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n,r'�u-°°1° City of Zephyrhills Perr�iit Application Fax-813-780-0021 ��
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<br /> , Bullding Department . i
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<br /> Date RecAived .: Phone-ContactforPerm(ttin ��� �� – ��L �
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<br /> Owner'a Name � �, OvKner Phone NN�r� �'!.� �lS �/ �
<br /> ��leS l� l 117�-�e�anae �-/9-
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<br /> Owner's Address A"T��� ��� l.sl^C, /eQ/�ul� Owner Phone Number�
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<br /> Fee Simpls Tltleholder Name •Owner Phone Number '
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<br /> Fee Slmple Titleholder Address �
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<br /> JOB ADDRESS � J./ � LOT# C� `°
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<br /> SUBDIVISION (./ SG� ��• , PARCEL ID# ��� a� �� L/D�� �D�D� OD/�
<br /> � (OBTAINED FROM PROPERTY,TIU(NOTICE) `
<br /> WORK PROPOSED �..NEW CONSTR ADD/ALT • Q� SIGN` Q Q DEMOLISH °
<br /> , ,8. INSTALL REPAIR �
<br /> PROPOSEDtUSE � :Q SFR. Q COMM Q OTHER - " `
<br /> TYPE OF CONSTRUCTION = Q� BLOCK " Q FRAME �� STEEL �Q i
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<br /> DESCRIPTION OF WORK ,, 1'�� �� G� A"N G��l.S�vT" 1 �d�'YJ' B�IP�/J'� � %'pN y
<br /> BUILDING"SIZE "SQ FOOTAGE ' HEIGHT�, '�
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<br /> QBUILDING $ VALUATION.`OF 7'OTAL CONSTRUCTION, �
<br /> QEIECTRICAL $ - AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ;
<br /> OPLUMBING , $ - j
<br /> OMECHANICAL $ �s�-��/ �� , VALUATION OF MECHANICAL INSTALLATION ;
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<br /> QGAS Q ROOFING Q SPECIALTY � OTHER i
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO ��
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<br /> BUILDER CAMPANY' - •
<br /> SIGNATURE REGISTERED Y/ N -'�E cuRREn ' Y/N
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<br /> Address ' � Ucense# '
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<br /> ELECTRICIAN , • " _COMPANY � '
<br /> SIGNATURE � REGISTERED Y I N FEE CURRE� '' ' =�Y/N
<br /> Address , ,. License#. - � � ,
<br /> PLUMBER ` COMP,ANY ,
<br /> SIGNATURE' ,. REGISTERED. Y./:N: : -, FEE CURRE� Y-/N �
<br /> Address ,.Ucense;# �
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<br /> MECHANICAL: ' ��,� COMPANY, j ��. C<TJ45
<br /> SIt3NATURE - ' REGISTERED, Y./ N FEE CURRE� � Y L=N
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<br /> Addresa•" -7-�� I�G�l� — � License# C��"3��d .. -
<br /> OTHER " , .� • � .COIyAPANY; � �.; . .
<br /> SIGNATURE =''" � .• "�- - ° ` ' ` REGISTERED'' '- Y I'N".; " _FEE CURRE� Y I N.
<br /> Addre� ,:; ' - � - � � License# '
<br /> �RESIDENTIAI;:•�:: ;Attach`°(2)„Plot<P,lans;_(2)setsioff9uil'ding�Plan§;�(1)setof.Ene�gy�Foiins;R-0=VV,Perrr%Itfornewconslru�Uon, ' ,
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<br /> . �Minimum�,.ten�(41A):worlcing;;days;aite�;subfn�ftal tlate�:Requirsd onsite,:�Ccnsiiuction�PlansrStortnwater Plans�w/SIIt Fence Installed,
<br /> `�����Sanifery�FaclllUesr&�1;dumpster,�;Site�4Vork�Pertnitfot;suBdivisionsAarge proJects�z, - _ �
<br /> COMMERCIAI. Attech 3`eorii lete'set`s'`of�B'uildin�"'Plans°"lus'a'Life$�afe Pa e; 1 set of Ene �Forms.R-O-W Permit for new canstrucdon.
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<br /> Minimum ten(10)working days after submltNal date. Required onsite,Construcdon Plans,Stormwater Plans w/Sflt Fence tnstalled,
<br /> - - - - SanlQary Facilides 81 dumpster.Site Work Pertnit for all new:prcjecfs:.All commercial requlrements,must meet compllance �
<br /> SIGN PERMIT AttacFi"(2)"sets of�Engineered-Plan�:;: ..•._',�`, ,�i", ` - �
<br /> •"'PROPERTY SURVEY reguired for all IVEW oonstrucUon..
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<br /> DI�ecHons: r .� � ' � ,
<br /> FIII out applicaUon campletely.
<br /> Owner 8 Contractor sign back of applfcadon,notarized '
<br /> If over a2500,a Notice of Commencement Is requlred. (A!C upgrades ov�r ST500)
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<br /> " qgent(for the contractor)'or'Powet of Attomey(fo�ttie owner)woul'd be someone with notarized letter from owner authorizing same
<br /> DVER THE COUNTER:PERMITTING- -.•(Front of-ApplicaUon-Only)�- �• •
<br /> Reroofs if shtngles Sewers Servlca Upg"rades�i4/C••�=�••Fences(PIoUSurvey/Footage)
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<br /> Drlvewaya-Not over Counter if on putilic roadways:.needs ROW` , . . :�
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