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<br /> �13-780-p020 City of Zephyrhills Permit Applicatipn Fax 813-780-0021
<br /> ° 1 " . 8ullding Departrnertt
<br /> Date Recflived _ ��� �Rhone•6orifact�for`�Permtttln N`�' ' L`� � �ca � _ ���:� "
<br /> Owner's t�ame �� �L� _ .d ,flw n tlwner Phane�tumber C>�.�""�7G1 c�'��`J�'�,� , �
<br /> owner's�iddPess -3���'� =Z�'2D/�IC�c,�oo. 'G�L: OwnerPhoae-Plumberx (- ' �
<br /> Fee Slmpl�TlNeholder:Name ��� _ � ' �. Qwrner_Phone.Numbe�'::�- __.�� ,
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<br /> Fes Simpl�Tltleholder:Addresa �'��' � (
<br /> JOBADDfdESS ��-�`7`��J�D E�/t�L1 G- � ILG� r � ..✓��� . LOT# C`� .
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<br /> su�oivisic►nr ��!�i��vo.sd�(�►yv�s� P,�c��i�' D��'�°'�:/���l� -06�Of�-- 4�5'O_
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<br /> WORK PROPOSED `� NEW CpNSTR � '.��� ADD/ALT �� S1GN ", Q Q:;r DEMOLISH � .
<br /> y . .� .Y INSTAI:L � � 'REPAIR' - ' , �
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<br /> PRQPQ�ED i'lSE, Q SFR � C] GOMM` � 'OTHEi2:.r-,,
<br /> TYP6 0F�ONSTftUCT10N; ' Q`.. BL'OCK`�',`�Q.,µ;,FRAME [� STEEL _ [�� .., - . �
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<br /> DESCRIPTIOPI�OF WORK Yi' ��'°�, �/� �j�1'�-N e-¢G�-� ao ��� ca� Gcs;rr). �dNe '�5 ,
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<br /> BUII.DIAIG ISiZET;'.� � $Q,FOOTAGEa� - . :,HEIGHT;--��=: -
<br /> I QBUILDING 5 $ , � ',VAGUATION�B��`T'OTAL`Ct]NSl'RtJCTION + , • � -- -
<br /> [��l.ECTR{CA� � $. � , � .r AN1P SERVlCE ' I PROGFZESS ENEl2GY ;W.R.E.C. . ;
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<br /> [�Pl;UMBING ;'$ _ . ' - _ -� '
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<br /> QMEGHANIG,4l ''` $ � p�. VAI.lJi41'ION,�F MECHAI+1lCAL.INSTAlL-ATlON
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<br /> �c�as C�. �oaF���:.{.� SP.-ECIALl'Y�Q -OTHER�. ��`' � -
<br /> FINISHED�LOOR EI.EVA710NS FLOOD ZONE AREA 4�YES. . NO
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<br /> BUII.DER � , - + COMPANY .-� � . . . ,
<br /> SIGN�ATUR� RECiISTERED , Y/ N, ' FEE CURRE�'M , Y./.N: .:;_ � , - '
<br /> I, J�ldress ' License# . -, . .
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<br /> EtECiRIC�,: �`. -. . - , . � � .`�COAAPANY� . . � "�' : , . � - ' , �� • � - .
<br /> SIGNIa1TURE y ��' REOISTEREp Y/ N FEE CURRE� `',Y`/'N �' �
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<br /> , Addre�s � ..- ., r. ' , � , �;.Ucense#��`�': � :- , ' «`�
<br /> Pi.1lMBER,� � ' .� , , • COMPIWY. ,. , . . , . _- _ i .... ,lt
<br /> SIGNATURL' e .,. ;REGISTERED`. _ . •-�,Y.'/�aN'- - �. F.EE.CURREI�,, �: ;Y�`N:�- �
<br /> �ddre�s b - � ,. ..LJcense# I' ::', ..- ' '�
<br /> MEGH11NtGi4l:;'` .' . . ,:�`��. ,�_ . " `.- . ;�OMPANY:� . - ��..` ,!"O- Y � � gs ��f�,.'.��. ,
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<br /> REGISTERED� _ ;Y/ N.:. �.EeE CURR�, 'Y.fN�4_��
<br /> Addre��' >�` :l�Jr[�;'ti�t/ '�/E' � �;faiLLS° :./" _ . - <r- - ..�Irense# :1C�I�'G'D.�3�'!�:��k .: �
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<br /> �, _ •f' :;'� `�` ',1. ':E .:R= -Perm for.new constnic@on
<br /> RE8lD'E�ti1�L> �"qtt�.�E2�;Ptot.P,>Iaasµ2�'sets�o#t8�ll�ln �Plans;`; ;set`o� ne`t ��Foir'ris,. 0-W tt. ,�:
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<br /> �.,;�Miniinum ten>i1Q,�wor�tin'�d@yssaitefwsutimlftal�dafei�Required.o'n'sife;�Con"stnictlon�Plans;:Stormwate'r,.Plans`w/:Sllt F�nce.(nsfelled,
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<br /> sa�;itary���a�i��s,Y&�1,�u�,�stier s�teUwor��;�e�,it:�ot;suaa�;��itl�;�a�e'pro�ects ;•cw�w<�=���`�y�,� � � : �_� � = ,� . :> . - -
<br /> COif�+l#VlERCi�AL Rttac�(3)�'co�r►ptete:sets�of�Bu"itillitg'Plans ptus�a life Safety Page:{1)set of Energy Fqrms.R-0-W Fermit for new canstructton.
<br /> � Minimum ten(10)_wark(ng days'after submlttal date. Requfred_qnsite,�f;onstruction Plans,Stormwater Plans w/Sllt Fence installed;
<br /> j Sanlmry Fadtities 8�;lkdum�ster.,Sit�..Worlc-Permit:for ail!new�piioj�cts�l41!"commerc:ial:requirements must meet compitance .- _ :
<br /> SIGAI PERMtT Attai�f'(2j sets o��ngtn,,+�r+ed�Piat�a�,k W� . . � - ,
<br /> � "**"PRGIRERTY SURVEY requlred for aJl NEW canstructlo� � ` , .- '� , . ~
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<br /> Direc$ions• � ;:r;�.f,�::�•�K-..;r: { ._ ._ ___. ,. n�. __ .._
<br /> FIII;out applicatlan completely.
<br /> O�mer�Contractor.s[gn badc of appitcattan,notarized�� . .
<br /> If`ov�r�2500,a�NoNce4af,Cotnmencement is requlresi: (AiC upgrades over S7gd0), << ` . ._.. �
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<br /> " Agent(tur the contractor.)pr:Powe�of'Attortiey;(fo�:the_awrisr)would be someone,with notadzed letter.from owner aufho�ztng same
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<br /> 'dVERTHECf3UNTER.PERMiTTINt3�=:�='::�:{Frontof=ApPllce6onOnly)..� �
<br /> Reroafs if shi`ngles Sewers Servica Upgrades�NC _Fences:,(Plot/SunreyJFaotage) _ . -.. - .• - � • -
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<br /> Qrivew►c�ys-Not aver Caunter if On�publia roadwajrs:�:neieds ROW.
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