�- ':' �
<br /> PLUM8Ei2 , ..... � COMPANY, :.' _ ,, - , . -
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<br /> SIGNATUR� ' � _ ;. %R�G�S7ERED - ,.: ��y/-,N:=:
<br /> � F."�E:CuwtEP= ,. �r Y hN:. ,
<br /> Address �. . , . � , Ucense#.l . .. - � �
<br /> _ • { .� .4 = � 1 i t: . ,.•'� ` f . - _ ._ ' .� .. ' . - '
<br /> MEcr��cai;. , ... � ,co�iP,a�tv:� _ . � - � �
<br /> SIGNATURE A° . .,, � " , ' .REGISTEREO;� rY.: N�::. .. . :::,:� > I , `
<br /> . , _ , /:' :FEE.CURREN; '`:Y/sN�:`, .
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<br /> Address� • , ,.,.. ._ �.. .:, ., ; ,.. ,.. Ucense;#�t. ;.� . . . �
<br /> OTHER . ;��._t r. � .. , >:... , . - - , _: � - ,� ..: ... _ � +: �
<br /> ,Ct.�Ii�IPANII, ,.. = �, : . _
<br /> SIGNATURE. _. „ - ..�„ . ,,?.. .. � . , «`` . 'REGISTERED. --_ -Y/�Nl= =�FE�.GURRE�' - �.Y.:I�N�:, , �
<br /> Addre�s :.�.t •,. - :.����;;,4 :.�.: �� ;.���`�,,. -- -� .�. . � � .., 7 '-LiTci�nse#`�� '_. - �
<br /> y. ,,. •_ . " .vi. ' 'i.as'"� ,'•F`'�t�"i.�' :... ._ . . �
<br /> �:- ,._.. -;.,� .., sy ..<< �.,r c�t � ._ .j.�.;,.< . w"-'i-''a":. y,:,�
<br /> RESIDENT1At,:�-'fAttacti:(2)`,Plot;plan`s;z{2};sefs=cf�Suttding!Ftans;(1j"setof�Eriergy�foiiris;,;R-O�Utt�Pemii#:for�nefni;consbucBon;, � .,
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<br /> . �Mlolmum�ten�(,10);worlttng+days;8fte;r,:sub;mitfal�:tlate:=:Required orislte;-ConsfiucHon�Plans;;Sta�inwater'Flans�w/Stlt Fence tnskalled, .
<br /> . - sanitary=:�aa►�ues&�1tilu�npster;Site�Wcrk Petmk�for'sutidisrlslot�stta'rge`projecfs,`��=�_::;�>n���=,'.-':;°,N: '; � -;, �"- �. ,.
<br /> COMM�RCtAt Attech(3j'`comptete"s"ets'of Btsitdfing Plans ptus a life Safety Page;(1j set of E�ergj+Fortns.R-O-W Permit for new cbrisiiuction.
<br /> MiNmum ten(10)working days'efter submittal date. Required o�site,ConsUucUon Plens,Stomnwater Plans w/Sllt Fence installed,, _
<br /> Sarattary.,�adtiBaa,&.1„dumpster.,S1te.Wark_Permit far ai!_neuv�p'riiJect'sri441'commerclai.cequi�ements�must meet compitance � ,
<br /> SIGN PERMiT Attaoti(�)�sets of'�n"gi�i�iier,�Plans:.�s::�r�w4'`���.... , . ' , - .' . :
<br /> :.y,
<br /> •'""PRO!PERTY.SUR1%EYregulredfgr,allwNElNrcqnstrucUon:; _ - � � °
<br /> Dlreations: -.:�::.��,�,� . . � �• .,...�., ,�., .. .... _., ._ _, ,
<br /> Fill out applicatlan completely.
<br /> Ownar&Contractor stgn.back:of appltca8an,natarized
<br /> If over$2500,a Notli:e of Commencement is requiresl. (AIC upgrades over 57500)„_ G " . ..
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<br /> Agent(fqr tfi�`ciintrac4or-)`or:Power of Rttoiney(for the owner)�wautd'be someone_with notarizad lettec from owner autharizing same
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<br /> 'OVER'THE COUNTEI2.PERMITTINCi-'-..,�u�(Front-of=Applt`cation Only)��;. � "�.: �
<br /> Reroofs if shingles Sewers:' Seryfce Upgrades_AlC. _ Fences.(Piot/Suryey/Footage) -- -- -
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<br /> Clrlveways-Not over Counterif on public roadweys.:needs RUW
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