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� s�s-7so-oozo City of Zephyrhills Permit Applicatior�_....�-�---�•��-. ������-'��""�rt�13-�ea-ooz� ,
<br /> � - � Building Deparkment !'�+ �
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<br /> Date Received � fGf � ' Phone Contactfor Perm�rig U � �. �o�,� – � � —
<br /> Owner's Nam I ,._. . N e 1� � Owner Ph ne Number W � � . .�7
<br /> Owner's,Addr�ss G/ �U�� �� ��' ��'��'l!s Owner Phone Number � �
<br /> Fee Simple Ti�Ieholder Name �� � pwner Phone Number � �
<br /> Fee Slmple Ti leholder Address
<br /> JOB�4DDRES � � S F� `� �7�!!� LOT# ��
<br /> SUBDiVIStON � � AA�RCEL ID#
<br /> (OBTAINED FROM PRdPERTY TAX NOTICE)
<br /> WORK,.�ROP•SED . NEW CONS7R RDDlAkT C,�`-'� StGN Q Q DEMQ�ISH
<br /> , e INS'I'ALL 8 F2EPAIR �
<br /> PROP.OSED SE Q SFR Q CQMM � Q7FlEfZ''
<br /> TYPE OF CQ STRUCTION [� BLOCK - Q FRAME �.' S,TEEL �
<br /> DESCRIPTIO 'OF WORK F , L./C1L� � I�' � 'rX J_�
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<br /> BUILDlNG 81 E �{� i� ��� 3Q FC30TAGE �t��'`, � t HEtGHT �-=..:J
<br /> QBUI dtNfia $'� �Q� VALUATiOt�1''OF"TOTAL CONST'RUCTtON
<br /> �EI. CTRlCAL $ � AMP SERVICE �Q PROGRESS ENERGY ' Q W.R.E.C.
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<br /> o�� MBa�,� � � � 1�� J° �� `�-� �
<br /> �ME� . � � �� J�� �.�
<br /> HANICRL $ VA�UATlON QF MECHANICA�tNSTAL1ATiON � � �Gs�t��� A�
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<br /> QGA . Q F240FlNG [� SPEGlALTY C� OTHER � �f�I�"
<br /> FINISHED.FL OR EI.EVATIQNS �^� FLOOD ZONE AREA QYES O C'
<br /> ✓1G�,e,7�e.., -
<br /> su����R ��,� ?�",p �C}MPANY ! l� .�"� _
<br /> SIGWATURE ,�� REGISTERBD Y/'N FEE CURRE� Y/N
<br /> Address License#'�` �
<br /> ELECT�2ICIAIV • � COMPANY �
<br /> , SIGP7ATURE �� REGISTEREp Y/ N FEE CURRE� Y/N
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<br /> Aiddress Cicense#
<br /> PL:UMBER: CG}MPANY „
<br /> 'SIGNATURE rREGISTERED- `Y-/ N . 'FEE CURRE� Y/N
<br /> ,, Addres License#:�^ �
<br /> MECH.ANIC� CQMPAtdY
<br /> � $IGNATURE'� ' REGISTERED Y/ N F.EE CURRE� Y/N
<br /> � �iilii�es �� � � � License#
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<br /> ,a���R-: :.�. , . , cot�Pa�v `
<br /> .'SIGNATURE i '* � � � RECyISTERED Y/ N FEE CURRE� Y/N
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<br /> Addres - - .:��� � - , License# �� �
<br /> :.:.:RESlDEPITt. ._,�.'Atta_c�i`_{2}iP1ot�P__ians;=(2):sets_ofBuilclirig�'Plaris;:('!}set�of�Ene�gy;Fbims;E2-0-W Perrtii#foc'riew,.con'structton,
<br /> -•� ^Minimum;ten((�10)working;days after,submittal-date. Required'onsite;'Cqnstruction Plans,Stormwater Plans w%Sllf Fence'installed,� --�� -
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<br /> � + 5'' � +8anitary,Facilities;&;�,1�zdumpster SiteAWork Permitfor',subdivisiotisllarge:projects � � �
<br /> � GONfMERCI Aftac#i°{2)compJefe sets:of Biiililing�Plans�p(us a Life Safety Page;{1}set of Energy Forms.R-O-W Permit for new constructian.
<br /> . Mlnimum#en(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> , Sanitary Faailitiss&1 dumpster,Site,.Wock Permit fo�a8 new projec#s.AH commercia!requPrements must meet cornpSlance
<br /> �-S1GN PERNt1 Attaoh�"(2)�sets of EngtneerQd P.ians:'`�� ; .
<br /> "'"*PROPERTY SURVEY�required for_aII.NEW ccinsVuctlon. .
<br /> ��.Directions: ., __ .. .. ,. ,
<br /> � Fill'out a plication completely.
<br /> - Ownec 8�Gantractor sign back of appl9cation,notarized
<br /> If over$ 500.a Notice af Commencement is required. (A!G upgrades over$750q)
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<br /> Agent(fqr'the cont�actor)or Power of Attomey(for ttie oti(mer)would be someone with natarized letter ftom owner authorizing same
<br /> .OVEFTTHE�:�UNTER_PERMtTT1NG...�....'�-;(coPY-of confra'ct'-requi��ed) - ' �,` ' "�' �-„__`";�- _�., - .- . ..
<br /> Reroofs if shi gles Sewers - `"Service Upgracles�A/C -_ Fences(Plot/Survey/Footage) ; � � , ' �
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<br /> Drivew�ys-Not over Counter if on,public,road'ways.:needs'ROVN � -� ' � ��
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