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�� 893-7P�-0020 City of Zephyrhills Permit Applica#ion Fax-813-7eaoa2�
<br /> sulla�ng Department _
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<br /> Date Rec�tved .; Phone�Ccritact far.�Rermittin � —
<br /> t}wner's Name �� i"' � �`�� � s�� �° Owner Phone Number ��� ���'J "�
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<br /> Owner's Address ' �� ��Y.-l�Vl. ?IV� � ,� Owner Phane Number � �
<br /> Fee Simple TItleFiolder Name � � Owner Phane Num6er � �
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<br /> Fee Simple Tltleholder,Address � '
<br /> JOB ACIDRESS ��� �I•., ��vG�� �i� �� a�� LOT# ��
<br /> SUBDIVISION � � PARCEL ID# � � ' -
<br /> , , - (OBTIIINED FROM.PROPERTY,TAX NOTICE)
<br /> WORK PROPOSED NEW'tONSTR . ADD/ALT Q S1GN Q °- Q � DEMOklSH
<br /> ;e. INSTALL 8 • REPAIR .,
<br /> PROPCtSED:USE Q SFR- Q `COMM Q �O'MSF2 . . . .
<br /> TYPE QF CONSTRUCTION - Q � BLOCK " `Q FRAME � STEEL �Q
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<br /> DESCRIPTION OF WORK' t� �� �V')C�. ��"' �'��i� - � Y -
<br /> BUiLQING SIZE` ��' _ ��Sq�F007'AGE�_�, , ,HEiGHT���
<br /> �����"�;Nf' • � � VALUATiONvO�TOTAL CONSTRUCTION� � '
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<br /> QEL�CTRIGAL , $ ' � - , AMP SERVlGE Q =PRi3GRESS ENERGY �. {N.R,E:C. ,�
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<br /> OPI.UMBINCi `$ � �
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<br /> QMECHi4NtGAl. ' $ " VA�UATtON OF;MEGHANICA�INSTALU4TIGiN ,
<br /> QGAS [� ROOFING ,[� SPECIP►I.TY: Q OTHER _ - - �
<br /> FINISHED F1.00R ELEVATIONS ��� FLOOD 20NE AREA QYES NO
<br /> BUtLDER COMPi4Nil' � '
<br /> SIGNA►TURE REGISTERED Y/ N FEE CURRE� Y/N��
<br /> Address - - � •Cicense�# �� �
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<br /> E«cr��ci,�t- -.. . . co��a�rr �_ �.� ��5 �
<br /> SIGNATURE ����'t � � REGISTERED Y/ N FEE CURRE�'�" '` �'`°Y G N '� � �
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<br /> Address • - ..,,. License#,�����'�
<br /> PLUMBER`' : GOMPANY.. ...Lr ° `
<br /> SIGNATURE' ' , x ..REaISTERED- Y L;�N�: :,. •,aFEE�CU,RRE� .�:," Y./N �"�.` '
<br /> Address _.License.#.1; . : ; � � .^�� _ -
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<br /> MECNANICR[:" + .. � . GOMP_.AMY • � ' �
<br /> SIGNATURE � ' ' '' REGMS7ERED YJ N . _ ', FEE CUFtREA�-. . X./rN �
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<br /> ,_ , ,.:.. . .,,- ry - - +
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<br /> Addres's' , . . , , :: . , _ , .
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<br /> . .,.. - : ... ,,_ - License# �. „ � .,
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<br /> OTHE�tt �' ` � - ^ ;Gt1iV��ANY � � �,. .;. �
<br /> SIGNATURE , - . �' � � . . �. . �
<br /> � ` �" � REGIS7ERED' `Y/ N.:.::' ' �Ee cuR�� Y J N
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<br /> �►ddress r _ - " . ... �� � - ` Licsnse# C, ,,, `�
<br /> .. ..-.,r:.. .....3., ..,: .L.. ..�. .. � ., �5�.;.r.4.�.1 _ ,
<br /> 4�ESiDENTIIU;'..:�Attactr"(2)pP16#<Rlans;.{2.}sets:af�Buitding�F'lans;('t}sef af-Eiiergjr�Foiin,s;�•R=0'-W<SPeris►it for new coasttuctibn, � ` '
<br /> .. ,,,t:_�Minimum ten 10)wo . .. r .,... . , .� , ._: ...� • .. ; . .
<br /> , ,_ , , n4x.,.,;(.F,. +�.,.rkin'g;days�:atter:submittal�date:�:Requiredonsite;_Co'nstnicUon�Plans;-Stornnwate�`Plansv+dSllt`Fenceinstalled,
<br /> `�` �Sanitaiy Fac(1(Uas,&r1:=,dump§te_r,,Site:lNoric;,P,.,.ermit;for:subdivislons/Iarge;proJecfsw__-,,;-.a;�: , <s` � .. .:,.r'�.;
<br /> COMMERC{RL Attat�,(3)`eompleCe�sets`of Buitiling P{ans plus a}.[fe Sa#e!y Page:{1}se4 af Energy Farms.R-0=W Permi#to�new constructton. .
<br /> � Mtnimum ten(10)worktng days after submittal date. Required ansite,Canstruc8on Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilides 8 1 dumpster.Site Work Permlt for all new;projecfs..All commerctal requlrements_must meet compllance
<br /> $IGN PERMFT Attac�(2)sets of Eng,i'neeired;Plari's.�.:,,=�y�� � .. � . , - ` " �
<br /> "'"`PROPERTY SURVEY required for_aII�NE411wconstructlon. _ -
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<br /> Direatlons: . ,._ ,"- . `
<br /> Fill out applicatlan completely.
<br /> Owner&Contractor s{gn badc of appitcatfon,natarized
<br /> If over�2500,a Notice af Commertcement i�requlred. tAIG apgrades over�750pj .
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<br /> '" Agent(for the contracior)'tir"Power of'Attomey(fo�tFie owner)would be someone with notarized letter from owner authorizing same
<br /> DVER tHE COUNT.ER P_ERMiTTiNG (�rontaf-App!(cation Qniy}- � -
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foatage)
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<br /> D�iveways-iVot aver Caunter if on pubtic roadways..need's ROW ,
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