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813-7�o-ooao City of Zephyrhills Permit Application Fax-813-780-0021
<br /> �ulld3ng Department-.....:.d,,.._,.,...�..�:._.,,�_.,,.::.,.•._...,.�,.._._,...., ,
<br /> Date f�ecelvedZ Phone ConNact for-Psrmitfln ` . °.,� ': •
<br /> Owner's Name Au S ov�r� b;�v � �r�'w+�en�'s Ownar Phone Elun�ber� � � � '
<br /> Owner"s Addr ss '�3 �rli'�4 G!'�' �!f'<r�c70 cvrn��4 Owner Phone Number � �
<br /> Fee Simple Tit eholder Name �^ � Owner Phane Number �� �
<br /> r;� ..
<br /> Fee Slmple Tit eholder Address "
<br /> JOB AClDRES ���O� �Own Vi�.4/ (/'•L �20 LOT# C�,,,�
<br /> StiBDIVISION � � PARCEL ID# '
<br /> (OBTAIPlED FROM PROPERTX TAX NOTICB�
<br />� WORK PROP SE� , -NEt4t CONSTit ADD/ALT � SIGN Q Q DEMOi.tSH
<br /> �e INSTALI. 8 REPAIR -
<br /> RFtOP05ED=U E Q SFR. [� COMM Q QTHE�2
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<br /> TYPE OF CONSTRUGTION ° Q�" BI.00K " [� FRAME �] STEEC Q
<br /> DE3CRIPTIO OF WORK � G Cj�p�J �.1ptA ��1
<br /> �UtL01NG SIZ �� �` $Q FO'OTAGE�� HEIGHT ?��y�
<br /> QBUI DING � � _. _.......- ...,.,.
<br /> ff VALUATION'QF TOTAL CONSTRUCTiON
<br /> QEl.E TRICAl. �� AMP SEF2ViCE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QP[.0 BING _
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<br /> 1�E FiAN{GAl $ �Z���(JO VACUATlON OF'MECNRNtCA1.INSTA�IATIt3N - ��� �
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<br /> ��as� [� s�aaF�H� .p SPECIALTY � OTHER .�-���
<br /> FINISHED FL OR ELEVATI4NS FLOOD ZONE AREA QYES. iV0
<br /> BUILDEIt CflMP/�tY� "
<br /> SIGNATURE REGISTERED Y/ N FEE CUI2RE� Y/N
<br /> �►c#drss$ ' Lic�nse# �— �
<br /> EIECTRIC . � - COMPANY �,
<br /> SIGNATURE� '` REGISTERED Y/ N FEE CURRE� ' Y/N
<br /> Addrsss � License# �, � �
<br /> PLUM�ER � CQMPAHY `
<br /> SIGNA7URE ' � � REGI3TERED Y/:N FEE CUFtRE� Y/N.
<br /> Address License# � �
<br /> NISCHANtC , .�?��h�. _,.1 � COMPAt�tY �1Y"L'OYl�i��'O»Pr7 e�`t4�'!'�S I rt G
<br /> SIGNA7URE� """`u��' ' � REGI$TERED Y,/ N FEE CURREP. Y/N
<br /> Address � ��Sf'� �E.�ar� `R�, �a���c�no� �'�. :3�8G� + -,License# �. �
<br /> OTNER . . , . ' ' '.COMPAI�IY ,
<br /> i SIGNATURE � ' ` � �� " REGISTERED' Y/ N.:.. FEE CURRE�' Y/N
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<br /> Address °- ,. . - - � � ticense# � ' . � �
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<br /> RESlDEN3l �; �= Attacti`{2},P16t Rtatis;.{2)'sets:of:Bultiitng'�Plans;(1)set ofiEnergy Foiins;°#2=0-W Pe:rriit tor new cons#ructtan,
<br /> � :Minimum�ten�(:1,Ojrworking;days:after"submlftal date.�Requlred onsite,Canstnic8dn>Plans,Stomnwater P1ans w/SIR Fence installed,
<br /> ��'Sanitary Fac(Ilyes;&;�1,dumps;e_r,cSite�Worlc,�.Permftfor.subdivision"sllargeJproJepts ' ' � �
<br /> COMNIERCI Attads{3}cosnpf'e#a s�'ofi Builaiiig Plans plus a�Ctfe�Safeify Page;(1}set of Eaergy Farms.R O-W Perm!#for new canstruction.
<br /> M(nimum ten(10)working days after submittal date. Required onsite,ConsUuctlon Pians,Stormwater Plens w/Silt Fence installed,
<br /> Sanitary FaciliGes&1 dumpster.Site Worlt Pem►It for all new.proJectsr All commerctal requlrements must meet compliance
<br /> 8lGN PERM! Attac�'{2)sets of Englrieered�Plans.,, =-?°•� ��,
<br /> •'•"PROPERTY SURVEY required,for all NEW constructian.
<br /> D1[estlan�: . �
<br /> Fill out a�plicatlon completely.
<br /> Owner&Gontractor slgn back of appticaHan,notarized
<br /> if over a�508,a Notice of Cammencement is requirad. (AIC upgrades aver 57500)
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<br /> Agent(fo�the ixintractor)or Powier of Attoriiey(for ttie awner)would be someone with natarized letter from ownar autharizing same
<br /> OVER THE CbtlNTER,PERMi'L71NG- - �(Front af�AppticattomOnly)
<br /> Reroafs If shi gles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) ,
<br /> Drivawa -Not over Counter if on public roadways..need's ROW
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