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813-780-0020 City of Zephyrhills Permit�Application Fax 813-780-0021
<br /> �. ,,� i Building Depariment .
<br /> Date Racelved P.hone"Catit�ct for=Peri»ttfia � �l3 j J�_ �t1�. _ �[�j� � ,: -
<br /> Owner's Name � '�� Owner Phone Number lS 1�-�� ""' J ;� : �.
<br /> Owner's Address ��oZ � �,� �' `LL,`".,�-' Owner Phane Number= �� ���4
<br /> Fee Simple 7ltleholder Name �_ � Owner Phane Number '� - �F ' � �
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<br /> Fee Simple Tltleholder.Address = � _ , � � �
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<br /> SUBDtVtStON j 1�eiQ �A�.��1 PARCEI.ID# G/�' "" � �� , '
<br /> =G���� - , . (08,TSINED FROM PROPERT1f TAX NOTICE) , - .
<br /> WORK RROPUSED �• NEW�CONSTR ADD/At�T � SIGN Q �] DEMt11.ISH ' ' ;,
<br /> ;�: ,.INSTALL � ..REPAIR' , • - - ,
<br /> PROPQSED,USE Q 8FR Q �CQMM � �� �OTFtER� - , „ . ' .
<br /> TYPE OF CONSTRUCTION , Q� BLOCK ' [�� FRAME ,�,] STEEL Q - � '
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<br /> DESCRIPTION OF WORK� . ��.-S. �Ca !� ,�'G�� �� /L�I1J �.2 6E C' �/, o(�G � - . .
<br /> Btl1li'1lNG SIZE `�4 —�` SQ�FOO'i'AGE ' ,HEIGHT�-�_� _ .. '
<br /> �����'����' $ VALUATIONQt�F TOTAL COhtSTRUCTION A - • � '- ,� � P ' � " �
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<br />, QEGECTRIGAC ,� �, AMP SERVICE 'Q `PROGRESS ENERGY Q, W:R:E:C: � r
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<br /> � MECFti4NtCA� ` $ — VAi_E3ATlON OF:MECliANiCAI INSTALLATlQN: ' . C'� ' , ;
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<br /> e t Q'GAS" : . Q FtOOPiNG Q SPECIAI.TY C� . OTHER�, � , � ,
<br /> FINISHED FI:O.OR EL•EVATIONS r F1.00D.zQNE AREA ,�JYES NO _ � -
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<br /> , BUI�DER , ,COMPAt+Il! , - .
<br /> "SIGNA7URE� REGISTERED ' Y/.,N`': FEE CURRE� .Y`/N � . r ' �
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<br /> ' ,SIGNATUREi`���= . ". ,' .,:,'�� ' REGISTERED Y./,��N' �;FEE.cuRFtEn• . -Y•/.N �
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<br /> ��SIGNATURE, ` � � � ' .t?eGISTEiiEo � • � =Y:/. N;.. ;FEE.CURREP: YLN , ' � ' , �
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<br /> = Addr'ess; _ � . . '��icense#�:;�� �•_�
<br /> RESIDENTIAI: •Attach{2}.PbtiPlans;(2ytsets.of Buliding'Plans;_(1:}set af Energy Farms,'R-O-VY Rerrrill.for riew�cnnstiucUon� - ' ' ';." � :"`. `, , �� ,
<br /> � ' ' Minlmum�ten(:1.0):woricing;days affsr,submlttal.date. Recjulred onslte,Constivctlon�Plans;'Stotmwater Plans�w/,S11t Fence lnst�ll'ed, � _ �
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<br /> ° �' �Santtary.Facfltdes,&,1,dumpster-Stte Woik-Permit for:subdivisionsAa.rge proJects,' =` ' �, -..'<�';"; -. -`•• ''
<br /> ; COMMERCIAI:... Attach,{3):.cbmpl�te se#s�of BuiicSin`g'P1ans:�ilus a l:ife.Sai�ety Page;{1}setof=Energy Forms�:i2=CT�W Petmitfar`rseu+i,coristru�ioo:,=�••� � � :
<br /> . � � " - Mlnimum ten(10)working,.days:aftersubmlttal date. Regulred onslte,,ConsUuctlon.Plans,Stormwater.Rlans w/:SilfFence lnst�lled,�;:; , s
<br /> � � "�'§�`�=� ..Sanitary Factlitles 8�1 dumpster.Slte-Work,P-ermit for all new pmJects:Alhcommercla4regulrements`must•meetcaompliance ��, ' :
<br /> • SF�N PERMfT �Attacti.{2)sets aftEnglneeredrPlans. _ , ' _ .. � . � , , � - _ '' _ �
<br /> - ' " - •`"'PROPERTY SURVEY r uired for,a,ll NEW;ca�nstrucdonJ�'�„ �, _.. ;- . „ , , _ - ,, ti ,
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<br /> FIII��'o'ut;�apPlicaUon.completely. __ ' , , � ; , . , � - , . _ � . . , , ' , �
<br /> Owner�&Contractorstgn�tiackof�appltcatlqn,�natarized'.; � _. - -- , - � � � : ' � _
<br /> ' (f over��5d0,_a Notice of Gor�imence`ment�is required: :{�tIG upgrades`over,S,7s00)'=�- _ - �,E . - +'` . I
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<br /> `~'• -,Agent.(fa�.the:cantractorj or�Power of Attamey:(fii�:the awner)'would�be',someone�viiith.notarized'letter frnm owne'r autho�izing same; �_� , �� '� •,
<br /> OVER THE GQUNTER PERMI�'fl�lGt�'�"'�, o. '"�i��on�n„�x�� �: `�' _ '' : � ,. `' �&nh����..���s�.:.�..��.�.e::,�� I
<br /> , �Reroofs lf�shingles � Sewe� �Servlce;.UP9 ai�es A/C '`��enaes.( odSunrey/Foofage) . . .� ,'��?y�.,tr, �c, �,:�'v� � ,�... �;,. , i
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<br /> . Drivewa� =NotovecGou►��6 c�fionputiiic,roadways..needs.R�VtY<g:r, `a,':.;w�. �,� >t+�r.as, z�x; , �;;-:� �.;
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