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<br /> 813-780-0020 City af Zephyrhills Permit�Application Fax-813-780-0021
<br /> � � � BuHding Qepafinent _
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<br /> Date Recelved �.�Phone Contaat far�Permt#Nn " g� �' �tT c�— ���
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<br /> Owner's Name GGL,.°.�J��UG� P e Owner Phone Numbar ��— �J`'`3� ��� �
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<br /> Owner's Address �� � J� � /G1.5 Owner Phone Number �
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<br /> Fee 5lmple TI#Ieholder Name � • � Owrier Phane Number � � �
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<br /> Fee Simple Tltleholder Address �
<br />� J08 ADDRESS �� � ��� ��Sr ����� LOT# �� .
<br /> suso�vissor� , � � ��cF�.ia# 1�" �lo - �1~' � � 1����GS z�ll� ',
<br /> . (OBTAINED FROM PROPERFYTAX.NOTICE)
<br /> WORlf FROPOSED. _NEw CONSTR ADDtA�T [� StGN Q• Q DEMOI.ISH
<br /> - e. iNSTALI. �REPiAIR ' _
<br /> PRflPQSEDtIlSE , � Q SFR Q 'COMM [� �OTHER • �
<br /> TYPE OF CON3TRUC'fION Q� ��'BLOCK " [� FRAME � C� STEEL' Q
<br /> DESCRtPTIt�N OF WORK' �, q ��� � ��Y4- 1h'�V��'/l�`�7�J �
<br /> d�ES 6 �G G'�OGG'� a�
<br /> BUFCDtNGSIZE' �� �"SQ FOOTAGE��� .,HEIGHT��-� 'I
<br /> �8���'����' �W� VALUA710N:"<)F`TOTA�:CONSl`Rt'1C'f'ION~ ' � . .
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<br /> QEl.ECiRiCAi. � � AMP SERVICE Q PROGRESS ENEf2GY Q W.R.E.C. �r �
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<br /> oP����,�� - �C .� � �
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<br /> MEGHANICAL $ VALqATtON OF;MECHANICAi.INSTA�LATlQ1V / I
<br /> � ���`� �' o� `�� G ����
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<br /> �c,As � r�ooFir�a _p sF�c��.�nr [� o�He� - I
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. ,NO
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<br /> BUILDER COMPANY� � � .
<br /> SIGNATURE REGI5TERED Y/ N FEE CURRE� Y/N '
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<br /> Addre�s • Llcense# � I
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<br /> E�EC't'EtlCIAt�lf : � � . COMPAHY •- ` . I
<br /> SIGNATURE '� REGISTERED Y/ N FEE CURREk°� �Y/N' �
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<br /> Addre�s ` . . .. Ucense:# r— �� • � `�
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<br /> PCUMBER" � . . COMP:,ANY - �, , , . I
<br /> SIGNATURE` '' ' , � REGISTERED„ Y L•N --,FEE CURRE� ' Y/N: •'
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<br /> Addrsas � ' f� Ucanse�# � ._ _ �
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<br /> i MECFlANlC�41.` . � COAfIPAFtY. �jIl�S ,r' S .
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<br /> SIGNATURE � ��� Mr�����h—'� f . REGISTERED.,� . Y:/ N �,FEECURREP Y.,/�PI �
<br /> Addre�s� . =;�'�J� ! +`�%t� Z`"l7/��+ .. � - , Licensa# �t-3t7'.C✓� T�.�,� -
<br /> I OTHER -� . -. _. �. „ .:>COMP��NY.'
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<br /> � SIGNATURE� �,,..: ,... ,, h .::�,-..��- ,� •-• : : � � �
<br /> REGISTERED Y/ N... FEE CURRE� , Y/(11�
<br /> Addcess': . - .. �,�. , ... , , . . ��' � _ � . . •=,,�_- � � _ • License#�'� '� � _ ;
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<br /> RE31DEN71Ai:�:_;`Aftaoli;(2},Ptat;Flaris;.(2)'s'ets=o�=Bu1lding�Flan"s;(1)'set oF Energy>Foiin§;,RA�WMPer`rrilE far new canstntctton, , _
<br /> �-r-; ,,�. Mlnimum•�ten�(10).working�;dajrs'after;subrriiftai date.';Requiretl onsite;�ConstiucBon=Rlans,Stormwater pians�w!Stit Fence instailed,
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<br /> Sanitary Facpftles:&�1;,dumpster-:Slte_Work�Permit for suddivislons/large:pro]ects_;_-'.;�- - ' � ��• -
<br /> COMMERCiAl. Attac�{3)`cbinptetei`sets+of�Builditig P1ans pliis a.Ufe Safety Page;('i}set af Energy Farms.R-O-W Pennit for nerv consttuc�on. °�
<br /> Mintmum ten(10)working days after submittal date. Requlred onsite,Canstrucdan Plans,Stortnwater Plans w/Silt Fence lnstalled, ,
<br /> Sanitary Facilifies&1 dumpster.Site Wo�lt Permit for all new�projeots:All commercial requlrements.must meet compllance-' ' �
<br /> SIGN PERNII7 Attac,�{2)sets�of'Engineer,eduPians:;��>-:�~ . - r _ , ` -
<br /> '••"PROPERTY 5UR1/EY reyulred.for all NEW canstrucUon., . •
<br /> Directlon�: _. . , ., _ -� , .. �
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<br /> Fill out applicaUon complekely. �
<br /> Owner&ConhacMr stgn back of appltcatlon,nptarized '
<br /> If aver 52500,a Natice;of Cammencement is reqaired. {AtC upgrsdes ovar 57500}
<br /> ..y�,i'sri�:;`.ciS ��r.�:�c�.':�.. � ,��
<br /> `" A(]enf for the contrabtor1'or PQwer o�Attomey(fb�ttie,owner woultl be someone with notarized Ietter from owner autlioriiifig�same�=<�����,>-�-.��,,�,.,.,���:.,_ .,,
<br /> 'V � /� J4.3S�p•.2i.M.�J..<u.YfY___.'..`Y+2(.�lu_ >. .�-�1.;,.n,..'."". .. Y' . 'i.,.�� �.� � _
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<br /> OVER TME COUNi`ER PERMITTi�lG.-_.r;�:Fribiit of-' licatlan�On1 :. . . - - ,:- �:
<br /> �t APP Y)`�_-....,.> ��'. ._ . .;;�csa`-�+<<: , ,
<br /> Reroofs if shingles Sewers L �!Seivice,Upgrades��A/.C�'����' Fences(P,lof/Survey/Footage) Y� � � « ,, �� '° �' -
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<br /> Drtveways-Not over Gaunter if an public'raadways::need"s�ROW���.; 4` : , ' - , ,
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