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st�-7sa-aa2o City of Zephyrhills Permit Application ��-$�s-Tao-aozl
<br /> " Bu(Iding Department
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<br /> Date Received Phone Contact for Permittin
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<br /> Owner's Name v V��� Y�I Q,t,S �,.1�!'I'��� �f� N Owner Phone Number �}��3 0 �" �Q�
<br /> Owner's Address ���� `"1 l�� Owner Rhone Number � �
<br /> �ee Simple Titieholder Name � �� Qwner Phone Number �_ �.
<br /> Fee Simple Tifieholder Address
<br /> JOB ADDE2ESS ��!'�� l.OT# ��
<br /> SUBDIVISIC}N �� �`� PARCEL ID#
<br /> (OBTAINEp FROM PROPERTY TAX NOTICE) �
<br /> WORK PROP4SED ,. NEw CONSTR' ADDIA�T � SIGN Q � Q DEMOLtSN
<br /> � INSTALL 8 REPAIR
<br /> - PROPOSED USE Q SFR Q COMM [� OTHER .
<br /> TYPE`OF CONSTRUCTIpN Q BLOCK •• Q FRAME [� STEEL Q
<br /> ��sc�sP�rioN o�wo�K ��� 1� �=e�z.,r a.5`ri� 1�p � 1 i��°'� C..
<br /> BUI�DING'S1�E ��� SQ F.00TAGE�� NEIGHT ��_....�
<br /> O�U������ ('�� VA�UATtOi�OF TOTAL CQNSTF2UCTlON
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<br /> QELECTRIGAL �x� AMP SERVtCE � PRQGRESS ENERGY Q W.R.E.G.
<br /> OPLUMBING $ �
<br /> �'MECFiANlCAL $ ��t�� ' �� VALUATION OF MECHANlCAL INSTALlAT10N
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<br /> Q,GAS Q ROOFING Q SPECIALTY C� OTHER
<br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NQ
<br /> BUtLDER COMPAPIY
<br /> SIGNATURE REGISTERED Y�/ N FEE CURRE� Y J N
<br /> Address -� �i.icense# � 1
<br /> fiLECTF21C1AC� COMPAMY
<br /> , SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
<br /> Address License# �! � �
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<br /> P.LUMBE�,; COMPANY
<br /> SIGNATURE � �REGISTERED Y-/'N ` FEE CURRE� Y/N
<br /> Address E.'scerise# � �
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<br /> MECMi4PtlCAL� � ���� COMPANY t'T1``��C,S t {-�ti�t" �` ��0.�l�Y� �,...L.C..
<br /> '" SIGNATURE' � � ������ REGISTERED ` N FEE CURRE� Y/N �
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<br /> Adii'ress-� J-�a��p S�� � �� l:icense# ��.�- $l�. �
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<br /> . OTHERy�� ''; ' CONIPANY
<br /> _.�SIGNATURE.=7s, ;: ,,- � - REGIs'rEREo Y/.N � FE�cuRREn� Y!N �
<br /> Addresst�� License# �— �
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<br /> �F;.RES@EN�CIAI=�:,;: ,At#acl�;{2}:'PIof:P.lans;'(2):sets<of�Build�rig-Plans;('i}�seto#�Ene�9Y:Fai�itis;R;0-1tltPermiEfornew,canstruct3on,
<br /> '�� �x`_���� � - Min)mum,:,ten�(;10)working;cJays afte'r submittal;date."Requireci onsite;Con`struction Plans,Stor'mwater Plans w/Silt Fence instailed,
<br /> _ ' .d..:.'4'.,4>1�,��c.t�., t .,. ��. . .
<br /> � Sanit�ry•,Facilities,&;1,=,:dumpster,;�Site;Wor,ic'Retmitfor.subdivisions/largeprojects ` �
<br /> =�;.GOMMERCIi4L Attacti°{2}complete"se#s of'Building Plans�plias a Ufe Safety Page;(1)set af Enecgy Forms.t2-O-W Perrnit for new construction.
<br /> - " -. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanihary Facilities&1 dumpster.Site Work Peanit"foh�all�new projects.All commercial requirements must meet compliance
<br /> ;;�lSICoN�PERMIT �Att`acti�(2}sets:.of,Engineered�Plans:s=.,,. -
<br /> ""PROPERI'Y SURVEY_required_for aII,NEW construction: -
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<br /> ��.�D�Y@C�OflB: r. >;�:�:'�". • "
<br /> ��' Fill-:out application campletely.
<br /> Owner'&Contractor sign back of applicatiari,notarized
<br /> �-f� )f over'$2b00.a Notice of:CammencemenE is required. (A/C upgrades over$7500) � ,
<br /> '`"' Agent(for'{he�cont�actor)•orPower of'Attomey(for'the-owne'r)would be someone wi#h notarized letter ftom owner authorizing same
<br /> '�OVER�.7HE COUNTE�;PERt11f�t�TTiNG;;,.��.�ry,{copy,;of-con#ract<recjiuired) " � ` . ` -
<br /> ��R`eroofsif'shingles �; r�,;Sewers ..�.S,ervice l�pgrades.A/C', = Fences(PIot/Survey/Footage) ,
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<br /> i.� ._� '-x.� `.. -'.�"`.. --: „ . `.'.�, .r. r ` �
<br /> - Driveways-Not ove'r Counter'if on`pu�itiC roadV✓ays;�needs ROW
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