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813-�eo-oo2o City af Zephyrhills Permit Application Fax 813-78aoa2�
<br /> Building Department
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<br /> Date Recefved � Phane�Contactfor Permittia ' —
<br /> Owner'a Plame ,� Owner Phane Number r "' � ! '"'� �
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<br /> Owner's Address � � Owner Phone Number
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<br /> Fee Simple Tltleholder Name Owner Phone Number �� �
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS � �Z I/' ' LOT# C��
<br /> SUBDiVISiON � � PARCEL ID# �
<br /> (OBTAINED F.ROM PROPERTYTAX NOTICE)
<br /> WORK PROPOSED - NEW CONST1t ADDtALT Q StGN 0 "CJ DEMQ�.lSH
<br /> e. INSTALI. 8. REPAIR
<br /> PROP05EDzUSE Q SFR Q CAMM " Q OTNEFt '
<br /> TYPE UF COWSTRUGTION Q � BLOCK ` [� FFtAME [�� STEEC C]
<br /> DESCRIPTION OF WORK � � �" , ,�i"L tij�� ���,.�
<br /> BUI�DING StZE � SQ FOOTAGE HEIGHT 4-
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<br />' QBUlGDING � ,� VALUATION'Ct'F'TOl'A�CONSTRUCl'ION
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<br />� QEIECTRiCA� � �'� AMP SE#2VIGE •Q PRfOGRESS E(VEf2GY Q W.R.E.C.
<br /> QPk.UMSlIVCy �> � ���
<br /> MECHANICAI $ VAl.UATION OP�MECNANIGAI EPISTALiATt N. � � "
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<br /> (�GAS Q RQQFtNG .[= SPECiAi.TY �� • OTHEt3•
<br /> FIfViSHED FLOOR EL�VATIONS ��� FI.00D ZONE AREA [�]YES. ,NO
<br /> BUILDER �,,,�L�„�_����i�� COMPANY� '
<br /> SIGNATURE REGISTERED Y/ N FEE cuRREn ' Y/N
<br /> Address � < <. Eicense�# � �
<br /> ELEC7'RIGIAN: COMPIWY- - -
<br /> SIGNA7URE �' REGISTERED Y/ N FEe CUI�eN'� �' =�Y/•N `
<br /> Address , ' > . . license#.�< - �• �
<br /> PLUl44BER GOMPANY ; .
<br /> SIGNATURE " , REGI$TERED- Y./.N , FEE CURREk '�.' Y�/N ,
<br /> Address �icense# � t , . �.
<br /> , MEGHANiCAL' �`�=2,y �Z-,�-- � COMPANY. , ,
<br /> SIGNATURE � / REGISTERED , Y/ N FEE CURRE� Y/°N' .
<br /> Address� � � - = ` license# �' �
<br /> O'tHER : � - ';COMPANY .
<br /> SIGNATURE � � � ' � ` REGISTERED " ' `Y/ N . FEE CURRE� Y/N
<br /> Addres� � � ' Cicense# I �
<br /> RE3IDENTlAi;,'= :Attacii"(2},Piot�.Plans;(2}set`s.of=8uilding�Ptan`s;'{1}se#of'Energy=Foims;�R=O=W Perinit fttr new construcf�on,
<br /> � ;,,, Minimum;tenR(:10);wroridng;days after subriniEtal-date:.Required onslte,�'CansfnicHon-Rlans;Stormwater Plans w/SIIYFence fnstalled,
<br /> "� �Sani4ary Facil(tles;&�;1;;dumpste_r,=Slte Wor,k.Permit for su6diVislons/large proJects �• r
<br /> � COMMERC#1�t. Attach(3)c;ompl'ete'sefs�of`Bu31iI3ogPlans plus a LlfejSafef}r Page;{1)set af Energy�Fomts.R-0 W Petmi##or aew cans#rucflon.
<br /> Minimum ten(10)working days�after submittal date. Requtred onsite,ConsUucdan Plans,Stortnwater Plans w/Silt Fenoe installed,
<br /> Sanitary Factlitles 81 dumpster.Site Work PermlR for all new.proJecis..All commerGal requlrements.must meet comppanca
<br /> SlGN PERMIT Attac�r"(2)se#s of Erigfneered-,Plaiis.;: -.~; . : -�..� _ . '
<br /> ..««pROPERTY SURVEY required for all,NEW construcUbn. . � ' _ �
<br /> Direc#ion�: -_. . ,
<br /> Fill out applicatlon completely.
<br /> Owrner&Conhactor sign back of applicaHon,notarized
<br /> It aver 52500,a Notice af Comrrtencemen#ts reqaired. (A!C upgrade�over ST500)
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<br /> '* Agent(far the contractor)or Power of Attoiney(fo`r Uie owner)would be someone wlth notarized letter from owner autho�izing same
<br /> OVER THE COUNTER.P..ERMI'fTtNG- --:-(Front of Applicatton On{y) - - ' '- ' �
<br /> Reroofs If shingles Sewers Service Upgrades A/C Fencas(PlodSurvey/Footage) _
<br /> Drivewaya-iVot aver Co�nter 4f on publlc roadu"rays..needs ROW"
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