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813-780-(3020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> Buitding Deparfinent .
<br /> Date Recelved `�,.--'�Cj �,� :.Rhane:Cat�t�ct�t'ar�Per�n�tt�n ,t��3 b$1 _ ��� �
<br /> Otivner'�Name �`'a���`�'� ���u� �'"1'�' Owner Phone Number , ,
<br /> owner'�Addr�ass �'3°t� � 9'��`���S a��F�1` ()+�S Owner Phane Number , � �
<br /> Fee Slmple Tltleholder'Name �� � Own�r Phone Numb�r '� �
<br /> Fee Slmple Titleholder Addresa -
<br /> ,108 ADDRESS �•�� � �a.L( t`j�tI c1 ;,
<br /> LOT# ��
<br /> susnrv�s�o� � �' � P.ARCEI.ID# 'C��t-".�-b�--�a�. �oo t;;� _--�o o ao �- c�ol t�
<br /> , F � (OB,T/UNED.FR�M PROPERTY,TAX NOTICE) • -
<br /> iNORK PE28ROSf D � NEW COi�STR� , , ADDlAI:°I" Q� SIGN` [[� ' Q DEMOt;{SH
<br /> ��.�.� k�{.INSTAtL. 8 ,. REPAIR -�
<br /> PROPOSED?USE ~ =Q SFR � _�COMM .[„� �QT#iER' '� - � .
<br /> TYPE OF CONSTRUGTION � Q�` � BLOCK " Q '�FRANIE :[� ;STEEG' �Q . "
<br /> � tY ; �,
<br /> DESCF2iPTiONOFWORK . �1(���'ct��•n- -�'�oov`S�rtiK. cA..`�' ��—`CLiV+n}�icu�ttk. ��w �a-��"'Y'�'3 !
<br /> BRl1l.DING:SIZE'. . ' �'StxFOOTAGE'' ` HEIGFlT�! ,
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<br /> QBt1tLDiNG $ VAIUATiOAi"t"1FTGITRL'"CONSlri2tiC7'ION �
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<br /> i Q El.ECTRIGAL. i V�" � AMP SERVICE � �PRt)GRESS Eh1ERGY V Q W.R.E.C.
<br /> �LfJMBiNG. :$ r� t ��J -" � ' -
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<br /> Q ' VALt1ATtON OF MECHANICAI INSTAL'LATtt?N
<br /> i MEGFlANIGAL $
<br /> QG�3 Q ROOFIf�G ;Q SRECb4LTX.[� OTHER_ �
<br /> FIfVISHED FLOOR ELEVATIQNS (��� FLOOD ZONE AREA QYES. NO
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<br /> II BUl�DER . . .COMPANY�°� "
<br /> ' SIGNATURE REGISTERED Y/ N 'FEE CURREN ' Y`/N �
<br /> Addreas " - - - L�cense�#����_ � �_� ��
<br /> ElEGTlttClAN;• . . - r;GOMPANY � �...
<br /> � SIGNATUR6� '� RECaISTERED Y/ N �e CURrtE�d-' '� 'Y/N` '
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<br /> AdcTress , , . + - . _ ' � � _. K license;#�,{,: =.:• - " �
<br /> I PLUlySBER `� ` " • � . ' G�lI�P1►NY.. ��c�G'c�-yi5,,.�"�?'U{fi? ��ti?`�`^�r � -
<br /> �i SIGNATURE"t', y4 . . _ - ,Y;REG�IS.T.ERED,. : ..Y/�.N•- .. GFEE CURRE� • ' Y/N • - �
<br /> t�t C.eY.:F sw �tJt; . � �,�
<br /> Address �'�► au` �L. 33St a-� ,:ucense;# �G�G ��?� �
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<br /> MECHANICAl:` • . _ . . . '� . '- GOMP�NI! � _ . „ .::�-.f. . • '. .
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<br /> SIGNATURE= • �`j , .`� - ` 4 ' ':'` - � , . ' REGISTERED`,,' , Y/ N .:h,FeECu�n. Y./,rN.
