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<br /> �813=780-oozo City of Zephyrhills F'ermit Application Fax 813-76q-0021
<br /> � Building Department
<br /> Date Racsived ., - : , � t� 2�7
<br /> , Phoss�Coetact':for'PerimlftEn �:; ` O l-�., 2�•� _�cJ d
<br /> Owner's Name �� t� �/V� ��L�'S a Owner Phone Ptumber 81�-��a'- �'{g'��. .
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<br /> Ownar'a Address �� !'� ��� � �Owner-Phone-Number ' , �.
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<br /> Fee Simple Titleholde'r:Name ' � � �� " �� � Ownar Phone.Number . � r :;�_ , �
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<br /> Fea 8tmple Tltleholdec/4ddress ,.- - r • - Q �' �� = ' � ` �
<br /> J08 ADDRESS ���I '�� /,�L� �-H�L1--.5 ', �o�r#_ �,_� ,
<br /> SUBp{VISION - �� ..:�� �iu�ci��i� �� � -�/ l G�,eDI D 6��DL)- ��Z� ..
<br /> , � � � �' ',-�(OB7AINED'FRC�M�PROpERTYTAX'NOTICE} '••
<br /> WORK PRQPOSED '< + NEW GpNSTR RDD/AI.T �� �S1GN '� � = Q:�� DEMOL'ISN , • ,
<br /> .. - .. , :e�j' 7 INSTAL:L �:REPAIR: -•
<br /> PROP05ED USf .�_= SFR .
<br /> .._ Q`= ., .. <,.Q 'COMM`; _� OTNER',x .Y_.. . , .
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<br /> TYPE OF GONSTRWCTION; '�]. BL'OCK' ' ;'Q' �'',FRAME � ;S'LEEL, Q_-.., -
<br /> DESCRIPTIOFI�OF WORK '�,' a,�%I)I37��'- �"/"� G�Gn�.� �'��,Da� ia�'�L. �. IE�S �G of C�D!Yt dN 4r
<br /> BUIt»D1NG SiZE;�� � �`�SQ;FOOTAGE:._ _��.�. , _ :a HEIGHx;. ; ...�:'' �<, ` 1
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<br /> QBUt�DING � _.�.,,��:.._ ...r. � = .. -� ` ' '
<br /> , , VAL.UATI(7iiN`�F`I"laTAL'CONSTRtlCTIOiV , ,
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<br /> [�EI.ECTft{C�4L $ ANIPSERVlCE � f�` PROGFtESSENERG`f "Q��' ,`W.R.E.C.
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<br /> QMECHANiGA1� � $ ,.„� 'VA�iJAT'IdNsOF NI�G�ICAL 1lHSTALL.ATION � .
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<br /> CJ4;�►s � �,-,�oQ�E�c�-��p sPECN�nr-=0-� 07��� , :, � � -
<br /> FINISHED FLOOR ELEVA710NS C"� FLOOD ZONE AREA , ;�YE$: NO „ ,
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<br /> ; BU11.DEit GfiMPi41'VY' , ' , � . _ . ,.
<br /> SIGNATUI21� REGISTERED Y/ N. ' FEE CURREA'"ry':, �.:Y l.N.,::;, z.." ., . ,
<br /> Address . ;� . . . ` UCense�#`� ` " � .
<br /> E�ECTRICI�N«_ , ` , , CdMPAPlY` .. . _ � �: _ ,� , - , '
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<br /> Addre$� - _ � . � '3�� `'�''�.�''�
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<br /> PlUMBER „ . � � . COMP.ANY� - ` ` . -
<br /> SIGNATUR�; � . ., �REGI&7ERED . ,. >sY./.-,Na . F.EE;CURREt��;; , ,Y/'N:"` °
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<br /> SIGPlATURE " REG�S7ERED' , :Y- , `.:FEE:GIJRREt�. .. �;5`
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<br /> OTHEtt . . ".` ` . , _� r. • GOMPAAIIt'. �,� . �
<br /> SI(3WATUR� � v .. .. , Y,•� . . .�,, ,_ . -:;,,. ,. _ . , 'REGISTERED ,: GY,/.,N�..� A����uRr�n-� �:Y.�I,N��.�:,;, ,. _ , .
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<br /> R� E 'tli= Flo�P"�ii`�=2 5se�` ':f;f t�ltcli`ri' :Ians�< 9;�eti`of�Ene `s�crir�shR=0=1N:;Permif:for new;con'striict'i�on�... - <
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<br /> �,Mlnimum�.teri:.o1Q'wo:rkfn'�d"a s�a�ter,}sutimiftal£clatie:.�!R"`uired:onslte;�ConstriicUon�Plans,�Stormuvafeir.,Plans'wl;SiltFQnce.installed,..
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<br /> -. _ . Sanlfa�FFadlid. s�'8�1�":ii .t�r�=$Ite*�IUiilfirR�er.it►Fx r:siitidi�lsto�s%la'.e�:;r`o ecls_s:::��n;;t:,k; ._ .._.�.� ., - _ - --
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<br /> CQMMERCIAL Attac�(Sj'eamplete sets of Bulti�ing Plans ptus a Life�Safefy Pag�;(1}set of Energy Fqrms.Ft-O W Aerm�t far neW i:onsti�it�ibn.� �
<br /> MiNmum ten(10)wrorking days after submlttal date. Requlred_Onsite,�C�nsWcUon Plans,Stormwater Plans w/Sllt Fence Installed, , , �
<br /> Sar►llary Fadlitles�8�:1,dumpster..Site�Wark-Permlt,for•�ll�ne'vir projects:'Afl'commerciai:cequirements•must'meet:comgllance � , , ,_
<br /> .SiGN PEI�MiT Attai�i(2)sets of`Engtni�erea`Pia�s:�,�;:,�„rr�„{" .. �... ,". � <� ;,,,- _. ..., , -
<br /> •""•PROPERTY.BURVEY-required;�r�a11 NEW,.consWction:;_ � _ • , ,� �_ , .
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<br /> Rireclions: _� ;=-a�- _- . < < . �...._.__._ �.. ._ _W . .
<br /> E(II'out applicatlon completely.
<br /> Owner&Coritractor stgn.back of appllcatfon.notarJzad �
<br /> if'over y2500,a;Nottc�of,Commencament is required. (I!UC:upgrades over 57500) �F.� �� ..�. - ,
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<br /> " Agent(fnr tf►e.+contractpr);or'Power of Attoiiiey'(fo��the:owner.)virould'be``someone.v+rith,notarized letter from owner authoriaing same
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<br /> �QVERTHE:COUN'T�RoP.�RMiTTiNti�;"---, v(Front�of�ApPlication 0niy)=��-�, '
<br /> Reroofs if shingles Sewers- �Service Upgraides,,A/C �� _ Fences(PIoUSurvey/Faotage) -- _ -' ,-r #{
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<br /> u':-'y..ts':={ ;�.__' . _
<br /> Driveways-Not aver Caunter lf on;pubiia roadways.:naeds�RfOW, -�� � ,
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