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<br /> a��-�so,�o�o City of Zephyrhills Permit Application Fax-813-T80-oo�� ,
<br /> ! Building Department
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<br /> Date Received � . P.,hone=Cantact�forPermlttln
<br /> Owner's Nam I ���� l g C�� Owner Pfiane Number C��3� �7��{g��
<br /> Owne�'s Addre�s R'� ��c 'J��' ��,.�v'^'; r�i ��S �(..,. Owaer Phona Number �`r �
<br /> Fee Simple Tl�leholder Name ���� ` � Owner Phone Number � �
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<br /> Fee Simple TI�eholder Address •
<br /> JOB ADDRE$S J 3�� ������� ��"'. LOT# �
<br /> SUBD1ViS10N � �—!^� PARCEI.ID� •
<br /> - (08TAINED FROM.PROPERTY,TAX NOTICE)
<br /> WGRIC FROPQSED• NEW.CONSTR ADD/ALT Q SlGN' "C] ' �Q DEMOClSH �
<br /> e:. INSTALL �� REPAIR
<br /> PROP'OSEDt SE Q SFR� �] GOMM � 07HER � ' •
<br /> TYPE OF CCl�S"fRUCT10N Q ° BLOCK '' `Q FRAME [� S7EEL Q .
<br /> DE,SCR1PTiQA1 OF WORK` , � ^ �� ��t.�i�P2.� '
<br /> �UiLD1NGSi�E `�' �'St�Ft)OTAGE C�]; .. HEIGHT��.��
<br /> , QBUp LDING � .-,��-...-.. VALUATION"�`F'TO'i'AL CC1tVST'RllCTiO3+!..`.. ,
<br /> � ., . . . •
<br /> [�ELECTRICAL $ f�� .- AMP SERVICE �Q " PFtOGRESS ENERGI( Q W:R.E.C.
<br /> t.(� 1
<br /> QPL MBINO � �� - ' � �
<br /> [�M CHANICAI. $ ' ! VALUATIOtJ OF�MECHANICAI.INSTALLA710N
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<br /> QGAS Q ROOFING .Q SPECIAITY �� � OTHER • `
<br /> FINISHED FI!OOR ELEVA710NS � FLOOD ZONE AREA QYES ,Np �
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<br /> BUlLDER G4'?MPAAIY - . .
<br /> 31GNATURE REGISTERED Y/'N . � 'FEE GURRE� `' ' Y/N'
<br /> Address ' - Cicense# � � !�
<br /> EtECTRICl�•. _ _ �----- ' '<COt�PAAl�ttY � L�'�`1m�I/� ��°�C�f'r'r'C
<br /> SIGNATUR�� � '' REGISTERED 1 N FEE GURREK r , �.N,
<br /> '�'� �9�0 ���=�, ��� �s �.. ��ti�t i �� 1300_��'31
<br /> Address � � �s�.c . License# . I
<br /> PLUMBER �_ _ � , - COMPANY�., , ° ,
<br /> SIGNATURE` ' `�' . �, 4 ,REGISTERED YI�N FEE CURRE� " Y I N.
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<br /> ,aaa �I ' . � . . .. � .ucsns�.# C -
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<br /> MECFlANlCIi4L". . - , • " .. • , „ COMPANIf . ,
<br /> SIGNATURC '� ` '- � REGISTER@D .Y../ N FEE GURRE� Y,IPN
<br /> Addre i"sss�` ���, ,, � - _ , ' � . license#
<br /> OTHER �I> ` - � - ' ` " . `COMPANY � , , . ,
<br /> SIGNATUR�. �.; . . � �'� .' ' " ''R�GisTE�o', . ` Y/ N_.,;, � Flee cutti�h Y/N
<br /> Addr��� �` _ - ,-° . . , `� � License#��� ' �,
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<br /> RESIDENTlAL',;�=EAtkach(2),PIot�Rlan's`;.(2)sefs:of�Building'�Plans;O sef of En`e'rgy�Foiins;'�R=0-1N'Pemilt for naw construction, '
<br /> 1�- t,rr;.Minlmum;tenr(.1.0)'wo,ri�ing�days,°after;submi#tal date.<;R'equired onsite;�Gonstructlon:Rians;tStoimwater Pians wi Silt'Fence 3nstaHed,
<br /> il ..' .Sanl�ary�Facititles;&r1.,dumpster�Site Work;Pesmit;for,sutidiVistonsllarge;prdJects, .�;,-,� "` . �
<br /> CONI�l�RG1Al. Atlach{3)�complele'sef's of'Builifing''Plans plus a�Life 58f�fy Page;('I)set of Energy Forms.R-O W Permit for new construckion.
<br /> ' Minimum ten(10)warlcing days'after submlktal date. Required onsite,Constructipn Plans,Stormwatar Ptans w!Sitt Fencs instatted,
<br /> i Sanitary facfl{Nes&1 dumpster.Site Work Perznit fos ali new�proJects:.Ait ccmmerciai requiremenis.must mest campttance '
<br /> SfGN PERt'1flT Attactti{2)sefs'cifEngine,er,ed,Plaiis.,.� =���_�� , >�:��•- . ' �
<br /> � "••"PROPERTY SURVEY reyuired for aII.tVEW conshuction..
<br /> Dlreations'� � . ,.. e - � . _
<br /> Fill out applicadon completely. `�
<br /> Owne;�&Contractar stgn back of applicatton,notarizad
<br /> If ave��2500�a Notics.of.Commer�csmerrt t�requlred. {AtC upgr�des aver�7540)
<br /> i� -:�,. �>:,�.,.,�,;, _,�.
<br /> "' Agenti(for ihe`i�ntractor)6r`Pouver of'Attomey(for tk�e�owner)`wou!'d be�someone with notarized letter from awner authorizing same
<br /> ov�r���cou���t.P�tt�imK�-...�._;_t�ro�t-���a�����o�o��y� _. ._
<br /> Reroafs if shingles Sewers Service Upgrades A/C Fenc�as(PIoUSurvey/Footage)
<br /> Drivs aya-Not over Counter if on public roadu�yrs..itieeds ROW
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