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a��.7eaoo�o City af Zephyrhills Permit Application Fa�c-813-780-0Q21
<br /> • Bullding Departrnent
<br /> Date Ftecelved � ; .�. • ._. ._ - -- _... _..- __ _ _._
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<br /> . �1'� 2�/ Ahone Goeitact'-for:Peni�lttln .
<br /> Owner's Name_�G . � � . , u..� � l - . - � -"`Owner"'Phone Number����c� '"��� "' a
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<br /> Ownar's-Address • /Z�� �t_' � OwnerPhone Number---��-�—��0 2- ,�-�Q�
<br /> Fee Slmple Tltleholder Name � � Owner Fhone Num6er (" -� ' �
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<br /> Fe�Siir�pfe Titteholderi4dtlreas ` " .
<br /> �ae�o�aess ,,,. ��r,.�.� �t . 2.�� , �j r� i�G-~S `� � _ ._ . �_ --�.or#__el�.�J
<br /> SUBQIV1SlON ' ' ��. , �' PARCEL ID# - , . � • - , _. - - ' -- .,-- . . . . . ,
<br /> , .. -. ��' ,. ,..� . , :'(OBTIUNED-FRCMPROPEIYTYTAX'NOTiCE)., ': _,
<br /> WORK.PRORtiSED , •..NEWCONStR � _:.:..,�:ADDlALT `� .SiGN'� �{��` .� ,, � �, . DEMOI:iSH -
<br /> 4
<br /> � . ' e lNSTALI. � �+ R�PAlR _
<br /> PROPOSED:USE, . . . -��] SFR " =[� �CQMM' [,,,�'� `�OTtiEEt. � _ . _
<br /> TYPE OF CON37RUC710N ; � Q` ;BLOCK �' ,:�'�,` ;FRAME :,C�,., . .$TEEI.� :Q;;:,>: ,_ .,....:w�;.;; . � ' � - �
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<br /> DE3CRIP110N OF WORK - '��+� � l, � /"1/ �� .� . �"-; � - ,.
<br /> BUttD1NG�SIZE ��� � �1. i SQ.FQOTAGE �{ 1 ;HEIGH'G '; Y .
<br /> _ �w^3�� - � ��
<br /> ��$l'11i.D1iVG '��;:;• _-� ,.�:;.,.- ; , , . . ,.
<br /> �:�����.� VALUATIdN'�!F T`OT'AC`COf!1§'TFtl7CTI0N_ ���,�„� : , .
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<br /> —�ELECTRICAL $ AMP�SERVIGE Q, PRt)GRESS ENERGY [� W.R:E:C.
<br /> , �� . . . • .,
<br /> QPLUMBlNt3 `, ($' � � . � - `
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<br /> �MECHANICA! $ VALUATION OF MECFIPsNEGAL IPIS7AliATlOiV ��,.���
<br /> ���� _ F P N `
<br /> �c�s �,. �ooFi�vG.,-p. s��c�a�.�r,r 0 o�r+�a ,
<br /> FINISH�D FLOOR ELEVATiUNS ;.��'} FI.00D ZONE AREA �YE$ NO
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<br /> BUII.DER -----. ��COMPANY
<br /> 31GNATURE �G'3��Z�-� ./r�e� REGIStEf2ED Y/ N . GURF2Et� „ ..Y:I.N..•,. .,
<br /> Address . License# l �
<br /> � � '
<br /> Ei.ECi'RiClAFi � GOMPANY` .
<br /> SlCiNATURE � � RE6lSTERED Y 1 N cu�n Y!id :
<br /> Address ' - � . °.Ltcense# ! � . �
<br /> PUlMBER - �� Cf3MPANY° .' � .. .
<br /> SIGNA'1'URE :, .R��ts't�REo - . � :,;Y-IA,N �:. � �E cuR�n Y 1 N:
<br /> Addre�s , _IJcense#`�� , �'
<br /> MECHANlCA4: � •- �---.� - -
<br /> ���: " G , ..t-_-_..x4 :, � .� , ' ,. .
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<br /> GtOMPAFIY �
<br /> SIG�NATURE � .—. , �..-_,_ �. ��%��' , _ttEGlsTE�Eo -.c-X:(id . GURREE • Y!�}": : , ,
<br /> Addreas� � � . `i , " Uceose#�-� - � !�.
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<br /> QTHER „ . � , .COMPANiC _ _ 's��
<br /> SIGNATURE' � .' • � Y �t�Gts'rE�o ' Y/�N`:.. ' ,�E:Gu�t+~ ��.Y,.t:N�.:;
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<br /> Addresa� . . . ;�,rfr��.�^ ` . ,, �Licerise�#I` �.
<br /> RESlQEN1"IE1L"°���'•�''A - .,;,:2 f: ,�;�;a . r, :,.: -�....r i .:._,,Tt•:.r .,,�.• �,•.�,u.:.�' ,�. : 7Wr.'., , .. _ � .
<br /> . .. ttac.�;.(2};PIoi;P#ans;x �sets:of� t't `�:� ,, ���' �s i~� ,.
<br /> (.)` Bqfdrig''i'1ans.('I)�sef'ofErieigy,Fiirms:R=O=W:P'erm'itfcrnew,�aoris,truction
<br /> � z...� �= .. „._., �... -- - •
<br /> ,-;;�Minlmum�tenq(1t});yir,otking;days_atters�ibriitHal,date=Requlisd onsiLe;�CoiisWc@amPlan's;`;Siormwatei�Plans wt,.Sllt Fsnce lnsta#led,
<br /> Sariltary FacitltlE►s&,iitdUlppSteYr Site+Wo,r`icNP,�r,miE'for,suticlliilslaris/large�projects.; ',:'.:�".�"','"'..,�.`: ` . '. ..`.� - ,�, �
<br /> COMMERClAl. Attectt{3pcorriptete:sets�of S�itifing�Plaris plits�a L`ife 5afety F!age;{9)set.of`Energy,Forms:'R-O-W Petmitfor neW�construction:
<br /> Mintmum ten(10)v"roiktng days after submlttal date. Required onstte,Construc8on Plans,Stormwater Plans wi Slit Fsnce lnstaHed,
<br /> Sanita.ry Fac�tltles&1 dumpster.Site.Work Permit�,forall'newiproj`ecfs:�All commerclal;requinements must.meetcompllance
<br /> SIGN PERMlT Attaich{2}'set"s of'Engl�,iee%+e��Ptans:sF,^�'r��, ... __ � ' . - , � - ,
<br /> •»•PRQPERTY StlRVEY,teguired far,all NEW.constructiQ,�... . -
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<br /> � V��iliai��$: _• , , - - `.�'cti'.:..�: ' . . ' _.r ` � ` ..:t ' . , . _<
<br /> F({I,out applicaSon completefy.
<br /> Owner:8 Contracto�slgn back of.applica8an,noharized
<br /> if aver S�S00,a Nottce;of,,Comrn�enr•ement ts requlred. .(AICFupgrades.over�7500) , _ - .
<br /> , .�.s�:.�,.crs,:•��.
<br /> " Agent(far tlie ecntractor)Q7:Power of;Attorriey(foT tfie�owrier)woutd be someone with nota�ized letter from owner autho�izing same
<br /> 'D.V.ER i'HE'COUNTER�,PERMITTING.��--•;(Front�ofiApplication Qnly) • � �
<br /> Reroafs3F shingies . Sewers. Servtce Upgrades�,piTC'.: --Fenoes{PlotlSunreylFaatage}
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<br /> Drtvewapa-Not over CouMer if on publlc roadways..needs`RQW
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