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813-784-0020 City ai Zephyrhills Permit Applicatian Fex-813-780-0021
<br /> BuElding Department
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<br /> � Date Recelved Photts Gonta¢t tbt Permittln
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<br /> QWnsr's Nams t1.�S Owner Phon�Number LS��j" 1 .
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<br /> 4wner's Addrese . . �a � .��� Owner phone Number �-----��
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<br /> Fee 8lmple TUleholder Name �- � � Owner phans Number �.-'���
<br /> Fee Simple Tittefioider Address
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<br /> J08 ADUFiE3S � . Y `� . .. .
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<br /> SU9D1VI8lON � ..� � #�ARCEI.I�N _l�"' ' �' -.(�(�'OC�-./.�.`1'v
<br /> �� � �� (06TA1t1E4 PR4M PFiop6ftri TA?[HoTtcB)
<br /> WORK PROPOSEb NEW eoNSTR ADD/ALT � SIGN �J Q pEMOUSN
<br /> ` e 1N5TAL� 8 REPAIR
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<br /> PROPOSEb USE Q SFR Q C4tyfM �._.�, O?NER :....:. _.'..
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<br /> TYpE OF CONSTRUCTION Q BLOCK
<br /> Q FRAtvtE � STEEL Q "
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<br /> QESCRIPTION OF WORK � ' �
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<br /> SUItOtNC3 SiZE ��� SQ FOGTAGE�� NEIGHT �_�
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<br /> Q BUILDING �� VALUATfON OF TQTAL CQht51 Ru�,i IQN
<br /> QEi.EGTFi1GA4 �$ "' ' ' AhiP SERVICE � pROGRESS ENERG`f Q W.R.E.C.
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<br /> QPLUM6ING �$""'
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<br /> �MECHANICfIL $ p�i� VALUATtON OF MECHAtJ{CAL INSTAtlAT14N
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<br /> QOQS Q ROOFING Q SPECIALTY � OTIIER -
<br /> �t� FINISHED F1.00R ELEVATIONS �� FLOOD ZONE AR�A QYES NO
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<br /> ��� HU3LOER COMPANY --... . . . ....,_......._. �...
<br /> �IONATURE HEGtSTEftEp .Y( N FEE CURREA . Y/N
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<br /> Addresa __ ttoense# i .. ..,/. .�._`. ..�
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<br /> EIECTRiCIAN � � �COMPANY � �
<br /> SIGNATUR� REGI9TEREQ � Y/ N FEE CURREf. Y I.N. � �
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<br /> PIUMBER � CgMpANY �. ._. �
<br /> SIGNATUF{E � REGI5SERE4 Y I N FEE CURHEh Y j N.
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<br /> MECNANIGA� � � COMP.ANY �/1 f�(-T(� �� �G�SC�
<br /> �CGS L9�. r
<br /> SIGNATURE REGSSTERE4 � .Y.I,N � FE�CURRE�. Y I M
<br /> ` Address ,�� QfpX��,�tJ.__�t���15,�,!�.,�ti.7.�. llcense# �iJ7t����:)'T�� �
<br /> OTHEi� �� COMP.ANY ..
<br /> $IGNATUIi� REGiSTERED Y J N � �E�bt1RI2EA""' Y I N . �
<br /> Address lioense# � I
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<br /> RE5IUENTIAI. Allech(2)Plol Plans;(2)aels o(Bullding Plana;(1)se1 of Energy Forms;R-b-W permll lor new conslrucUon,
<br /> MfMinum fen(10)work4ng days 8fter'submittal date. ftsquired onsite,ConsUuctfon Pians,'Stormwater P1aas w!SOl Fence insfaNed,
<br /> SaNlery Fa611111es 8 1 dumpsler,Sile Wark Permll for subdl'visionsfla�ge proJecls
<br /> GOMMERC1Al Atlach(Zj compRets sets at Butlding P4ans pS�s a Ette SaE2ty Page;(i)set ot Energy Forms.R-O-W Permlt tor new construction.
<br /> Mlnlmum len(10)working day's efter submillal dele. Requfr2d onsile,Constructlon Flans,Slortnwaler Plens w/Sill Fence l�stalled,
<br /> Sanitary.FactlStles&t dumpster Site lNork Permi[for a1I new projecis.Ai{commerciet requlrements rriust meet compliance
<br /> SIGN PERMIT Alfach(2�sets o(Englneered Plans:
<br /> ""PROpERTY SURVEY iequired(or ail NEW constriicUon.
<br /> �-1.•�-i.�•.1=i-1:�6�:F�4i-�-�-i-l�i=1�1-i�1-i'=�:-+�1=1=�-i=i-1-1-l=S-4�-i-I::�-1=4�4-4-i-1�*1-i-i=i-l=lri=Y:�-:=::=i�d=t�I-�-1-i-1-i��{�
<br /> Dlrectlone:
<br /> Fifi ouE appiication comptstety
<br /> Owner 8 Conlreclor slgn iiack oi appllceliori,noladzed
<br /> li ovei$2644,a Notice of GBmmenaotirent is requi'red. {1VC upgrades over 57504} -
<br /> " Agenl(tor the conlrecloe�or t'ower of Allomey(tor lhe owner}would be someone wilh notedzed 4etle'r(rom owner authodz�ng§ame
<br /> OVER THE 4`OUNTER PERMIT7ING (copy of doN�acl rgqulred)
<br /> Reroo{s It'shtngtes Sewers Service Upg�adss AfC Fences(P1oUSurvey/Foatage} -
<br /> Driveways-Not 6ver Counler it on pubtic roedways..needs RdW
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