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8l3-780-Q020 City of Zephyrhills Permit Application Fax-818aao-oo2�
<br /> � , Building Department
<br /> Dste�Cecelved' . , ..:�Phe►ne Contact<for'•Perin(ttin ::' ° -
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<br /> t3wne�'�Name � I� �67��p� - Oswner�hone Number
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<br /> Owner'aAddres� 32��`� �� ��� Ownsr-Phane-Number �.
<br /> Fee Slmpls TlNeholder;Name � � ' ` � �. OwnerPhone Number � . � -
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<br /> Fee 3impte Titiehofder Addresis= �y ``� ` .,
<br /> JOB�►CldItESS � �'�!/� /!/9/�T � �/G �oT� L�]
<br /> SUBDIVISION PARCEL�ID# ��"���l==`4� 4-�l9 D�i 9�'- �,�
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<br /> , � ' _ . . , �'(QBTAiNEDEROM�PRQPER'iYTAXNOTICE)` �h,
<br /> WORK PROPOSED - �' NEW CONSTR ' ADD/ALT " �� "SIGN �[� � i ry-: '[�`� �i�,DEMOi.ISH -
<br /> . .. . e'v, e dNSTALI. 8:� =.REPAIR ,_ ., . . •
<br /> PROPO�ED:-USE 0-�` 'SFR: � [� • COMM � OTHER � ` � ` _ - . �
<br /> TYPE OF CONSTI3UC'(10N._ `Q BI:QCK�" `Q' � FRAME, � STEEL Q�. �,
<br /> DESCRIPTIOPI OF WORK n^ 6�`'�'� G�x�""' !9'N.6�J Ou�'tiO�� Os'�- ;l/�Il�/7 �)./Y/!/�S/�i���i.J .. I��I�1�
<br /> BUILDIWG SI�� �� �, SQ,FOOT�►GE� . , � ,.<HEIGHT-I.�,_---�<� - '
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<br /> _ . BUILDING $ � -xc,��:n.::.. . •�-"'�,�,. �..:.' __ • � ,.
<br /> ,,�O� VAl:UA710N�21�TOT�4L'CONSTRUGTION , ,
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<br /> [�ELECTRICAL $ � AAAP SERViCE y 0 PRCIGRESS ENERGY [�, '�W.R.E.C.,
<br /> [�PLUMBING $ I �
<br /> ._ �_� � 7� .
<br /> �]MECHAiViGAL ' ' $ '. YALU�'TION,QF MECHANICAI INSTALLATItON -��! �
<br /> QGAS , Q"'�F200FiNCs:�. O SP.ECtALTY_.� C}TiiER� ��
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<br /> FlNISHED FLOOR EI.EVATlONS ��� FLOOD ZC1NE AREA ' YES. NO .
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<br /> �UILDER COMPANIY ' �
<br /> SIGNATURE REGIS7ERED , Y/ N, FEE CURREA' ,,,, Y l�N :. �
<br /> Addre� , ' LICe11Se#' �
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<br /> ELECTRICIAN.�:� ,: ,s � COMP�►NY
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<br /> SIGPII�TURE "` REGISTERED Y/ N FEE GURRE� �`":Y�/N "
<br /> AdaireSs , . � _ _ . '.LlcensB#•�� °� ' 9 • ' 1
<br /> PLUMBEIt ,::.. , �COMPANY� .;:ra .. . � . -� �.
<br /> SIGWATURE � - - .,,: 'REGIS.7EREP:,`: rs':. ,:=Y l:��N.^ �. F.EE;CURRE�:.:� . ,Y�;N:�
<br /> Addre�s } � � , � . - .License.#�,�, . .. •, . I �
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<br /> MECFWNICl1t:'" _ ._ .,. � ' .COMPI!�NY;.. :: ,_. - = .:~ .. � . ,,. . -
<br /> SIGPIATURE ` � ` ' �_ REGI57ERED� ., .Y;/ N: ,,�,�FEE_CURRE� _ �Y-/�N-. '
<br /> Address�4 , . -. .;,, , . .� ., . . ... , l .. . License#-�., _ - „'4 , I' ,
<br /> OTHER , . � . -,. .. � - >.CO PAMY� 1/-/.T?�//V. _ �G�j/t'fl}. .. ,_ .. � : , , .
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<br /> SIGPIATUttE. '>"� ., x '`• � ", _ _ REGISTfiRED .. Y/<N.i� :, ;FE�'GURRE� Y.I�N_,�;.. . , °
<br /> Adde�ss ,.�` :,�J.D.,:�-X:��i�:�� �6��:�%� Y - . r. � � "`ucense#: �..�D
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<br /> ,a�=� '.1} hr... .cty' _ _
<br /> �7 �s•' 't`.o�Ene� �Fonn's"R=O-VN:Petm�lf:for ne cons ction;- .,. . .
<br /> �RESIDENTtAL._:-4`°At�acii,�(2);.,P:,.toE;Plans,..(2.);.sets.of;Bwildi'ng.P,:lan ,(1:):se ,f.. rgy ,. ?�; G�4.�
<br /> " 'Mlnimumr.ten.�:1,0,t"�.drkln�a:tla sxatker,;;subimlHal`d�te:i Rf�'"ulied"oHslte;�Const[ucNon��PlansryStonnwater�Plans:wl`Sllt F�nge Instalted,. -
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<br /> SanitaryFacllt�,e,sw8���s,tiur�ipster,;S1�e;WorkqPemi�t�,�r;suticliv�sto.t�s�arge�piojects,:�;:,�:^,:'�°'- . .. � ' _ �
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<br /> _ ,CONMNlERC1.4L Atlach(3j�co'mplete seis of Bullding"Plans plus a Llfe Safety Page;(1)set of Energy Forms.R-CI-W Pernnit for new constructlon:
<br /> ' Mintmum ten(10)wrorictng days after submlttal dake. Required_onslte,.Construc8on Plans,Stormwater Plans w/Sllt Fence Installed,,
<br /> Santl�ry Factl{U�s:�1.dum�Zster..Slte,Wark.Permlt:far.;a11`new,proje�:,All�commerqlatrequirements•must meat gamPllance � �
<br /> SIGtd-PERMIIT Attacti(2)�sets o"f"�ngineer,ed Plans;A-A` c,r.,- . �{�° - - � ' • ' � _
<br /> •"""PROPERTY_:S,URYEYrequlreit;.fqc.all�PlE_V,V�:c�ans.Wctlori:, _ ` � . . - -
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<br /> Dlrectlons: ,-��:.a�-�. : . . . ... .. .. . ..__ _ _. - --- .
<br /> 'FIILout appllca�an completely.
<br /> Owner&Cantractor sign.badc.of applicaflon,nptatiied
<br /> If over;�S00.a+Nottce of,Comn�encemant f�,requfre�l. (l4lC upgrades ov�ar$75Q0) , , � ,
<br /> � ..:�F�iTia�ii:`r_�;.��u+."l .
<br /> Agent(for Ui�e contsactor-}`oi�`Power 6f Attclrtiey'(fiir#he:ownerj would be�sameqne with notarixed tetter frssm owner auUtariztng same
<br /> OYER�`THE COUNTER!P.ERMITTINC,���_�=:=�(FronEof�Ap'pllca8on'OnIY)•'. .�t, �., r . �
<br /> Reroofs If shingla� 8ewers <Service lJpgrades„A%G Fences:,(PIoUSun►ey/Footage) - --• -- �
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<br /> �Irlvew�ys-Notqver Counter,if ompubllc roadvirays�.:need's.ROW. •'•.�:.: :
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