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<br /> elsa�aa-oozo � City,�.of Zephyrhills Permit Application i F�=a7a-�ao=oo21
<br /> ' ' 8uiiding Depa�krnent ' . �� •
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<br /> Date Recefved � ��-� phone Contact'for Permltting __ `} "
<br /> Owner's Nafie � �G� ,cs �-. C Owner Phone flumber �J�-7�'z'. � `�•?� ,E!
<br /> : Owner's Address ���d��'��'��"�' n"' p f �G-�j✓���� S�Owner,Phone Number � �i �
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<br /> Fee Simple Titleholder Name 'S C,,r�. �[,_, � Owner Phone Number (_ -� . �
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<br /> Fee Simple Titleholder Address ��
<br /> JQB ADDFiESS ��J�� � ��' '�' I ¢t,y� LOT# �
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<br /> SUBDIVISION ✓�l 1. �G-�'� �Ga� PARCEL ID# C�y�' �-v+'/'��/�-'�'C.�U°"��� �""���
<br /> (OBTAINED FROM PROPERTY TAX NOTICE) '
<br /> WORK PROPOSED NEW CONSTR AD[}/ALT �� S1GN Q �J ';� DEMQI.ISH
<br /> � �INSTALL 8 REPAIR ' ;
<br /> PFiOFOSED t7SE [�"' SFR Q C{?MNI 0 C?TFiER
<br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q �'�
<br /> 'C� �� �. ►�J�,� ��?`�rt-'�'� -""��'�"-�
<br /> DESCRIPTION OF WOFiK r 5•\ ���'��-�' I'eSac��,�'+.C�
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<br /> BUILDING SIZE �� � SQ FOOTAGE ��C�� HEIGHT ��_� ,�
<br /> T!"1"1'�f� �TI�1"T' � 1�1"'
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<br /> �BUiLD1NG $ ����� VALUATION OF TOTAL CONSTRUCTION ,�
<br /> OELECTRICAL $,�� �,py� AMP SERVICE � PROGRESS ENERGY `� � W.R.E.G.
<br /> C�',J �
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<br /> �PLUMBiNG $ ..!"'�r-�� � "
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<br /> OMECNANICA� $ ��,►�5'� �� VALUATIOtV C!F{ViECHANIGAL.INSTALLATION � <_� _
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<br /> QGAS �.�RQOFING Q SPEGIALTY � OTHER ;�
<br /> FINISHEC)FLOOR.ELEVATIONS � FLOOD Z(JNE AFiEA DYES NO � �
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<br /> -�-�.-�..�-�..�..�..�..�..��..�..r_�.-i.-�...�.-i-�-�-N-�.-�-�-�-�-r--�-�-�..�..i..�..+,-�..F.+-.�-+--�M.�..a... . . . . ., .��`� .':. . . �-.a...�-�..�.-
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<br /> BUILDER „>� COMPANY ��� - �f�"'�c'^' ��"�
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y`' N'.
<br /> Address �a�������-�a.� � r" �� � License# ��'�-��q� G' � �
<br /> E4.ECTRICIAN � �/`� ��.�{ . � COMPANY �� mOn�pn ���'�-�!�i U
<br /> ' SIGNATURE � �� "'� REGISTERED Y/ N FEE CURRE� Y� N
<br /> Address f 4'3 '�i 5 K�� 1��r /sc��'�� � License f# ��l���� C3�
<br /> P�UMBER � ���f���_� COMPANY '�'/'�j? G/'S7� fi '�1�., B`"��
<br /> SIGNATURE �� � REGISTERED Y/ N FEE CURRE� Y` N
<br /> Address -` 7 � L�.fi �G� � �N,o^•l �'�L License# ��� �u��D� �
<br /> MECHANICAL ���,.,,,,,,.s''C,� COMpANY �I�O �z-'Sc�.�� �x=- t'��r�7 s�� �
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y�` N
<br /> Address �'�jD''� c�s��,��'?`� �or��-.�T c_�� License# V��.����IC'�� I
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<br /> OTHER ���. COMPANY �I 1 Y�Crt'G'� �Ca(�-�/?
<br /> SIC,NATURE REGISTERED Y/ N FEE CURRE� Ys N
<br /> Address �'`�",�� f ���' .�f' ��.+r^x � License# (,�C.4 c.J���,�� � �_r � �
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<br /> RESIDENTIAL Attach(2}Ptat Pians;(2}sats of 8uilding Plans; (1}set of Energy�arms;R-Q-W Permit far new construction,t;�
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plahs vji/Slit Fence installed,
<br /> Sanitary Facilities&1 dumpster,Site Wark Permit for subdivisionsiiarge prajects }
<br /> COMMERCIAL Attach(2)comptete sets of Buiiding Plans pius a Life Safety Page; (i}set of Energy Forms. R-O-W Permit for;hew construction:
<br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans vi� SIIt Fence installed,
<br /> Sanitary FacNities 8c 1 dumpstsr.Site lNork Permii for all new projects.A11 commercial requirements must mee�cocnpliance
<br /> SIGN PERMIT Attach (2)sets of Engineered Plans, x
<br /> ****PROPEAT'SURVEY required for all NEW constructlan. ��
<br /> _■ ■--.-�'.-:-:-I--i-i-i�-i--�-.�-i�-i�.�-i�-I�i-i-i-l-i-i-I..I..F-I-i-�I--1-i��-I.i-l--i--i..1--�-i..f-.1-a.-F.�i-I-.i-I-l-i�.i-■ • • • :y • '� • • l--i-�i-�I.�.
<br /> Directions: ?
<br /> Fill out application campletely. � , t , , ;}
<br /> Owner&Confractar sign baek af app(icatian;notarized ' 4 _ � �
<br /> If over$z50o,a Natice of Commencement is required. (A/C upgrades over$7500) `
<br /> ** Agent(far the contractor}or.Power of Attorney{for the awner)would be someone with notarized letter from owner authorizing�sarrie �
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<br /> OVER THE COUNTER pERMITTING (copy of contract required) �
<br /> Reroofs if shingles Sewers Service.Upgrades A/C Fences{Plat(SurveylFootage) . . , _ �4k, , a
<br /> Driveways-Not over Counter if on public roadways..needs ROW ' ft' �
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