<br /> Acld�ss's�r'��'- ,. � _ , :� �. .. � • . _ - : - � � �icense#r� �
<br /> ?'+s{. .. .. . • ' �, ., �,�,. -- ;.z: �� •,4,;� � _ ��`.. . . ° ,
<br /> A7NE1t ;', s:° ,.. � „ ' _: ' � 3 . . �' `COMPA�lY � . ...:. .....~ Y
<br /> SIGNATURE'° ;-s, M t,�:Y: ;�;�.,. . ,..,. , - .� i�. �� __ .
<br /> 'f REGISTERED Y/ N: 'FEE CURRE� Y�/IV.
<br /> ;�a'¢i��"�1-^'f�+."' ;';r;-,. '=�,i. = _ -. _ .,,�i.'-�#'e. .. .. �``. .#'.. . ' .. ,. ..i:��C8F1S8'#'�`� . , }. -
<br /> Aztdress ,�, �,t=: �r:?�`:�:: � �
<br /> .. . . ,r ..r .. , .•-,. •� � 2`,+'„rid.:,.�.•-, �: f`�-.` :�r � -- . ,.__' . ,���:+..'. • _ ,
<br /> RESiDENi1At�,,.�'¢`;Attacti;.(2);P2ot�F{a�is;�:{2)setszof;�ult'diiig�i?laris;'�'!)s'etiof�En'er9Y;Foiins�;R=O=W�FeiirilCfbrn'ewciiitstnaciton. � ' -
<br /> Minimum ten*10�worttin da aft � "�' >`-y �,�... - • #:• ::, . ,
<br /> ;Y-;,4;�,.,, F . . ,zt., ,,�(;,, )�,_ g�, ys�� er;suiitnitiai'datie:�Requlr`eil onsife;Eonstiu�Uon:Plans;Stormwafer Plana�w/S((t�Fence instatied,
<br /> � " 'Sanitery Facilttles,r&;1;dumpster;Site+Wor4c,;Permit;t6r;sG�divisionsAar+ge,p.ro]ects;;p,^,;�a,,: ' ', •_ � �, -
<br /> GOMMERCtAl. At#ach{3)�cBFnplete`sets cif 8iiitding PEans pius a�Ufe Satiafy Page;{1}set of Erieigy Farms.R t'?-iN Petmli for new canstructian.
<br /> Minimum ten(10)woridng days after submlttai date. Requtred onsite,Canstruction Pians,Stormwater Plans w/Silt Fence ins#ailed,
<br /> Sanitary Facilitles 8 1 dumpster.Site Work Permit for all newiproJects.:All commercial_tequlrements_must meet compllence '` �
<br /> �StGN�PERMIT Attacti{2}:sets ssf'EiigineeiedwF(ans:�c:�3=:���= „-, ..'r_ �• , ... - _ �
<br /> ••""PROPERTY SURVEY required for ail IVEW_co�structtbn..._..� - _ - - .
<br /> Dl�s�cllons: _�r-....._. ���; � _ , .. . � .. - i
<br /> Fill out applicaUon completely.
<br /> Owner&Co�tracMr sign back of appitcaBon,not�rtzed '
<br /> If•aver-�SOO,a.Notice,of Camr�nencement ls required. {AfC upgrade$ave�ST500} _
<br /> 'I.- . ..:�,�1,�^t}.f"�s�4�"��' � : . ..
<br /> AgenC(far ttie cbntracto�)�or'Power'of`Attamey(fio�the owner)�would tie somecine with notarized letter from owner autho�izing same
<br /> °QVER�THECt3UN'�ERtiPERMIT�iNG-------•{�rontaf-Atsplication-OnSy)�-- -
<br /> Reroofs if shingles Sewers Service Upgrades �/C Fences(PlodSurvey/Footage)
<br /> Drivewaya-i�tot aver Caunter If cn pubtic roadwayrs::iieeds F20W'
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