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8�saso-oo�o City of Zephyrhills Permit�4pplication FeX-813-78G-0021
<br /> B�Hding DeparUnent .
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<br /> Date Recelved . :::�-phane�Cont�ct�foc�Perrntttie . �
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<br /> Owner's Name d owner Phane Nurnber �l3„�.S � Y���� '
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<br /> Owner'a Addre�s .;j � � �`�'Gr ' A� �y �_ ' Owner Phoni Number �� �-
<br /> Fee Simpl�•TltleholdecName � � � � Owner Phane Na�mber '��� �
<br /> Fee Simpl�Tltieholder Addr�ss
<br /> J08 l�iUDRESS �u�� o� ��`' LOT# ��
<br /> SttBDFVISIOY� � � �� ' P,ARCEt�t�# ' , . �
<br /> - •� E ' � (OBTAINED.FROMPROPERi]I,TAXNOTICE)
<br /> WORK PRO�'OS�D <.�NEW CONSTR ' ADDfAtfi C�� SlGN � ` Q DEMOLISH
<br /> .. �. INSTALL_ � ..t; .R�Pi�IR -�• . � ,. ,
<br /> PROt�1?SEDfU�E . <Q SFR: � CQMIVI - �[� <QTF{ER., _ , , .
<br /> TYPE OF CQNSTRUGTION <� Q '' BLOGK " [�] ` FRAME ;� ;STEEL' �Q �
<br /> dESCRIPTfCiN OF WORiC� 4+ �(Lfl " � �" `��J fd1�.t�1 YV - . v
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<br /> SQ}FQOTAGE J "��
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<br /> QBl1tGDtiVG $ �--�D d� �. VAlt1ATION:C1i=�T8TAL'�CONS'i'RtlC'[ION ` �
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<br /> Q�LECTRIG,�L. $ 11L��� t1�} �. AMP SEi2VIC� �.3 1,� � 'PRG?Gi�ESS ENERGY [� W.R.E.C.
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<br /> QPLUMBING $ ,-. -
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<br /> OMECHANl6AL $ VALUATtON OF'N1�CHAI+}ICAL tNSTALlATtOid_
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<br /> QGAB [� t�QOFiP(G Q SREClA�.T`Y � OTH£R�
<br /> FINISHED FLOOR ELEVATIONS �_� FLOOD ZQNE AREA QYES. NO �
<br /> S G,N�►TURE v �(..jG��i�✓ �� COMPANY'' . .
<br /> REGISTERED Y/ N • FeE CUR�� ' Y/`-N-
<br /> Actdress ' � � >Lta,�nse.# �� �
<br /> E�ECTRIC�IA4I-.�,._ � /,� �� � _ ,=C{}MF'11NY . _ � . � x - _ •
<br /> SIGNATURE � 4'"' ��"'[�.'�" � r '� REGISTERED Y/ N FEE:cURFte�•-� �=��-Y GN-' '
<br /> Addrs�s`,. - . , .. ' _ _ i > , .,.. , llcense�#,�° :;.� •--�
<br /> PLUM���t�'` ' � � _ ,J/ COi1RPA#1Y ' ' . . . � �
<br /> SIGNA?UFYE"`" _' '+` �j _ � � REGIST.ERED, Y./.N.: ;FEE_CURRE� -.Y./N �
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<br /> Addt��S ,. ;� '..l1t;�nSe;#�i�,. :• ,... ' "'`. I
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<br /> � MECHAN[GA[:` �. ; ' . � . . � COMPANI�! :f � . ;, ,:., �.,' � ' '.
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<br /> SI(3NATURE� `•�'`S „ . . . - ` " `�. REGI$TERED ,, Y,/.N f 4;,F�E CURRE�:. Y.LrN.
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<br /> Address�f',,.; •,,,.:: - � .-:. :. :r . .._ .. . .. � � - Ucen�se#`�.
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<br /> SIGNATURE� .,,�' 'r*`'»�: "�H�'> :�".�;' :�'.�. . .. . '^^, � . ' �` -REGI$7ERED� ` 'Y/'N: � :FEE CURRE� � Y/N.
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<br /> , Address +�k,�;�;'-. .z, ,� , � `Llciense#`�� .
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<br /> yR�SIDEPI'�I�ti1:�;�,;.Att�,r�i:f.{2}�Plot;f!la�isR,:�2�sefs:of{Bi5ltding?i?laii`s,'(1}set�of�En'ergy��a`ims,'.;R�0=1N�Perinittornsw��nstrtic�on, -
<br /> "�;,M�s Mlnimum�ten�(;10)�,wnritingadajis,`a�ter�suhirn�lfal�date:�Requirsd onsltie;rGs`nsinicNon'Plana;�Stonnwafer"Plans�'w!SfCt Fence lnsfalled,
<br /> `" ��Sanitary`Fedlltles,&;1�dumpstermS(te��M1lo,ric�Permit;#or;sutidivi�loi��sAarge�;pruJeots;r.�.,;'�^� ` v= , ' � - . '
<br /> L -.,rs" .>Js.-�.,..__l�o-:. _
<br /> GQ�##lUdEi�l�!.-, _ At#�ech{3}`cotnplete sets't�if"Bultdirig Plati's plus a.t.(fe SafePly`Page;{1}set of�nergy Fomts.R-Q 1N t��rmit fc�r�a�s oonstrua�cn. ,.
<br /> Minimum te�(10)working days afker submlkhal date. Required onsite,ConstrucHan Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary FaciliUes S 7 dumpster.$Ite Work Pertnit for all.new;prc�jecfs::All commercial.tequlrements must meet compliance
<br /> ,,,SiGt��PEltMIT Attacir{2�"'seG�ofEiigin�er;ed�P�ans:���-=... �"�.,�:f�`:=•--�1.�. '� ... . � '
<br /> ••""PROPERTY SURYEY,required,for_aII�NEW aonstrucUan.. . _ -. -�- -
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<br /> ��Dtrsatians: . ..._.����3 �„ - :,. -,.
<br /> . 'Fill out applicatlon completely.
<br /> 4wner�Contr�ctor-stgn back of appltcatlon,notarized �
<br /> ' tf ov�c��500,a Notice af:Commencament is reguired. (AtC upgrad��over S750d) . ,_
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<br /> Agent(for the contractorj c5r'Povirer of Attomey(for`tFie owner)�woul'd tie someon�a with natarized letter from owner authorizing same
<br /> :OYER'THE COUFtTER.,PERMITLtNt3--• --,<•{Front of-Apptication-Onty)�- �- •' �` '
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
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<br /> Driveways-Nat aver�untar if an publia roadways_:needs ROW"
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