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<br /> 813-�eo-ooao City of Zephyrhills Permit Application Fax 813-780-OQ21
<br /> � �' • Butlding Department
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<br /> Date Receiyed =Phane�Contac#�for=Par�ittia tS �t�c�.. — �J' �l
<br /> Owner's Name � /' ' Ownar Phone Number b r�" ��O—c���
<br /> Owner's Address ��7�. Owner Phone Num6er � ��
<br /> Fee 5lmple 71tleholder.Name �Owner Phone Nuriiber �i Y-1 �
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<br /> Fee Simple Tltleholder,Address i
<br /> Jd8 ADDRESS � � � �� �GL/� I LOT# �� I
<br /> sugoNwstoH ,� ��J-K�l�1t� � � PARCEL�D# ��� v�� o�f �D�D d��DG� �/l�f.�
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<br /> , , (OBTAINED FROM PROPERTYTAX NOTICE)
<br /> WORK PFt4POSED _.HEW�CON5TR ADD/ALT [�]" SIGN Q [� pEMOLiSH
<br /> �:e, INSTALL � REPAIR • � �
<br /> PROPQSED?ttSE Q SFR. Q �C{�MM C� �OTHER ;
<br /> TYPE OF CON$TRUC170N Q� ' 'BI.00K " [� FRAAAE [� ,STEEC '�]
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<br /> pESCRIP'f�ON OF WQRK L� ' �%�� �`" 19'LGr'¢ � ,�7'7'ry � �� �
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<br /> BtlIi.D1NG SlZE �� �`SQ F001'AGE��; _ ,.HEIGHT��_____� '
<br /> �$�i����' � VALUATIO(V:tJF T'OTAI GONS'i'RUCi'fON" � ` �
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<br /> QEI.ECTRtGA! _ � ' ' � AMP SERVICE Q PROGRESS EM1tERGY Q W.R.E.C.
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<br /> QPLUMBIN�� . _.. ` �
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<br /> QMECFti4NiGAL $� j��i"�� VAIUATiON OF MECMANtCAL INSTAL�AT!!?iV
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<br /> QGAB Q ROOF{NG _Q SPECIA�TY, � OTHER �
<br /> FINISHED FLOOR ELEVATIQNS ��� F1.00D ZONE AREA QYES NO
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<br /> BUIIDER COMPAI�IY� . �
<br /> SfGNATURE REGIS7ERED Y/ N FEE CURRE� Y'/N� I
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<br /> Address ' • • Cicense# � �� i
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<br /> E�ECTRICIAN� ,.: � - ' =COMPANY �
<br /> SIGNATURE� � REGISTERED Y/ N F�cuRr�n�' ' =Y/N
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<br /> Address - - ` , , . License:# �. - S 1
<br /> Pl.UMBER ` " � COMPAt�It . ,. .
<br /> SIGNATURE�'i � ,REGI$TERED,. Y_/,N.t - FEE CURRE� Y�/N. ;
<br /> Address � � • . 'oense,#��. � ` ; I 1
<br /> MECHA�dICAL _ ��� `�G/XL`�„� GOM,PANY !'��y� �11I� ��Gj- �
<br /> SI(3NATURE REGISTERED., Y,,/ N � FEECURRE�• Y%N •• ' . ,
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<br /> Address�'' _-;�''��"1 /P ; '�f�'JLLS ` ' �icense#`���� ���l�r� �-
<br /> OTtfER '-' . , , � , - ` `' �GONIPANY . ... .. .
<br /> SIGNATURE" "f�'. • � ``�'' •• � • ` ' ' ` �� " REGISTERED` Y/ N,..: � FEE CURF2E� Y/N,
<br /> Addesss� . , ,<. ;v� � ,f :i 'f` ' �{� ' ` ' � llcense# (`._ ' � ��
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<br /> RESIDEN7IA!�t: -:Attactt'{2},Rtot;P,latis;:(2)sets�_of=Bulliling�!'!an's;={'1}set oF Energy"�aiiils;,R=O=W Perinit f6r new constructton, ,
<br /> -< ;;�:•Mlnimum;ten;(10);workinglday,s�after;subrinittai date`.;Requlred onsite;rConstnicBon=Flans;�8tormwater Plans w/Sllt'Fence_Installed,
<br /> ""'+��Sanifary Facii(tles,8�y1�,dumpster•4SIte WorlcfPermit foc'su6divislonsllarge;p►6Jects;=:,,_-; .;'� " ��� •� � - `
<br /> COMMERCIAL. Attach{3}cbinplet�setsof'8ullilirig Plaos plus a'l:ite Sat�ii}r`Page;{'1}set of Energy Fotms.i2-Q-W Petmit#or new canstruc�#on.
<br /> Minimum ken(10)worldng days after submlttal date. Requtred onsite,ConsUucNan Plans,Stormwater Plans w/Sllt Fence installed,
<br /> Sanitary Facilitles&1 dumpster.Site Work Permit tor all new:proJects:.All commercial�equtrements must mest compllanee '
<br /> Sl�N PERMIT Attacti{2)sets of'Eiiglne�red;P...lans:, :� :;�. . , �-�� � ' '
<br /> ••"PROPERTY SURVEY reyulrred for all,NEW�constructlon..
<br /> Dlreations: . ... . . '
<br /> FIII out applicatlon completely.
<br /> Uwner&Conlractor stgn back of appllcallon,notarized � , ,
<br /> if over 3�'500,a Nottce af Commencement Is required. {A►G upgrades over�T500} ,
<br /> '• Age�t(for the�oontra�cto�)or'PoWer df Attomey(to�tFie owner)would be svmeone writh notarized letter from er;a11tho zir�,s�me
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<br /> DVERTttECOUNTER.PERtIAfiTftN�,`;";``(FS�`,biit'of-Applicatl�,�:t�n��y - �• . ta�`:�'�'•,." r�t�..;,=: ,:,>�r,,, �
<br /> �' ' ,.a 1 t , . �itn'° t� �?�,1!;1� ;�: ��;Ry., -;�1e` '1_; � �"'=������ �
<br /> Reroofs If shingles Sewers._''' Service'UpgFades A/C •�Fences(PIoUSurvey/Footage) , '', 'i,�1. . ,- -� , „..
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<br /> Driveways-Not over�Coi�nte�if on'pubiic�roadways:.needs ROW,_ � � "i' '``'. ' {Y`, $ . , ��k+f xl':��_
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