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813-780-0D20 City of Zephyrhills Permit Applicatian Fax-813-�80-0021
<br /> Building Depattment
<br /> � �I Date Received Phone Contact for Permittin ���x��j -- �'-'7 C�
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<br /> � FeesSC
<br /> � m�rJA�.,TitlerioldenName! QwaeRRMaiveN�en6eF.,
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<br /> i Fee Simpie Titlehoider Address
<br /> JOB ADDRESS ��b�� �`S� �-- � � �I!t.C,) r�. LOT# '�.
<br /> �sUBE3�Y151f1N ��� � y �'�f��' ::�r�rac��.io� ����'z1'CX,�IC7wZtX�� —17�00
<br /> � � .{OAZAINED'FR�t§PROP£RTYTaAX.NOTiCE}
<br /> �1NORKPRORC�5ED NeanxeoMSTR �DD��LT _� ;ShGN. � Q DEMOLISH
<br /> e If+fS�iALL 8 REPk'dlft
<br /> .,P�aoRos�o us� j� ��era � �;o�r� ,� .fl-rr�E�
<br /> TYPE OF CONSTRUCTION �Q BLOCK n FRAME C] STEEL �]
<br /> DESCRIPTION OF WORK �'t�OC�7" �A � _.St/I/� te„S
<br /> ! BlllLDING Sl2E �� ��.SQ.�OQTAGE,�� HF1Gki� ��•�
<br /> �BWIL�INCv , ` .$��� ^, � VALUATI�')N'QFT�TI'!L'COfV'"r�TRC1GTIC3iV' . 3 , . . . . � �
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<br /> �E�ECTRI�AL � AMPSERUI�E � Pi�flGRE'&SENERfiiX � W.FC;E.�. �s^' �J��
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<br /> �PLUMBfNG $ �
<br /> QMEC�FlANlCAL $ VALUATJON.OF NJECyANICAl1NSTALLA7.lON (, ' � �v� f���� ,)� ��� ,t.� '
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<br /> QGAS /�. R�OFIN6 Q SPECIFII.T?( 0 �OTHER � ,��� �
<br /> FitJiSHED.fiUQ�l3,ELE1/ATIOttiS jG� �r� r.l�OGtDZD�1tEAE�EA �YES _�ICJ r� J`\ � �fin1�S lt�(Y�,�yC�
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<br /> �6Ulk�?� ;CQMPattY � �Z
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address Gcense# �� ^� �
<br /> ELECTRICIAAI . 6f?f1�RAN,X.
<br /> St�CaN/1'TURE RE�lSTEt�D �:Il t�t FEECU i� 1FNiH . -
<br /> Address� Licens2:�i�� �
<br /> � Pttth}BER. � � R�M� '1*A N �CURrta� Yl4N �
<br /> SIGNA,TUR�
<br /> � Address License# � �
<br /> MECHANICAI, � � COMPANY �
<br /> StGNATURE REGISTERED : Y 1 N FEE CURREfi Y 1 N
<br /> 1Rddness � License�t �- �
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<br /> � ���� ....... �....yCye,J JZo'��wg �ev-y tce-s'�
<br /> OTHER CDMR?IAIY �'
<br /> '�IGMATURE RE6t�rEREp ,N_ N FEE+CUtaREn �'(!-N �
<br /> � Addres� .1 �. � ( 1�_ Z4s �. �i !��d�$�
<br /> , � �f"qn a� C3'T� License#t
<br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllll
<br /> RESIOENTIAI. Attach(2)Pbt Plens;(2)sets of Building Plans;(1)set af Enargy Forms;R-O-W Permit for new wnstruction,
<br /> Minlinum fen�(10}wartttng days aETer su6mtKa('d"ate. F2equtred onsSfe,Consfru�tTon Plans,SkoTrnwafer PTans wl STF Fence Insfaited;
<br /> Sanitaty Facllities 8 1 dumpster;Site Work Permit for subdlvisionsliarge projects
<br /> � GO�tY1MERCl'�L." AttaacH�(2)�compl�esetSoP.BUifding.l°I'ansplusa�CiPeSafeLy,Page„(1}.-se�aREnergg:Fomes..(�C7-9UPertnitfornewc:onstivdion.
<br /> Ml'nirtau�tra tenu(10)workirag days afteo submitkai dats. R�quii-ed onsite,CottcstrucUomPia�s,Stcamnwa4ert Pians�wl Siit'Fen�ir�sta!lP.d;
<br /> Sanite.ry Faeiiiiaes S�S dtstitps#en.5ite V4Pmrk Ferr�it,fer,all�aew proje¢ts.lUt 27ammerciel re:quiremerit�rr+wst meet cs�mpiiance
<br /> SIGN PFJ2MIT Attach(2�seM,.ofEngineered Plans. `
<br /> ' ""PROPERTIf SURVEIs required for.alI NENO conslrueiion:
<br /> � .�._._:_�,_.,,_.-.-_e_._._. . ,-. �. .-... . . ,-......-.._., ..:._. . ... _
<br /> Qtrectton;c _ -
<br /> Fifl'out appfrcatiori oomp�etefy.
<br /> Owner&Contractor sign back of applicaHon,notarized
<br /> If over 52500,a Notice of CommencemeM ts requlred. {A!C npgrades over$7500)
<br /> " AganiZfnr.the contractor)cfcAawer oi Attqmey(forlhe ovrtrer)wouiB:be someone with nota�ized lerier.irom outimer authodzipg same
<br /> OVER THE CQUNTER PERMITTING (capy of contract required)
<br /> R�ravfs i[shiqgles 'Sewers �nioe Upgr.�des.AfC Fanees(PiattSurveyiFootage)
<br /> � ',[9iiveways?�IotoverCrnsAter,'ffan•pu��lic.roatlw�ys.:neeilsFZ�CJW
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