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� ,eas-�eo-oozo City af Zephyrhills Permit Applica#ion Fax 813-780-0021
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<br /> Date Rscelvsd . .. . . . � �-Phane�Contact<fer`Permittin `',:' ' . - . '
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<br /> Owner's Name �t,,,►r� l������ Qwrner Rhane Number �� tC� ,
<br /> Owner's Addross ���-`? c�C�y.'�- �"'�'a-�e' � .OuvnerPhon�e Number � � . :. �
<br /> Fee Slmpls 71t1eholder;Name- �T � � OwnarPhone Number _ � _
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<br /> Fee Simple Tltlgholder Addre� ,, � " � : _ � '
<br /> JOB�ICIDRESS S�r�� ..�b�� �%Ytca'•e � LOT# . �,,,�,�
<br /> SUBDIVISION � ., �. `PARCEL>ID#" ` - - . � " ' �. , , � -
<br /> , , . ; ,.� ' '"'�(08TAtNED fitOM pROPER7'1f 7AX°NOTtCE)` `,. -
<br /> WORK PROPp$ED �. NEW CONSTR :��' •'� 14DD/ALT '� SIGN t`[�J `" �"�-R Q'y� :�:DEMOLISH -
<br /> , . e :INS7'AI:L• 8 � REPAIR � , .
<br /> PROPO�ED USE�- [�: SFR �] GOMM�: , � OfiHER° ` ::; _ .
<br /> TYPE OF CONBTRUCt70N_ ��-[� '' "BLOCK�" 'Q,` '� :FRAME, _ � $TEEL Q. , , • - �
<br /> DESCRIPT10P1'OF�WORK �~ � �,/✓'4�/��iC-� ��C.?C.k�NJ ; / �;�%�/? �i!�/{'.�4��' �- ,�G�j��J /o ca,
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<br /> BUIL�?INGSIZ�'�.�� �,�SQ,FOOTAGE ���, . .. , ,tiHE1GH7'::��� r" � `t.
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<br /> �. QBUI[.DING $ �,.,_�<;.;;�,.. ;..,,r� . ' _ - . ,: ,
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<br /> VAL-UA710W`I°�J�TbT'AL-CONS'f RIJGTI ON
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<br /> QELECTRICAL �� = i0.MP SERViGE ' ' Q` ' PROOFtESS ENERGY �, "W.R.E.C.
<br /> OPLUMBlNG $ . ` - � .,,�
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<br /> QMECNAIVICAI. $ , �VALUA7lON.t3F.MECHANtGA1:.tNS2ALLATlOA1 � � �
<br /> [�7c�as .C] raoaF���:.� Q s�Eci�.�rr=� o�HEr� ,
<br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA �YE$. , .,. NO _
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<br /> BUILDER < �,� .._ COMPANY � ' �
<br /> SIGNP►TURE � REGISTERED Y/ N, F"EE cuRtte�' Y/,N,..:_-,;
<br /> Address ' - . 4 -License#�`t I
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<br /> ELECTRICI�IN� ;,, ;�; - : ;s • ,' COMPANY * , . '. �
<br /> SIG�4IATURE - � REGI57ERED Y I N FEE CURREK Y/N ,
<br /> Addre�B - . . ' �, 'z ._ � °�lfcense#:s� , � -' �
<br /> NLUWIBER w � , . COMF!ANY: :," �' = :' : -. ' " ' `
<br /> SIGNAI'UItE J' . :,.J � -
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<br /> SIGPIATURE ",� . �.`z � • ' ' � REGIS7ERED:� � , ..Y;/"N.� , � "�FEE CURRE�- 'Y:I^N•'�- '�. ' .
<br /> /�ddress:. -- , .- . s�_..' . ': .. , Y �Lfc�nse#,�, -.. .+ . . , � � -
<br /> OTHEFt .,-.....� .= G .-� .�� ., .� � . _ ;�`COMPANY�, - ... � -., r . .
<br /> SIGPlATURE � :;.` .''`' • ,. „„REGIS7ERED , ,, Y/.N,. <<FE�:CURRE�. , -:YJ�K: .
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<br /> Addreas� ,- .,. - _ g`i - ,.w�,..s. _, � . �:;_._ , .., .f.,4 . ' ' �L1c.ense# � ` - I
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<br /> F: :si .''� ,:fi�,�. `;• °f�� '�Ene }F6rins�-R=-O=W�Pem�it.fort.ne coris�uction,..
<br /> RESIDEPI79At,�::.�'A�tach;2�4P10 rPiaris,.(2�):sets,of,Bulldi'ng P..,lans,-(1j;se,a.f. sgy ,, �►;,
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<br /> �:•�.Mlniinumrtens(r10)�working�days�a�ter„sutfjGi'�Ittal�d�fe:�:Requlred onsite;`-ConstruoBon�Plan`s;tStormwater,P.l,ans wl,.'S
<br /> �F` installed
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<br /> Santtarj'r-Fac�ti�esk&�'#5i�u�ttP�ter,Si#e��tltaficPer.mit-�r;sutidivlslGns�arge�projects� ,,,�:�•.:: '..;:-=' ' _
<br /> CORAMERCIAL Attach(3)�eompl"ete�'sefs'ofBu�iidingRPtans�ptiis a'Ufe Safety Page;(ij set of Energy Forms.R=0-W Parmit for new c6nstiu4tian:
<br /> � Minlmum ten(10)wrorking dayg afker submtttal date. Required„ansite,,,Construction Plans,Stormwater Plans w/Sllt Fence Installed,
<br /> Sanitary,Fac�ti8es 8�,1.dum�Zster.Site Work•Permtt.�or ali new.pi+ojects:�Ait commerclak�nequi�ements must maet compitance , ,
<br /> SIGN�PERMIIT Attac�i"(2)'setsoi`��ng�neer,qd.Pl�t�s3�.0�.r� ;.:: . . . , . ' S :
<br /> •`""PROPERT.I:.SIJR1/EY,reg,,uired.for,ap�NEW:c�r�s.Wctlan,;,.. , -
<br /> .Directl'ons: .� . .: - ., ...�� __. . . � . __ ,. .
<br /> Flll:out appAcation completely.
<br /> Ownar&Cantractor stgst.back of.appltcatlon,nptar�-ted
<br /> If'over S2SOO,,a,Notiee of:Commenc�ment Is requfre�d. (A!C upgrades oyer t,750Q)..,_ .� _
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<br /> '* Agent(for tti`e-caritr�ictor}`4r Fowe�of Attoiiiey(fot#he owner,.)would'be someane with,notacized letter ftnm awner autharizing same
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<br /> :OYER'THE-COUNT�It.PERMITTINI3;�=`=-_-:=�(Front=ofrApPlicatioii�Only)�� - .� ~t
<br /> Recoofs if shingtes Seweirs Servtce Upgrades A/C Rences PIoUSurvey/Foofage) -. -- -- . � , - .
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<br /> �"rivewray�s-Not over Counter if on public roadv�iajis.:neeils ROW
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