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813-� 0-002o City af Zephyrhills Permit Application F�-atia-7$o-aa2s
<br /> �• Building Department
<br /> Date Rec�tve,c� ,Phone Contaat far Permitting�`� -
<br /> Qwrner"s Mamel 0 ?.('J 1� -Z Owner Phane Number
<br /> Owner's Addr ss Owner Phane Number �- �
<br /> Fee Simple 7i#leholder Name � � Owner Phone Number �� �
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<br /> Fee Simple Ti leholder Address '
<br /> JOB ADDRES - "� LaT# L�J
<br /> � SUBDiVIStON � � PARCEE.ID# � � �� ` ��J���
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WOttK PRdP�SED .. NEW.CONSTR ADDIA�T � SIGN Q � C] DEMO�ISH
<br /> e INSTALL 8 REPAIR
<br /> PROt?t3SED SE Q SFFt Q COMM � flTHER
<br /> TYPE':OF CO STRUCTION Q, BLOCK •• [� FRAME 0. STEEL �� �
<br /> DESGRIPTIO OF WORK ' � r�U� �. �V'��-`'�=li��Q �00 V
<br /> BUILDING'SI E � � SQ FOOTAGE��� HEIGHT �
<br /> QBUI DING �r� VALUATIOiV'OF T()TAL CONSTRIICTtON
<br /> , E!: GTRIGAL $ .. AMP SERViCE �,�� �PR!'3GRESS EI�fEF2GY Q W.F2.E.C.
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<br /> �PC. MBIIVG �i � �y �f(j U
<br /> � ( t9� t
<br /> QME HAN{CAL $ VALUATlON OF MECHANfCAI fNSTALLAi'ION I 11 �
<br /> '�l v�
<br /> Q,GA Q F200FIiVC.y � SPECIAl.TY � �THER
<br /> FINISHED FL�JOR EI.EVATIONS FLOOD ZONE AREA QYES NO
<br /> SUiLDER CQMPANY
<br /> SIGNA7URE REGISTERED Y'/ N FEE CURRE�. Y 7 N
<br /> Addres �Liaense# � �
<br /> ``ELECTRI,GI. COMPANY a4- � � ��- Q
<br /> 31GNA7URE REGISTERED / N FEE'CURRE� /N
<br /> ` Addres - G� Licensa.# �1�f1l�b f�.���^�
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<br /> PCUNtBER,, . CGIIVIPANY�� _ ,
<br /> SIGNATURE °REGISTERED Y-/ N-� FEE CURRE� Y/N
<br /> Addres ' License#-� �
<br /> � MECM�INIC" ` � � GOMPANY� _ .
<br /> SIGNATURE"' ' �� � � REGISTERED Y,/ N , .FEE CURRE� Y/N
<br /> AildresY - License.# � �
<br /> -��''ti;� - � .
<br /> ` :OTHER=`"�;, ,: ' . ' COMPANII
<br /> �`3 SIGNATURE r;,�4:: .^' � � REGISTEREp Y/.N., � . FEE CURREK Y/N
<br /> • Addres <,; I� � �� � � , ` � License# �- �
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<br /> �,:_.'. , ' a . _.,,.. ;... . _ . `,_,r;�; �� - x:,, : „ ,
<br /> „�RESiD.ENTI ...,. `';Attaah.;.(2}:Pttsf;Plans;:;(2)i.'sefs�af�BuiCding-Rtans;(1}{sei af`Enetgy Forrii§;R=O;W Peinilt for new.constt�c#ian,
<br /> _,. �;�.;;i��r•�.--:.Minimum�hen�,(t1Q)';,wgrking;days:afte��sutiiiriittal:dafe:'Requi�ed'bnsite;Con`stru'ction"Plans,.StoCmovater Plans w/Silt Fence installed,
<br /> ���.rw,,, "" ���Sanitary�Facilities�&_1�.dumpste.r,•;:SiterWork�Pecmit.for;sutidivisions/large;piojecfs " - �
<br /> �`G.OMM�RCI Attach�(2)�compiete sets of Building�Ptans plus a L'�fe Safety Paga;(1)set of Energy Farms.FF-O-W Permit far new construafion.
<br /> s:r._
<br /> > Minimum ten{10)working days after submittal date. Required onsite,Canstruc#ion Plans,Stormwater Plans w/Silt Fence installed, _ _
<br /> Sanitary Faa�lEttes&9 durnpster;,Site.Wark Petmlt:foF%all�new-pmjecEs.Aii commerciai requirements must meet comptianos
<br /> �.;?,'SIGN"F!ERNIIT "'Attacti 2'�'sets:of°En�inaered;P(ans.`�> � - � � :- -
<br /> ,- ...* ( � ... -,� , 9
<br /> �:� PROPERTY SURVEY[equired.,for all.NEW canstruction:-
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<br /> �:�_ ,..s�....__.._.._,_.».,._...._ .. _ ;
<br /> .:;�;DirectPon�s: I ,t;,,:;,e�m..� ,.-°r,: -
<br /> ' -����FilL:out� pplication completely.
<br /> „:t` �
<br /> �.tiv;rner. C,ontr�aatar sign'back of application,notarized
<br /> 's, 'If over 2500;.a Notice°of:Commencement is required. (AIC upgrades over$7500)
<br /> �:�:;,.:,;�,,��;;;
<br /> 'A`*" Agent{(�r the�coriiracto'r}�orPower•:of'Attomey'{for'the owneP)would tie someane with notarized letter from owner authorizing same
<br /> �i;�;OVER',THE'�OUNTER;PERMIT�TING�;_., .'(cbpy,af contract=�equired)� `'��
<br /> ':��Reroofs if.sii rigles Sewers Seniice Upgrades.�A/C Fenbes(PIot/Survey/Footage)
<br /> ` ` --_ v.._ .,... �.�_._ _ . �.. � s. ' _ .
<br /> DriVew ys-Not over Counter.if on-public'roadways:.n'eed§.R01N ,'
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