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��e��-�eo-oo20 .`Y„ 1'_.`.V� -. -� Cityof Zephyrhills�Perm•t.: :.�: ,.� ... �'. �'; ' .:�. � aa
<br /> ;. i_ ApplPcation:, Fex-813-78 �21
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<br /> Date Recei"vet�" -;.. ,vcr' ;2Q� :� "••':r;.�-��°'` w' �,.,.�.°'.` �"T
<br /> .����.�..,.� .,..,.._7,��:.f: . �,Phane�Cantact�far�Permttt�n u=�f:.���'�r~,. �'��2... � �
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<br /> Owner's Name V o5�, •��RG IT S Ownsr Phone Nurnbsr t 3 6��' p�5"y"5
<br /> Owner's Address ^��2/ ����y a Ll�'N� Uwner Phone Number�;� � �
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<br /> Fee Simple Tltleholder.Name :.:��✓'�E ���G fI S T� pWner Phane Number ''�� ' �
<br /> Fee Simple 77tl�holder Address J�""�/ ���a�! j'�"NE '
<br /> JOB�DDRESS ��G�/ /���Q,fl � L/�' � LOT# ��
<br /> SUBDIVISItlF1 � �� ' P.ARCEL Id# � � �
<br /> __ • , � (OBTAINED.F.ROM PROPERTY,TAX NOTIC@)
<br /> WORK PROROSED -:.PtEW CONSTlt'.. . , ADDIAI:T • ��" StGN' -Q. :C] DEMO{,ISH
<br /> . *_ ��.�,� INSTALL. 8 ,, REPi�11R --- � � I
<br /> PRQPQSEDatl�E . . Q SFR. [� 'f,;0t41M - C� �OTIiER: , , ,
<br /> TYPE OF CQNSTRUGTION �, Q� '�BLOCK , :[� FRAME � ;[��] ;STEEC .Q
<br /> DESGRtP�tON OF WORK� ' G^ltlJ¢M G�Z�V� 3�lZ ?_7)N � G � . . �
<br /> BUI�.DiNG;SlZE�`'� �'SQ'`FOCITAGE�_�:; ..HEIGHT .� �
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<br /> [�BUlI.DING $ `'-'� ' .�rr ..- _ ..
<br /> �� 1. VAlUATtON`t}F�'t'OTAI-CONS'�Rt1CTiON
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<br /> Q�l,EGTRICAL.. $ AMP SERVlCE - Q �PRt?GRESS ENEFtGY Q W.R.E.C,
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<br /> Qf?�UMB#NG� r$ -� -
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<br /> [�MECHANIGAL $ �7��•• VALf7ATION OF MECMANlCAir INSTACEATION
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<br /> [�GAS , [�] ROQFI{�G Q ^aPEC1AL'tY � QTHER�
<br /> FINISHED FLQOR ELEVATIQNS (��� FI.00D 20NE AREA QYEB NO
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<br /> BUtE.DER COMPANY� � '
<br /> SIGNiATURE RECaISTERED Y/ N - �FEE CURRE� � YY N
<br /> Alddre�8 , ' - __L:ICeriSe-# 1'� `- ^ �
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<br /> _ .`C81fR�1�IY . '• _ � •
<br /> E�ECTRiCtRN,; .£ : • t ' .
<br /> SIGNATUItE '� REGISTERED Y/ N �cuR��°' °� ��Y/N' �
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<br /> Addre�s` - ,, ` - � r License:#�,�r �
<br /> FLUMBER''' " . , . � .GOMPANY - >;
<br /> SIGNATUitE'` �` , � � . ,� REGIST.ERED; , . " .Y./,N,. ;�FEE�CURRE�.. Y/N
<br /> Add[88S . . , • , _ ,�iC8rtS9,# � � ' �-
<br /> MECIiANiCAL` ` .�'� " , . � , GOMP�iNY ' �Z �-�-�-R�R�s�s cv�° _
<br /> SIGNATU1tE> "'` �' i REGIS;TERED ,, .Y'/ N` � Fee CURREn. Y.Jr N
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<br /> Address��"`= =t���� �1�11�f���5��"�' ��� Jr'��1��� FL � ' Uc�nse# C��ft�j�pl7�1 ... 1 ,
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<br /> � OTNER ;' < ;,�> ;,- . ; -�,- � . :. � - = ; � `-,�-COMPI�NY _� : , , .:,rt. ... � j ... -
<br /> SIGNATURE` .,• ".i;� t= .k"�.:3'x..... . . ... .. ; ;` �"'-'REGISTERELI`. . Y/'Ns..: FEE CURRE� Y/N.
<br /> � p� vj•+'�� � ..*�.'�°..... �.Y . . .ttV... :"It 4'.1�5�.'2t- FJ.i .. �.+, ' •. ' _��W�sS�7F�':�ti.: � � � ` ��
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<br /> RESlDEN'1'1Rt:,;n;��,Attacti;(2},Plof_�laris;:.{2}sef's`;of;S�u11if1ng�Flaiis;`{t}setiof:EnercJY=�orms;R=Q=W�Perm1#l�irnsw�cflnstruotlon,,. , , _
<br /> �_- s s�;uMinimum ten�10 workin tda .r._p-.,.�.f•.-.. �s.,.,.�.�,. �. .. .: �.;. ...,. , � . . .
<br /> ",_..�"..: r,�z.: _r(�� )� .,, .:g'`..ys�,a�er sutitinitEal''date.�Requtred onstfe;.C.tinstiu�ddn�Plahs:rStoTinwater Ptans wi S�it`Fence installed,
<br /> Sanllery F�cllitles:&F:1;rlunnpster,�;Site�Wo,r,lc�Pertnl4;tor:sutldfyisiqns/,laige;P.t!clects;;••-;s,�' ,. ' .� . , .
<br /> �COMMERCIAl. Attach{3}�compiete sets"o#�Bultiltrig Ptaiis plus�a'l:Ife Safr�fy�Page;{T}set of'Erier+gy Fotms.R t�-W Permtt tar nevsr canstrucHon.. �
<br /> Minimum ten(10)working days after submlttal date. Required onsite,CanstrucNon Plans,Stormwater Ptans wi Silt Fence installed,
<br /> Sanitary Facilltles&1 dumpster.Site Wark Permit for all newipraijects:�All comm�rclal fequlrements_must meet aompliance �
<br /> .�:SIGN�RERMlT Attacti{2}`"sets a'fEnginee�:eil;P�fa,ris:��� ,.�:�`:- �.�;•�:� •�..-::- _.- -_ _ -
<br /> ••"'PROPERTY SURVEY,requlred for all NEW_ganstcucUon..._. __ -. - - , i
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<br /> ..Dliectiana: . ._s.;:.:� .�;��° r� � - - - - , ... �
<br /> Fill out applicaUon completely. i,
<br /> Owner&ContracMc sign back of appltcatton,natarized � i
<br /> If�ovar�SOO,a Nottca of Commencert�ent la requirad. {AtC upgrades aver S750Q}
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<br /> '" �Agent(for tFie contractor)�orPowe�'of Atfoiney(fii�the owner)�wiould=tie someone wi4Fi notarized letter from owner sutho�izing same
<br /> °DVER.TFlE COUFfT,ER:PE[tMITt1NQ--.__,-.{Front�of•APAItcaBon-Onty}�_..._.... . . �:
<br /> Reroofs if shingles Sewerr� Service Upgrades A/C Fences(PlodSurvey/Footage)
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<br /> Drlvewayst-Not aver Counter if an pubtic roadways::needs ROW`
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