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� 813aso-oo2o City of Zephyrhills Permi#Application Fax-813-780-002't
<br /> • • Building Department
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<br /> Date Recelved - phone Contact for P�rmittin '° ��3 7�� -- J ��� _
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<br /> � Owner's Name � (J � G�'�/�' � �� Owner Phone Number
<br /> f . �Owner's Address ���? 3�!� S%�� dwner Phone Number �^
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<br /> E Fee 5imple Titleholder.Name �� � Qwner Phone Number �- �
<br /> � Fee Simple Titleholder AddressP
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<br /> � JOB ADDRESS �Z�� .,�G'-'_.,,ci S� LOT# E^___�_�
<br /> SUBDiViS10N �� � PARGEL ID#
<br /> � (OBTAItdED FROM PROPERTY TAX N0710E)
<br /> WORK�PRC}POSED . NEW CONSTR ADD7AL,T � SIGN Q Q� DEMOLISH
<br /> � INSTALL 8 REPAIR "
<br /> PROPOSED USE. Q ` SFR Q COMM � 4THER '
<br /> TYPE`OF�CONSTRUCTION Q BLOGK • Q FRAME � STEEL Q �
<br /> DESCRIPTION C1F WORK ��//�j �/�'� ��✓�j� f iG l'=6�V ���/t�•�
<br /> BUitDiPIG SIZE �- � SQ FOQTAGE S � HEI�FFT •�`!+_�
<br /> ������1��' ���v, 0 d VALUATION`{}F"TOTAL CONSTRC1CTtON
<br /> QE�EGT'RICAL �;� � AMP SERVtCE Q E'ROGF2ESS ENERGY C] W.R.E.C.
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<br /> 3 �}��.U�g1�� ��� �
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<br /> � QMECFiAi+!{CAL $ VAI.UA'ftOtU OF MEGHANICAL IIVSTALiAT14N �\�
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<br /> � Q,GAS Q ROOFiNG Q BPECtAITY � OTHER
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<br /> i FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
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<br /> � BUIIDER J_� �-�- COMPANY 1q �6 �G'���C� C`- �f✓ G
<br /> SIGIdATURE �� G/—���—�" REGISTERED / N FEE CURR�fi N
<br /> Address �I.icense# � �
<br /> - ELEGTRtG1AN C4MPANY
<br /> SIGNATURE REGISTERED Y/ N �F�e cuR�n Y/N
<br /> Address License# � ` ��
<br /> ,. ...,,.
<br /> PI:U[UISER.,; . . COMP'ANY . - I
<br /> SIGNATUR� REGISTEREO Y•/ N Fe�cuRr�n� Y/N
<br /> . Address License# � �
<br /> �' MECHAPIlCAL � COMPANY .
<br /> � '`•SIGNATURE''u � � 1 REGISTERED ; Y/ N Fe�cuw�En , Y/N -
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<br /> Add�e'ss�` License.# ��
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<br /> - OTHE$�= �"�.;- . • �C,ONIPANY
<br /> ,�SICiNATklki,E;=:;. >x� ,�' • ° ' � ` REGISTERED Y/N . FEE�CURREK , Y/N
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<br /> ` aaaress� ::�;, . � � ' License# �- �
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<br /> � s��;_. :;: _ . ...:�s ;., :... � ,. , �;;.,,�,m.,-. � ��_ :: . � : cons#ruct[on,, +
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<br /> -•=.RESIDEt�'i1AL=;,�;. Attact►A(2);Piat-.Rians:'(2}:sefs�o�=Bu�liiing-Plans;{1j°setofEnergy,Fo`rtn§;,R=O�=W;Feriii�t,foi�new.
<br /> ', �, , Mmimum:;ten�(;10.)rwo,rkingidays'`afte��sutiitiittal date:"Requir'c�il'onsite;"Gonstruction Plans,`Storinvirater Plans w/Silt Fence installed,
<br /> � ��-'' �� San,itary.;Facititi,es:;&1xdumpst�r;;S�ife;Work Permit-farisubdiv3sions/la'rge,'.proJects - '-' � � �
<br /> �'COMMERCIA! Attacti°�2)�complete`sefs'of'Buit+ding�Plans plus a�Life Safety Page;(1}set of Energy Forms.F2-O-W Permtt for new construc�on.
<br /> - " - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> :*:,',_,' _ Sanitary FaciEit(es&9 dumpsier.Site Work Permit fo'r�al!nsw projects.AA commercial reguirements must meet compliance
<br /> �._;SIGN�PERMiT "Aftaoli°(2)'sets;,of;Engineered�Plans:�f:..•: � �. ' � �
<br /> � �"` "'•PROPERTY SURVEY required far„aII,NEW:coi►shuction:.
<br /> x=';�,", .
<br /> j :tiDl,rectioris:. , >+i.-:. „ ,.- _
<br /> ; _ -r��� Fill.out application completely.
<br /> � �, Owner.&Gontracta�sign back ofappltcaSon,notatized
<br /> , �% "If over$2500;,a Notiae•.of Gommencement is required. (A!C upgrades over$7500) ,_
<br /> �`'"�' Agent`(for'ttie"contractor)=or�Power ofAttomey'{fbr'tfie ovuntirj would be sameone with notarized letter from owner authorizing same
<br /> '._..},�.
<br /> i u;rOVER°:THE�COUN7ER P,ERMIT,T;ING... (copy_of contracE:required) ' ' � `
<br /> ' -:'Reroofsif st�ingles Sewers Service Upgrades.A/C Fenaes(PIot/SurveylFootage)
<br /> ( �` �_ ..... _�_.,....._..._.__.,. ._..,: .�. .- , . . ;,.;.. , _
<br /> � Driveways-Nat over Cour�te�lf o,n p,ybliCJ4c3ad'v�ay,s..�ne�ds ROIN�.,;,,.,.i
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