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813-7 0-0020 City af Zephyrhills Permit Application Fax 813•7so-oaz�
<br /> . p , Building Depactment
<br /> Date Received � - � _ P.hane-Caritact far Permttfin . -
<br /> Ownar`s Name G� r � �� Owner Phone Numbes
<br /> Ownsr's Address T � �� � Owrner Phone Nurober � � �
<br /> Fee Simple Tit efiolder Wame � �� � � � Owner Phone Numbe� � I
<br /> , � . _ . .
<br /> Fee Simple Tit eholder Address '
<br /> JOB AdDRES ' � �-I 3 � � � LOT# �_�,,,,��
<br /> SUBDII/ISION � � ' PARCEL ID# ��G�'t�'�"' " ,.�j�""`� � "'
<br /> - , . (OBTAINED FROM PROPERTY.TAX NOTICE)
<br /> WORK PROP SED .�;NEW WNS7R ADD/ALT [�� SIGN� � �Q DENtOt,1SH
<br /> :�. INSTALL 8 ,-�REPAIR � ,
<br /> PROPt3SED�t9 E . Q S�E2- [� 'COMM � �OTHEF2 • •
<br /> TYPE i7F CO STRUG710N � Q " "'"BLOCK ' [] FRAME ["u,] STEEL' [�
<br /> DESCRIPTIO OF WORK� �' I^�'� "
<br /> BUILDINGSI E � �` � �� 5��--`�r�� SClµFOOTAGE ' �i-�� .. :.HEIGNT�. _b�� ��'i�5 �� f�-j `f�c_j�.
<br /> . :.a - � -
<br /> B�� ���� � ALUATION�4IF�TOTAL`COhtS'PRl'IC`i'ION`
<br /> ` .,;,��� -
<br /> QEL CTR{CAL $ ' � AMP SERViCE Q ` PROGRESS ENERG`T Q V1t.R.E.C.
<br /> OPL MBING $ ' . . ,
<br /> -��� � ' �
<br /> QME�HAP}ICAL $ VPiIClATtON pF'MECHMItCAI.INSTALLAT10Rf ��.�{ �
<br /> . � �� '
<br /> QGA Q ROOFING � SPEGiA�TY-� QTHER� �'
<br /> FINISHED FL OR ELEVATI NS FLOOD�ONE AREA QYES NO � ��
<br /> BUiLDER CONIPi4MY', ��IlZ ' ,
<br /> SIGNA7URE REGIS7ERED Y/ N 'FEE CUitREP Y/N"
<br /> Addres � � � � License#� �
<br /> ELEGTRICi. : COMPAC�iY ` �
<br /> SIGNATURE � REGISTERED Y/ N FEE'CURREM-� °�Y/N
<br /> Addres ;' � _ � , .. License.#.�- p �
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<br /> PLUMBER '� , COMPANY � x � '
<br /> SIGNA7URE' "'" �
<br /> , ,, ; ,R,EGIST.EREP Y�/•N
<br /> :�. �,FEE CURRE� � Y�/N. _
<br /> Addre � License# � �
<br /> MECNANIC_' `. _ - - � COMP/iNll �
<br /> SIGNA7URE � ' ' � � � � � " _ REGISTEREQ , Y_/ N . _ � FEE CURRE�'- X,/�N - _
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<br /> aadreg - , . . .r � , ,� - - �i��s�# �� ,
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<br /> OTHEit -' - - - -._ � _` � ,_ � ;��{IIPI4NY - . ., � ._ �
<br /> SIGNl�TURE' -,- ' � ° '� ' ' �REGISTERED�' Y/ N,..; �'FEE CURRE� Y/N.
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<br /> Addre �, " ,' '- ` ,< <�i� � ' �x , :r" > . .CiCBttse#'� �
<br /> ^ . :....:. ... q._ �fs.nn.:��a,'..� ;�.=. t. ;. � ' . '.. ' "
<br /> RESlDEP1T1_ '�,� ";Atta'cti'(2).:PIof:Fla"rts;;.{2}sets`af�Biiitding`Piaas;{1}sef of}Eiiergy�Fosms;'R-0=W-Peiiriit fior new canstrtictlori,
<br /> f N_v .;Minimumtten?(;1,q),wori4ing;days�,:after,:submiftal tlate.�.Requlred qfistfe;Constiucd'a`�n Blans;SMrtnwater'Plans w%SOt�Fence�instt�iletl,
<br /> "I y .• ' ;�, �,.; :
<br /> Sanitary FactllUes:&;;1,;dumpste.r,YSite�Vllork;,Permit#or subdivisi'o,ns/laige',pro]ects. _�,,:,�:;
<br /> �-._C�MM�F��1 � Aitach(3)'compt`eCe'gets�`o�Buitiiing`Pians'plus a��ife`Safefy�Page:{1)set of Enetgy Fornts.R-O W Fetmit#a�new canstructton.
<br /> Minimum ten(1Q)working days after suhmittal date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Pacitities 8�1 dumpster.Site Work Permtt for all nei�v proJecfs.All commercial requlrements.must meet compliance �`
<br /> SIGN PERM T Attacfi"{2)sets�ofEiigirteer.e.d;f?laiis. :•�:µ�°= .. • � - � '
<br /> "'""PROPERTY SURVEY required for all_.NEW consWctlon.
<br /> _. .._.,�..�.,_.,.. r., ,
<br /> Dire'attons: •._ � - '
<br /> Ffll out pplicatian completely.
<br /> �WtISC COi1�{'$,CtOT SIgt1�}3GIC Of 8P{1IICA�EOlty ROtti'�IZZSCI ,
<br /> if over 2500,a Nottce of Commencement is required. (A/C apgrades over 37500) ,
<br /> " Agent(or the contractdr)`or Power"ofNtComey"(fo�tFie�buvner)virould be someone with�notarized letter irom owner autho�izing same
<br /> DVERTHE OUNTER.PERMiTfiNG.�,_��--_(�ront.afApplicadon-Oniy)_ , . , - .. - .:-. : :. _ ,_ _
<br /> Reroofs if s�ngles Sewers '�,:,Service Upgrades A/C�' Fences(PlotlSurvey/Foatage) ' -, = i. : "---- , ' , + r
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<br /> � s-�- - .�_. , ;r ;: : �.s:-.
<br /> D�Ive ays-Not aver Counter if'on pubiic roaduvajis'..needs.RCIVV� �Y '� , ,
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