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813��aaooao City of Zephyrhills Permit Application � F�-a��aaaoo2�
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<br /> a. ; -� .. , But�a�ng Departmerft ;
<br />' Dats Receivfid - ';Phon�-Cantact:for Pefmlttin <_
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<br /> Owner's Na I e , Owner Pltane Number C ���� ``f � ,
<br /> Owner's Addra�s � g�1"�� �(�4.�OV d�'� �`1" Owner Phone Number �
<br /> Fee Simple Tltleholder Name � Owner Phane Number � �
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<br /> Fee Simple T tleholder Addresa " �
<br /> OB R � O 7�� 1,.rlJ�^'N I�"(� �� �� i'+ ��.�I�S � LOT#
<br /> J ADD E i5 � � �
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<br /> SUBDIVISION �` ,� PARCEL ID# �
<br />� WORK PR��QSED , � `^NEw CONSTR ."' ADDIALT � SIGN N�n F�PROPERYY T�nce�DEMOLiSH '
<br /> e, ' .INSTALL � : REP�41R -
<br /> PROP03ED=�FBE. Q SFR � COMM� � OTHER ��'C+� , , .
<br /> TYPE OF CO�ISTRUCTION- � Q BLOCK' "' �] FRAME [� STEEI. Q
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<br /> DESCRIPTIO�"OF WORK �i�S����- ���' ' �,� Q����, �`� �� �o.� �r�.t.�' �
<br />( BUiLDING 312E � � 34 FOOTAGE��, . HEIGHT...�_� ��� wi J"����tl
<br /> ._ap. , � ._ �
<br /> QBU(LDtNG $, l o - 0/L� ,VALUATION OF 70TAL CON�TRUCTION . , II
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<br /> QEl.ECTRICA� . � � � AMP SERVtCE ` ' Q PRQGRESS ENERGY Q W.R.E.C. ;
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<br /> QPl: N1BI�VG � � ` 3
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<br /> QME HAN1CAl $ VALUATION OF NIECNANICAC II+fSTALWTtON � ��� ;
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<br /> [�ca: � �oaFir�� �.[� SPECIAI.'iY [`]: � OTHER, �Q�'� �
<br /> FINISMED FL; OR ELEVATIONS �'� FLOOD ZQNE AREA �]YES NO i
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<br /> ��!_G*FR �' ,eM� CONfPANY�-� - , - - - - - ; -
<br /> SIGNATURE � d � REGI3TERED Y/ N `FeE cuRRE� Y/N.
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<br /> i Addressi � License#=I � �
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<br /> �ELEGTRiCI �.-� - - COMPANY - ` ',
<br /> SIGNATURE '� Re��sTEReo � Y/ N FEE CURREM Y/N ,
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<br /> Addres�� _ , e, ., License#;� I i
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<br /> P�UMBER 1 COMPANY. - -
<br /> $IGNATUItE �� � _REGISTERED Y l,N. _ FEE-CURRE�- Y/N. �
<br /> Address� .License#�� - � �
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<br /> MECHANlC ' , , ,-. COMPANY.- � � ,
<br /> `SIGNATURE �,. REGISTERED Y./_N. . FEE 6URREk Y/N . '
<br /> Address ' = ' � .., , . • ` � Ucense# �. � �
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<br /> OTHER . , + � COMpANY _�� , - �
<br /> SIGNA7URE* ` � ' � � � � `REGISTERED� Y/�N „ ' FEE C,URRE� Y/N- ,
<br /> Address` . , - = � ' Ucense# i
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<br /> 'E2ESlDEPITIAI::= ;:':Attadi�2};P.,lot.Plahs„.{2};'sets=of:`BultBiitg"Plaiis;{1)'sefof Eneigy=Fomis;R-0-N!Peiinlffar`-nev+r°constiva�on, , . - 1
<br /> �� Mlnimum;ten; 10)xworkin � � � �
<br /> , ,� •:. (,,,,. �,r_,; ,9;days,afte�_subiriNEal3d`a#e3;Requlred.onslte;�Constiuctlan°Plans;Stortriwate�'Plans w/Silt Fence installed,
<br /> �Sanitarp Factlitlesi&�.1£dumpsterySite:Work;Permit=foc°subdtvislonsflarge:prioJects,::T:"�-„ :S ` ` ` � -
<br /> _ COMMERCIAl� Attach{3}r;arrip�ete sets"of B�iding`Plans'ptus a'�ife�Safety Page;(1)set af Energy Fotms.R-O W Permit far new canstructlon.
<br /> ��. i, Minimum ten(10)worfctng days'after submittal date. Requlred onsfte,Constructlon Plans,Stormwater Plans w/Stlt Fence installed,
<br /> � i Sanitary Facilittes&1 dumpster.Site Work Pesmtt tar atl new:proJscts.Ail cammerc3ai requErements must m�et compilance
<br /> SiGNPEtttdfl'9'} --Attacti`{2)"`s`etsaf`Engiiieered.,Pians.:,.�:�.::t�� '�� :;,; , , � � .
<br /> •`""PROPERTY SURVEY r ,wred for all N
<br /> � �4,.�v;..,�..._...,__EW c;onst[uction..
<br /> �Directions: �� ,:,��.,.�,.,.•:�,. � �
<br /> Ftll'out appllcaUon completely. ,
<br /> Owner&Contractor slgn back of applicatton,notarized �
<br /> lf over�I500,a Notice;af Commencement ts raquired. (A!C upgrades over 57500) '
<br /> "�� t.��k..�.��". �
<br /> " A g e n t{f o rl t h e c o n t r a c t o c)q r'P o w e r o f A tt o m e j r(f o i��t t i e�e w n e r)w o u l d b e�s omeone with notadzed letter from owner autho�izin g same ;
<br /> OVER 7HE CC�UNTEit�.RERMiTF1NG- �- -�(Front ofrAppllca#ion Oniy)�� - � '
<br /> Reroafs if shing�les Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) I
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<br /> __ __ Drivewaysc-Not aver Counter if an publfc rosdways..needs ROW
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