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813-780-0020 Cify of Zephyrhills Permit Application Fax 813-780-0021
<br /> , • Bultding Departrnen#
<br /> Date Rsceixed � P,hone:Canfact�for�Aermittln �
<br /> Owner's Name � �� '% Owner Phoae Number
<br /> Owner•s Address .�j ��G� — ��.� ��' Owner phone Numbe� � �
<br /> Fee Simple Tltleholder Name �_ � Owner F�hone Number �� �
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<br /> Fee Simple Titlehalder Address
<br /> J08 ADDRESS i�? 3 ��I�Lr�Z�Gvv�'Dj� ./�.- L07# �_.�
<br /> su�aivis�aH �7�-L�EOl-� ��"G!� I � P_ARCEL-ID# � 3"� �-� ~� fl�--�v09�r — v���
<br /> � (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK P1iOPOSED `_NEW CONS7R ADDtALT � SIGN "Q Q DEMOLISH
<br /> e. INSTALL 8 REPAIR
<br /> PROPOSED;USE Q SFR Q 'CQMM � OTNER
<br /> TYPE OF CONSTRUCTION- � BLOCK " r;] FRAME � STEEL C]
<br /> DESCRIPTION OF WORK ' l� d���� �y ' /`I" �p �-- .5����Dv��—�"
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<br /> BUiLDiNG S12E ��w �' $Q FOUTAGE . - HEIGHT N��
<br /> Qevi�.ai�� � � .��p "� � l ~
<br /> ��-� VALUATION.`OF TQTAL�CONSTRUCTION
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<br /> QE�ECTRtGAL � �. � �, AMP SERVICE Q RROGRESS ENERGY Q W:R.E.C.
<br /> QPI:UMBlNG �$� -
<br /> ��_ � ��
<br /> QMECtiANiGAt $ VAL.UATtON OF'MEGHANICAC INSTAl�AT10N ��
<br /> OGAS � ROOFlNG .Q SRECtAI.TY � OTHEF2
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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<br /> BUII.DER COMPANYe- ` '
<br /> SiGNATUR� REGISTERED Y/ N FEE CURREA Y/N` ,
<br /> Address � ' - �•' L"icense# (- �
<br /> EIECTRfClAN, : , --•CAMPANY - ., '„ ° `� � _ � � ,
<br /> , SIGNATURE � REGISTERED Y/ N FEE CURRE��� " 'Y l N
<br /> �4ddress � � � , � , > ' � .�•.r..�_License,#,(=; � . �`, � ,�
<br /> PLUMBER ` COMP.ANY � ,„ r : ' ' , ,
<br /> SIGNATURE' ` , �REGIflTERED Y_/�.N. ;FEECURREk Y�/N. _
<br /> M1 . .
<br /> Address � _UCense,# Ir � ��� �- „�
<br /> ! MEC1dANICAi:` ' - COMPANY - � . ,,_
<br /> I SIGIVATURE �� � � � ` REGISTEREp Y,/ N . ' FEE CURRE�: . . Y/�N:
<br /> Addrsss P' - � ' � � � 4 ` , ,License# �..�� �
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<br /> OTF{ER ` -t � ` ' ` `;GOMPAI�IY ��1/L' .. Q� 1N
<br /> SIGNIa►TURE =' `� �G��' " ' REGISTERED� , r Y/'N...: FEE Cuw�n' Y/N
<br /> Address ' �� � �� �1��.�' �� � , L`iceiise# ��"����P��f�
<br /> � -�.:.-. :_ t,..:.-.,.. ,_... .:;. ,
<br /> RE810ENTlAI:;.� -=Atta'cti{2).,P1of Plans,.�2)sef`s of�Bu1181ng�Ftans;{9)se#'of Energy�Foii»s;R=O=W Peirrilt for new caastructlon,
<br /> F� ""-
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<br /> ��.:Minimum�ten•(•10)>woricing;days:atter,submittal"d'atet:,Requlreii onsite;:ConstrucUon=Flans;=Stormwater"Plans�w%SIIt Fence installed,
<br /> " `'- Sanitary Facllides:8,l.;dumpster�SRe Work;Petrnit for subdivisions!lange,:prolectss:,,:.;:;:" � " � " - ----
<br /> COl4f11V1ERC1Ai. A#tach{3)comptete sets of`BulldingPlans�p1us a[.ife Safetyr Page;:('f}set of Energy Farins.R Q-W Pemtit#for new construc�tian.
<br /> MiNmum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
<br /> ( Sanitary FaGlides 81 dumpster.Site Wark Permit for ail new proJectst.Afl commerctal_requfrements.must meet compltance '
<br /> I SIGN PERMIT Attacti(2}sets oPEngineered-Plans., ,, � �.: ., - Y .
<br /> "'""PROPERTY SURVEY.reguired for all NEW constnicUon.
<br /> Dlrecticns: - - � -- �
<br /> Fill ouk appUcatlan completely.
<br /> t?wner 8 Contractor stgn back of appltca�on,na�rized
<br /> If aver�2500,a Notice af Commencement ls requlred. (AtC upgrades over 57500j
<br /> .. �•f.�:,,�� ',.
<br /> Agenk(for the"ccinUactor)or Povirer of Atitortmey(for tlie owner)�would be someone wikh notarized letter from owner authorizin�same
<br /> Vf .., _:,.,--,.,,.. :-_. ... V.,L , _.. _
<br /> OVER THE COUN7ER,PERMITTiN,t"'a -�-. •(Front�of-AppllcatiomQniy)�- , �
<br /> ! Reroofs if shingles Sewers Service Upgrades•A%G , Fences(PIoUSurveylFootage)
<br /> , . ._ _ .. . , . ^� , -t ,.'
<br /> I Drivewaya-Not over Caunter if on public roadrniays..need's ROW •,,.��� �
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