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e�saso-oazo Ci#y of Zephyrhills Permit Application Fax 813-780.002�
<br /> - ; Building Department
<br /> oat,�����,�� ry _ � � u f,�/.3 ��' � - .3 .
<br /> z! ; ` Rhone Coritsct��far Parmittlri .,:
<br /> Owner's Name � A�4 N D , S�lt1 Qwner Phone Namber g -�� 7� '! 8�+�
<br /> Owner's Address .3 � �..'�I �O p�V Gy!o6�C1 Owner•Phone Number �, � �,
<br />, Fee 51enple�TltlehblderName �w � Owner Phone Number _� � ,
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<br /> Fee Simple Titleholder Address �. �y� "� ' '
<br /> J09 ADDRESS 3 g � � � �O �/!3�/ l,�Q��r!� LpT# �,� /
<br />' SU9D�tV131QN � � � PARCEL ID# ' - ` ,
<br />;� � ' �(OBTAINED FROM�PROpERTY TAK NCTICE)
<br /> ii WORK PRt1POSEp .. NEW CONSTR � � ADDJAI:T ��� SIGN Q Q DEMOLISH • ,
<br /> .-� � e , INSTAL•L 8 V -. ':REPAIR`
<br />� PROPOSED tiSE. Q�= SFR �] COMM `� O'fFiEt2 .
<br /> TYPE OF CONSTRUCTION, '�` `BLOCK�' . [']'� � �F.RAME � STEEL Q� � , -
<br /> DESGRIPTION OF WORK R''� £•�� lJ/� � .
<br /> BUiLpiNG SIZE��� � SQ.FOOTAG+E: .��, �HEIGHT,`.� �. "
<br /> QBUI�DI�tCa $ .....�a;r.�:�_ ._;._,_�,�.= - ---� , .
<br /> , , VAlUAT10N`'.aF`TOTAL'CQNSTRUGTION
<br /> , �. , , ,
<br /> QEI.ECTRtCAL $ • AttitlP SERVICE � Q RROGRESS Et�fEF2GY [� W.R.E.C.
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<br /> QPI:UMBING � - �
<br /> �,�!'"' , , ., , �( � ��-
<br /> CR�nrt�c%HANlGA� $ �j O ' , ttALi,lATIQN,OE MECFtAN1CAl.[NSTA�LR'1'!OW -{
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<br /> QGAS ,� ROQFiNG,,�O SFEGIA�t.I'Y �� OTHEF2 .
<br /> FINISHED FLOOR ELEVATIONS C��� FLOOp ZONE AREA �YES. NO
<br /> BUl1.DER COMP%►NY ' ` - ,
<br /> S1�3N�4TURE RE(31STERED Y/ N FEE CURREA: . :Y/.N .-
<br /> Addre�s � ' License#"�� �
<br /> ELECTRtC1AN, �, CClMPANY - . ' ` - -
<br /> i SIGNATURE �' REGISTERED Y/ N F�GUR�n �Y/N' ': ' '
<br /> ` Address � + . , , . =.Ucense�#-=1 ' ` �
<br /> � P�UMBER . , • ._, , COMPANY� , , , , _ _.. ..;
<br /> ' SIGN�ITURE , REo�srEREu - :,.Y./-.N�:� � FEE.QURREt��= • `Y/�N: ;:' '
<br /> ���� � . �� . License# � " < _ �
<br /> � MECHAirlIGAt: � . - � ,.COMP�N1!- L?`J�:. ,I,�'..�.!!�A n._.G G?1�S /y - .
<br /> � SIGNATUR6 ^ ".'� .GC��.�; , REGI,�STERED: , -.Y:/'N:,� ,. E.CURREt� -.Y./-N`..
<br /> ' �ddrsss'", , il�{ `-�f'Il•v ` Z- ' `,f.` - ,. , :Llcense# �_A�. o y!,��1 ;f� .� � . �
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<br /> O;HER � . ' .. -� . , ; ., ' ,G{>�IiPANY - . � : , � � ,� i. , .__� -.. , � , . _
<br /> ' SIGNATURE.� :. " ` " „ ,REGISTEREO - . Y,/.�M:.e. �' 1;�GUF�� � ,Yd,N::-- ,
<br /> �,tfdeess . . Tx;���:tJ-�=r� ° , ., � `UcOnse#��� - t � �
<br /> . . -_ ,.a�- yti�• �- - - -"�t•".,.d;'`+" 'h'�y<u�• ,a=.,;t:�t_ i..�t,tu., . . . .
<br /> RESlD�41TIAL=._ -�A`ttacti;2i;#?lo�Plaits;,2;sets;of<But1d1'n':'�?lans,•,�f�;set:'of�Ene' �FaimS;;R=�O=W.Pemilf:forrietii+,.con`struc�on,- . ,
<br /> =.A { ) , . . . {.) , .. 9 , {.7.,. . �►Y...,. - ° ��.
<br /> ..w;f -:,.-a :�.
<br /> ;.x�Minimums,ten?(140.)�wQrktng;d,"ays;,atte�;'sutimlttali8ate:`=�Required,on"slte;�GonstrucUon?Plans;�Storinwater:Plans.w/Stlt Fence�insEalled,
<br /> � ��San`ltary Fad4ltles 8��1�,dunX►pster SlteFWoifc�PerXnit:[or..stikidivlslorisltatge"proJect's�:.<-:��?�4 n'..' '�'.��.;:' � :. �� _- :; �.
<br /> " COMMERCtAI. AKach(3j�eainpletie"sefs of'Butt�ing Pians pius a�t`�fef Safety Page;('1}set af Energ}r Forms.R 4W Perrr�it for.new ccn'structton. _
<br /> Minimum ten(1p)worlctng days after submittal,date. Requfred onslte,�CanstrucNan Plans,Stormwater Plans,wl Sllt Fence,lnstalled; .
<br /> Sanitary Fac!litles�..1_dumpster..91fe..Woili Permtt fcr.�ll,new'proje�:All commerdat.requirements�must.meet comp!lance
<br /> SI�N.PERNIIT Attacis{2)"s`efs of'�iigl',n,"_eereti=.Plat�s:.:�;:;?;:'.°`.°-r. • • ,
<br /> '"*"PROPERTY SURVEY:regulred..fqr�all NEW cans,truchon.. . , _" - , � �,
<br /> Dtie`i6tlona: _ - . .r �- - . - - - -- • '
<br /> Ffll out apqNcaUon wmpletely.
<br /> Owner&Canhacxor stgn bacic�of appllcaUon,natarized
<br /> If'over S2S06,a;Nottce pf•.Commenc�mant ts required. (AIC upgrades over_37500)._, :. � "
<br /> ,.,:•��:::.....:,w:::�==_. .,..,».._.... ........... .............�._._..�.. .. . .
<br /> �. �.a..<...,._„ s - _
<br /> Agent.{for the contractb�).or'Po�`iiier of�Attoiney(fa�the�owne�)wbuld tie someone with nota�ized lekter from owner autho�izing same
<br /> � .� •,. ,, F_, . _ . a_
<br /> DUER�THE:GOUN,T,ER.PERMI7TiNG=-'=::"`(FronE�of�A�ipticaUon Ontyj '
<br /> Reroafs If shingles Sewers Service Upgredes A/G Fences,(PIoUSurvey/Footage) -� -
<br /> i Drivewrays-Not over Counter if�on pubila roadways.:needs ROW���F��
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