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- � 81 l�a��o City of Zephyrhills Permit Application Fax$��-�eaoo2� I
<br /> � Butlding Departrnent '
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<br /> Date Recelv�I �?i(j���p phone ContaM for Permitting — �
<br /> ��, I
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<br /> Owner's N e Owner Phone Number , I
<br /> Owner's.Add s Owner Phone Number
<br /> Fee Slmpie tlehotder Neme Owner Phone Number
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<br /> FeeSlmple GeholderAddress ,
<br /> JOBFlDDR [��ih LOT#
<br /> SUBDMSIO I PARCEL ID#
<br /> (OBTNt�O FR06!PROPERTYTAX NOTIC�
<br /> WORK PRO OSED . NEW CONSTR ADD/ALT � SICiN Q Q DEMOUSH
<br /> e INSTALL � REPAIR
<br /> PROPOSED SE SFR Q COMM � OTHER'�
<br /> • IYPEOF CO STRUCTIOId � BI.00K - Q FRAME Q S,TEEL [�
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<br /> OESCRiPT10 OF WORK - �
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<br /> BUII'DING' SQ FOOTAGE HEIGHT �
<br /> QBU LDINO X� S Nt VALUATION'OFTOTAL CONSTRUCTtON ,
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<br /> Q CIRICAL r+ $ • DD'� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> OPL MBINO $ /,, ,r� II
<br /> �,�
<br />, Q CHANICAL $ VALUATION OF MECHANICAL INSTAllATION � �j/A,y g�2�
<br /> K�y�"- e7
<br /> 7
<br /> ROOFING SPECIALTY OTHER /
<br /> �. � 0 0 �
<br /> FINISHED OOR ELEVATIONS FLOOD ZONE AREA QYES NO ���f
<br /> BUILDER _ �COMPANY � /�
<br /> SIONATU (_ r�olsr� Y/N �cuar�n Y/N
<br /> Add Ucense# ,
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<br /> ELECTRId �JL , COMPANY D�l� O� �' '
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<br /> SIGtVATURE � REGISTERED Y/N �cuFtrt�n Y/N '
<br /> Addies Ucense# • �
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<br /> PL'I�INBER.,. COMPANY I
<br /> SIGNATl1RE -FiEGISTEt�o• Y/N FEE CURaen Y/N
<br /> . Addres License�!
<br /> MECHANI COMPANY �
<br /> SIGNA7UREI � t�c�m Y/N �cur�n Y/N �
<br /> • Ad '' � License# I
<br />' .;i�. .. .
<br /> '07HEF�;y.�F - COMPANY
<br /> 'SIONA'CURE�, � • r�[cls'reaFn Y7 N �Cuwte: Y!N i
<br /> `JV ' ' ` I
<br /> � " �1C8R58# �
<br /> 'Ft�81DENii , 'Ilttadi;j2�Plot�laris";}2jsefe-0f�Bu�Idirig�PFans,(f)aetof��nergyForms;R-0-WP.etmit.fornew.wnsWdion,
<br /> _ -� �,,�� �Ml,rymum,ten;(]0)Work(ngtday5 after.sutimitfal.datA. Requlred brisite;Con'stnictton Plans,Stormwater Piene w!Sllt Fenee InstaRad,
<br /> � Sanif�y Fa6IflUesy�,l3.damps��r,SI�e;lNatk Pertnit'forsubdivisions/►arge.proJacts '
<br /> COMMERC I Atfach•(2)�eompleCe sets ofBuilding Plarre plus a Life Safety Page;{i)sat of Energy Forms.R-O-W Pertnit for new co�trucUon.
<br /> Mlfnimum ten(10)working days eker submittal dete. Required onske,Construetion Plana,Stortnwater Plans w!SIItFence installed,
<br /> Sanftary FaclllUes&7 dumpstec Sfte Wotic Permitfohall new proJects.All commerdai reguUements must meet compliance
<br /> �$IGN PERNIfI �itmcfi(Pfseisrif.�nglneered Plans:•. . •
<br /> ""PROPERTY SURVEY requirad for eII.NE1111 co�strucFloa �
<br /> "Direetloc�s:� . � . _ . . , • . . '
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<br /> � Fllhouta pliptloncompletely.^ �
<br /> Oiivner •Contractor eign back of appl(ption,noterized '
<br /> i „ If over'y�I2500,a Notice af Commeneement(a requited. (AIC upgrades over$'7500) , , '
<br /> qqent(FdIr'the•conliactor)rorPower'of Attomey(for'fiie aivn�)would be someone wilh notaraed letter from owner author�ing same ,
<br /> :OVER:THECOUNTER,pERMIiTiNG. (eopyof-contract•required) "
<br /> •Reroofs ff aht les Sewers Service Upgredea NC Fences(PlotlSurvey/Footage)
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<br /> Drlvewa ot over Counter if on piibtic ioedwayc..rieeds;ROW ' - •
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