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�'�3-780-4020 Fax-813-780-0021
<br /> .� City of Zephyrhills F"ermifi Application
<br /> . BuHding Department
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<br /> aer's Name � Gwner Pt►one Number ' Y. `.., ,
<br /> Owner's Address - � ' � �GinrnerPhone Num6er � � " �:`
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<br /> Fee 8impl�Titleholder Address _ ' ry� °� - � ~ � ' �
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<br /> SUBpIVISIQN PARCEL%ID�R " , <
<br /> � • �- • ' - �� � - �� `(OBTI4NEDFIiOM'PROPERTYTAX'NOTICE) � �
<br /> WORK PRQP4SEt�' ,. , � NE�M1I GONSTR � ADD/R�T ��` SiGN� ,[� - Q� ,DEMCILISN' .
<br /> ' .. - e � INSTALL . .8�,�'"., .REPAIR.". � � - � � .
<br /> PRQPOSER�USE � Q:. , SFR � � -M1CQMM'; Q _Ofi#iER'` "=: � , ..
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<br /> TYRE OF CONSTFtUCTION ` '��] ';'BLO ` ' [�`�"` ,FRAME STEE
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<br /> DESCRIPTION OF WORK �TM � ,' � �/ j � r j �
<br /> BUIL�ING:SIZE'�.�� �_°$4'FOOTAGE , , ;HEIGHT` ', Y �! . • . .
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<br /> ����«�N�`' VALUATION`�O�F TOl'AC'CONSTRU ON " � ~ ` ' � ' +
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<br /> QEl,ECTRICAI $ = •"i4t41P SERVlCE SS ENERGY W.E2.E.C,,
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<br /> QMECHPiNIG;4t �' $ °ilA�UP►TiON,OF MEGliANICAL;tNSTALLA.T.ION .- �� M1.; Y
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<br /> QGAS ,[� ,ROOFING-�:,�Q _�SP,_ECIALTY-•�` OTtiER=` �` �� �� �7
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<br /> FINISHED FLOOR ELEVATIONS FLOOp ZONE AREA ��YES. ,NO , ,
<br /> BUI6DER CCINIPANY '. . , ' . �
<br /> SIC3NATUR� REGISTEREp , Y/ N. 'FEE CURRE�'',, ":Y.I.N,.. ,,.,: ..'.
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<br /> 'RESlDEPtTl�At::a:�-.Attacti�`2-��Plot'tP..isiis���2;sefs�ofBultiiin`�Ptans:=��1'set.'ofEne" 'Foini's;R-O-1N=Pernilt.fornew„cansttuct�on,•,� z,:• - �
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<br /> �„v�,x,Mlnimum.tenL(�1kQ�incoilffng,days,faiter„;`autimittal4tlafe:}�Required;onsite;�,Co"ns't,rucdon<Pians;StoRriwater`Plansviil:Silk F�ence tn's.talled,. �
<br /> _..• �SanitaryF�aciti�es&�1�c#u��stVe,.�{te=�WarkfPai�nit�r:"subdivisCons1iarg�`proJectsr;.y,,�°��aY'?��=G`..°�;=�', = =�LL _._-,.:<_,. ,: .. � , . , -
<br /> COIiA1wERC1AL Attach(33`eon►pt`ete"sets"of`BGlicli`ng Pians ptus a Ltfe Safeiy Page,(1}set of Energy Forms.R-0-W Permif for nsw constructlon.
<br /> Minimum ten(10)worlcMg days'eftet submtttal date. Requ(red onslte,tConsttucUon Plans,Stormwater Plans w/Sllt Fence Installed, .
<br /> Sanitary Fa�dlfNes 8�1..dum�ster.�Sit�.Woric_Pe[mlt-fo�t a#l.neinr�:ptojects:A41 commerctai.requtremen��rnu�t,meet campflance o .
<br /> SIGN PERMIT Attacli"(Zj"set"s o"f'Engt��er,ediF!(ans;;�<�:r{� .. . _ - ` - � rv ; - _
<br /> "`••PRO.PERT.Y:.SURVEY�rsyWred�forell.:NEW�cqns,,trucyon., _ � � ' `�`- - � , - � . .. � •
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<br /> Fill out applicaUon completely.
<br /> Ownar&Contrac�or stgn bacit oE appllcat{an,no#a�zed
<br /> If over 52500,a�Notic�,�of,Connmencement Is requtre�i. l4lC upgrades:over STS00),�,_ �.'r � _ -.�
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<br /> Agent.(fur the conti~actor}`4�:Power of Attcrtiey(fo�ttie owner)wcu4d'Lie someone wikh notadxed letter trom owner authodzing same
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<br /> "OVER'THE COUNTER�P..ERAAITTINCi=-.-:-:r'�(Fronf�of;Applioatlon:Oniy)W:- �-
<br /> Reroofs if shingles Sewars Service Up'grades'A!C"'"'"Fences;.(P,IoUSunrey/Footage) - • _ "
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<br /> Driveways-Nat over Caunter if on public roadweys..needs RC)W
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