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t37:i'(t3U-U{)2U City of Zephyrhills Permifi Appiication Fax-813-7$0-0021 �
<br /> Building Department �
<br /> Date R�celve� "' l % �l�" ��a 5--�f - � �. �
<br /> �' Phone�Ccnt�at for��rmittl» a.
<br /> f3wner's Plareie tL✓/'� 0�,,�,�.�� Own�r Rhone IVumb�r ��3 ' �t�a ' �.� �'7' '
<br /> Owner's�►ddress , �+r�� � 0 � �Ue.,-�—G Own�r P'hone Wumb�r � � � '
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<br /> Fee Slmple T1�1�ltofd�c F1ame � Owrrier Phon�Nucnber �! �
<br /> F�e Slenpte Titl�holder�ddr�ss ;
<br /> JOS ADDFtE�3 �'�' i.OT# � .
<br /> sueoiv�sooc� ��c����� a t� � t o a a D �o oZ� Q I�t�
<br /> (OBTAIPdED FROM PROPERTY?AX•N017CE)
<br /> WC�RK PEB��OSEp .idEl�t COt�STR' AQDlALT [� SIGN' Q- Q DEMQLISH
<br /> e. INSTALI 8 REPAtR - .
<br /> PROP�SED+U3E Q SFF2, [� COMM � OTMER
<br /> TYPE OP C�WST�2�lCT60Td Q ° BLOCEC " Q FRAME � � STEEL Q .
<br /> ��sc��������woR�c , /�t/.�L- .,.�C,. � ` s�'-�''�-�, � � � �� �
<br /> BUILDlPIC'a SlZE �� � .�]: ` � O���e� f �v �
<br /> SQ FOt9TAGE � H�IGHT .. �,�^f;
<br /> [��UILpING �� VP.R.tltiTlOiJ�OF't'QT,4L CONS'1'1tl?CTIOht � �
<br /> CJELECTRICAL �___,� ANflP SERVICE [� PROGRESS EIdERGY Q . 1 ;
<br /> QPLUfUBING (g,_—_—^� ' � Q� ,
<br /> � � ��
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<br /> �MECHANICAL $ " VAI.UATI4N OF MECHANICAL INSTALI:ATIOId �{�.- ,
<br /> �� �� � �
<br /> QGAS Q ROOFING Q SPECIr4LTY C] OTMER v�j,,� �
<br /> FINISFiED F�04R E�EVATIOMS � � FlC10D ZONE AREA QVE$. h!O �r �
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<br /> BUILDEFt �ONiPi�P6Y � �
<br /> SIGt�0AT13Rl� REGtSTEREd Y I ft1 . -.FEE CURRET Y/Ft)
<br /> AddrB�s ' - � �
<br /> Llcense#'r
<br /> EI.�CTRICO�V= . � Y i Gl`�MPAE+IY i
<br /> SiGP�ATtlRE � REGSSTERED Y 1 � �E Gutt�aEh 'Y 1 PV
<br /> �'` �
<br /> Addeg�s , . l.Icense# ( �
<br /> PLURABER ` �OMPMlY - .
<br /> SICaN�TUP2E' � ` , _REGlS.TERED. - Y�I�{�1.. . FEE GURREh Y 143
<br /> Addre�s I,l�nse,# (�. �. �
<br /> MECHANICAL'. � � � COMPANY, C �1 ''�.� � ,� � �� `
<br /> SIC31��tT�R� ,.� REG.ISTEF2ED ./ N FEE GURRER GN -
<br /> AddfA�S' ' ' � � f�' �� �J O/ (.►C8itS9# ,J"'t"Ci J ,�.
<br /> Oi"9'WE18 ' � - ;C�IMP��iNY �
<br /> ��GNfiITE?f2E `-j . � - . ` REGISTERED ' Y/'N .; FEE Gt1RREt� Y 1#U
<br /> Addc��s , ' - - Llcense# � �.
<br /> � .
<br /> RESIDEMTIiAL,: Attachi"(2)„Plat;Plans;;'(�)sets;of.%Builtlfng�l?lens;(1)set of�Energy�Farrns;,,R-0=1A1`Per`rrilt f6r new constructlon, ' "
<br /> _.<;:Mtnimum�ten;(�0);,woticing�day,s,atte�,�subi�ilttaf'date:Y;Fiequlcet�onstte;'Gonstruc�cnjPlans;=Stortnwater Plans�wl SEIt Fence Installeii,
<br /> �� � Santtary`Factitties,&��1:,dumps@er.�Site�Work:;Permit#orsubdivl�Ionsllarge�proJects�: � ,. �
<br /> COMMER�CIAI. Attech(3)`eomplefe'sets oF B'ullding Plans~"plus�a`Ufe'Safety Pege;(1)set of Energy Forms.l2-O-W Permlk far new constructlon.
<br /> iVlinimam ten('#0)wrorking dsys after st��mittal da�e. r�equlred onsite,Consttvctlan Plans,Stormwater PEans w!SII#Fence 3nsfatled; - --- -
<br /> Sanitary Facllitles 81 dumpster.Slte Work Pemnit for atl new:�pro)ects.All commerclal requlrements must meet compllance
<br /> SIGtd PEitMIT Attadh'(2)sets`ofEnglrieer.edrPlans:;� � • �. , .
<br /> :°'°PROPER7Y SURVEY required far,atl NEW can.s..#ructlon..
<br /> - - ,.
<br /> Dlrectlons: • - - �
<br /> F�II aut agplicatlon comptefiely.
<br /> Owner 8 Canhactor slgn back of appllcaUon,notarized �
<br /> If ov�r 52500.a Notlee of Cammencem�n�ts nQuBr��. {IQJC wpgirades av�r�Ta00j
<br /> " Agent{for the contractacj'ot�Povue�qf�Attoriiey(for tiie ownet}wouli!be sameone with notariz�d letter from owner authortzing same
<br /> DVERTHE COUN7ER.PERMITflNG- -- �{Frontof•A�pllcation Only)� -
<br /> Reroafs EF shingtes Sewers Servic�Upgrades AlC Fences{PlottSurveylFootage)
<br /> Drlvewraya-Not over Counter(f on public roadways..needs ROW �.... _ . . . _.. _._. ._,
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