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813-�8ao��o City of Zephyrhills Permit Application Fax 813-780-0021
<br /> ~ Bullding Depactment
<br /> Date Recelve ,/:,�.-� ,�j .::.P}�one=Gontact:for,�Permtttfn : ��� � ��a - 7'`O7� '
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<br /> Owner's Namd Owner Phone Number
<br /> Owner's Add ss � � ���' N �E' I� � � � � e�` � Owner Ph'one:Number•.��� �
<br /> Fee 31mple Ti ieiio{der'�Name � �� � �, Owner Phane Nunnbar � � � �
<br /> Fee Simpte TI eholdrar Addresa -
<br /> JOB AtiDRES ���Z3 � '�� �lo S � 4 LOT# �_�
<br /> SkIBDFVlStON �I"�e ��'t'��- ,� PARCEI.ID# � .
<br /> , (OBYAINED F.ROM,PROPERTI!TAX NOTICE)
<br /> WQRiC PROP .SED �;NEW CONSfR ApDlALT �� SIGN' 'Q � `Q �flEt1+lOi:ISH
<br /> y _e, ,INSTALL , � REPAIR
<br /> PROPOSED.. $� . • :Q $FR. � COMM' �. � � OTHER .
<br /> TYPE OF CD STRUC'LiON�"�� :�'' �'•'BLOCK r [�� FRANIE � STEEL .Q
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<br /> DE3CRiPT10A!OF WORK I` '�� �•�.. ``�� ,/ �'1 e-� i �'�"`•`- � ' -
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<br /> BUI�D{NG�Sl�E'' � ��8Q'FOO'i'AGE,�: HEIGFiT :��
<br /> QBU! RlNG �� VALUATIOtt!!OF�TO'1'Al COtySTitl'tG'CION ` _ �
<br /> GTRIG�l. $ � � � � A{41P$FRV{CE ' �'Q '�PROGRESS ENEi2GY Q W:R:E.C.
<br /> [�]PL MBING • " ' ' �
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<br /> QME�HANICAL . . , , . �. . . ,
<br /> � � VALIJATION OPtIiAECHAIVlCAL INSTALLATlON.
<br /> C]cA [� RooF�r�� .CI. ;� s�eci�,nc:.�_.�. orH�R�; .: �
<br /> FItVISHED PL�OR ELEVATiQ1VS ��� FLOOD;�UNE AREA ` L:[�Y�S. .NO
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<br /> SIGNATURE '� REGISTERED Y J N �EE�cu��: �:Y/.N�' '
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<br /> RESlDEIdT!, �Att$ch,2)aP'l,ot;;Plans,.�(2)se�s:o€'Buitdin��.Plans;�('1�}set'of=Ensrgy��oFii�s;-F3=0=W=Pemiif fqrinevr ccinstructio�i, .
<br /> ,-�.t;tl;,�Minijnum�t�ap�{10)�,w►ort4ingpdi�ys:after�sr�bmitfsl:dafe`;Requlred ons(f'e`;:^Gonefnicildn'Pians;�StomiwaterPlans-w/Silt Fence instelted, '
<br /> San(taryFa IIUes,&s�dum s,ter��8lte°Work;Permit,#or,su4di�iisions/large;projeccs�';=a�":i' " :�+'�x-.`,," - . , ' �T •
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<br /> _ COMMERGi Attach(3)'eomptete'sets`of'Bu'i!ding'Plans pius a Ufe S'afefy Page;{j)sef of Energy Farms,R-4-VY PermSt for nsw constnuctEdn:� � •
<br /> Minimum ten(10)wrorking days after subrnittai date. Required onsite,Constructian Plans,Stormwater Plans w/S�it Fence instalied,
<br /> Sanifary Facllitlas&1 dumpster.Site Work Permik fur all new:pr+ojects:All commercia!repuirements_must meet campliance �° " � '
<br /> .�Si�aN PERiI�I Attacti{2)sefsof�ngir%ee�:eiisPlatis:,:,rN�,;,�:��_ :_v�:s.. :s+.�� . _ .� .. ; , , ,
<br /> "••PROPER't'Y SURVEY required fi}r aii NEW,construcdun.__ _ �.,: ;,;_;;. ,
<br /> � D1i�Ctlo»Sc .._r��r��,*�:< . _ - -
<br /> F01 out appticadon comptetety.
<br /> Owner 8�ontractar sign back of appltcatian,notadzed
<br /> !f avar�500,,a Nottcs af Cammencerrceet 1�r,equlred. {A/C upgrade�ovet ST500) •-
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<br /> Agent(fo the�contractqr)qr"Powier of'Attor"riey(for the oduner)�would be sameone with natarized letter from owner autharizing same
<br /> OVER'FHE.0�UNTER�PERMtTT1NG-�-.-.�:-{Fmntof-AppltcaSozr-Oniy}._.,__ , , - .'
<br /> Reroots if shtngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) _
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<br /> Drlvaw:` Not aver Goun#ar if on public roadways..needs ROW . � +. ,� � �- , 1 .
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